Test/s Results Normal Value

Hematocrit 0.35 (Male) 0.42-0.53 (Female) 0.36-0.46

Hemoglobin 114 g/L M:155 +/- 20 g/L F:140 +/- 20 g/L

WBC Count 14.54 x 109L 5-10 x 10 9/ L
Platelet Count 619 x 109 L 150 – 450 x 109/L
Schilling’s Differential Count

Neutrophilic Segmenters 0.70 0.43 – 0.76

Neutrophilic Stab 0.03 0.00-0.05
Lymphocytes 7 0.17 – 0.48
Eosinophils 0.02 0.00 – 0.05
Basophils 0.00 – 0.01
Monocytes 0.06 0.04 – 0.10
Atypical cells
1.00
RBC Morphology Normocytic, Normochromic
HEMATOLOGY
October 20, 2022

IMPLICATION:
The hemoglobin, hematocrit and lymphocytes are below normal ranges. A hematocrit test
measures the proportion of red blood cells in the blood. Having too few or too many red blood
cells can be a sign of certain diseases while hemoglobin is a protein in red blood cells which
red blood cells carry oxygen throughout the body. If a person has a condition that affects the
body’s ability to make red blood cells, the hemoglobin levels may drop. And having a low
hemoglobin level may be a symptom of several conditions, including different kinds of anemia
and cancer. On the other hand, Lymphocytes are white blood cells that help the body fight
infection and disease. But since the patient is having dysuria and persistent blood spotting
which could be one reason why she had this laboratory results. The physician ordered
clindamycin and Tranexamic Acid to be taken by the patient.

TRANSABDOMINAL/TRANSVAGINAL ULTRASOUND

February 17, 2023

Findings:
 The uterus is anteverted with smooth contour and homogenous myometrial echo pattern
measuring 6.1 x 4. 475 x 2.43 cm (Vol: 36.91 ml)

The cervix is homogenous measuring 3.28 x 1.93 x 2.46 cm. Posterior to the
cervix at the posterior vaginal wall is a heterogenous structure measuring 2.12 x 1.45 x
1.71 cm (Vol: 2.74 ml) with minimal flow on color mapping.

The endometrium is heterogenous with irregular cystic spaces measuring 7.2

mm. The endometrial midline is not defined. The endo-myometrial junction is regular.
There is no flow on color mapping.

The right and left ovaries are not visualized on transabdominal nor transvaginal
route.

Occupying the pelvo abdominal cavity is a multilocular solid structure measuring

18.88 12.94 x 17.54 m (Vol: 2244ml) with moderate flow on color mapping. There are
more than three papillary projections. The largest solid component measures 13.88 x
7.42 x 10.34 cm (Vol: 557.19 ml). This is posterior and adherent to the posterior surface
of the uterus.

IOTA ADNEX Chance of benign tumor: 0.1%

Risk of malignancy: 99.9%
Risk of Borderline Tumor: 1.8%
Risk of Stage 1 Ovarian Cancer: 3.4%
Risk of State II-IV Ovarian Cancer: 92.8%
Risk of Metastatic Cancer to the Adbexa: 1.9%
Others: There is anechoic fluid in the abdomino-pelvic cavity

Impression:
Normal-sized, Anteverted Uterus
Heterogenous Endometrium
Posterior Vaginal Wall Mass
Bilateral Ovaries Not Visualized
Pelvoabdominal Mass Probably Ovarian New Growth
with Malignant Sonologic Features

IMPLICATION:
Ultrasound is an imaging method that uses sound waves to produce images of structures
within your body. This is indicated to the patient because she has enlarged abdomen with pain to
view what causes it. And the result says that ….

ABO and RH TYPING

February 7, 2023
 Test Name Result
ABO Blood Typing O
Rh Typing POSITIVE

IMPLICATION:
Blood typing is a test that determines a person’s blood type. The test is essential if you
need a blood transfusion or are planning to donate blood. This procedure was indicated to the
patient since she has a low red blood cell which was shown by the result of her hemoglobin and
hematocrit that are below the normal range. Patient needs to have blood transfusion since the
amount of red blood cells is not enough to supply the body and she is having continuous blood
spotting. Patient’s blood typing shows that she is blood type O positive, she can only receive a
type O positive blood to normalized her hemoglobin and hematocrit.

ABDOMINAL ULTRASOUND
February 9, 2023
 Findings in the abdominopelvic may relate to but not limited to the following
-Ovarian New Growth
-Tubal Mass Probably Malignant
-Mesenteric Mass
 Cholelithiasis
 Staghorn Calculi with Hydronephrosis, Right Kidney
 Bilateral Simple Renal cyst as described
 Ascites as described
 Sonographically Normal Liver Pancreas and Spleen
 Normal-sized Antereverted Uterus with 0.9 Endometrium

IMPLICATION:
An abdominal ultrasound is a medical imaging test that uses sound waves to see inside
the belly (abdomen) area. On the ultrasound result it indicates that the patient had a mass on her
ovary with is malignant, gallstone, kidney stone on the right kidney, presence of cyst on kidneys
and ascites or collection of fluid on the abdomen. This procedure was indicated to the patient
since she had an enlarged abdomen, abdominal pain with a pain scale of 8 out of 10, dysuria and
continuous blood spotting which the following are some of the signs and symptoms of the results
showed. Medications given to patient are Furosemide, Tranexamic Acid and Mefenamic Acid.

CHEST ULTRASOUND
February 10, 2023
Interpretation:
 Scanning of both hemithoraces shows fluid collection in both pleural cavities with an
approximate volume of +/-1100cc in the right while approximately +/-1300cc on the left with
secondary passive atelectasis of the lower lobes.
Impression:
Bilateral Pleural Effusion with Secondary Passive Atelectasis of the Lower Lobes

February 18, 2023

Interpretation:
Scanning of both hemithoraces shows fluid collection in both pleural cavities with an
approximate volume of +/-1100cc in the left and +/- 1300 cc in the right. There is secondary
passive lower lobe atelectasis.
Impression:
Bilateral pleural effusion with secondary passive lower lobe atelectasis
IMPLICATION:
A chest ultrasound is a noninvasive diagnostic exam that produces images, which used to
assess the organs and structures within the chest, such as the lungs, mediastinum (area in the
chest containing the heart, aorta, trachea, esophagus, thymus, and lymph nodes), and pleural
space (space between the lungs and the interior wall of the chest). This was done to the patient in
order to view her inner body organs since she had an ascites before that was resulted from on her
WAB ultrasound but did not undergone surgery due to financial difficulties. Then the result
indicates that the patient had an atelectasis which this is a complete or partial collapse of the
entire lung or area of the lung. This occurs due to the fluid accumulated on patients’ lungs which
causes difficulty of breathing to the patient. So, a pigtail drain was inserted to the patient to drain
the fluid that accumulates on her hemothorax and a furosemide medication was given.

CELL COUNT and DIFFERENTIAL COUNT

February 11, 2023

Specimen: PLEURAL FLUID

PHYSICAL EXAMINATION:
Color: DARK YELLOW
Appearance: TURBID
Volume: 10 ml

MICROSCOPIC EXAMINATION:
No. of WBC 79 /cumm (90 % Segmenters 10 %Lymphocytes)
No. of RBC 1500 /cumm (65 % Crenated 35 %Non-creanated)
IMPLICATION:
A differential blood count is a blood test to check your white blood cell levels, which can
indicate the presence of infection, disease, or an allergic reaction. Based from the lab result, dark
yellow color and turbid appearance indicates the presence of bacteria or infection as for the normal
should be light yellow and clear in appearance.

ROUTINE CHEMISTRY
February 11, 2023

TEST INSTRUME RESULT UNIT REFERENCE

NT RANGE
LDH (Pleural Fluid) 1137.53 U/L 25-1200
Total Protein (Pleural 58.26 g/L 10-120
Fluid)

February 13, 2023

TEST INSTRUME RESULT UNIT REFERENCE

NT RANGE
LDH (Pleural Fluid) AU 480 2229.51 U/L 25-1200
Total Protein (Pleural AU 480 58.76 g/L 10-120
Fluid)

IMPLICATION:
Lactate dehydrogenase (LDH) test measures the level of lactate dehydrogenase (LDH),
also known as lactic acid dehydrogenase, in the blood or sometimes in other body fluids. LDH is
a type of protein, known as an enzyme that plays an important role in making the body's energy.
It is found in almost all the body's tissues, including those in the blood, heart, kidneys, brain, and
lungs. This was done to the patient to determine the amount of lactate dehydrogenase on the
accumulated fluid on her pleural space.

COMPLETE BLOOD COUNT

February 15, 2023

Test name Result Reference Range

Hemoglobin 114 120-160 g/L
Hematocrit 0.35 0.37- 0.47 L/L
WBC Count 14.54 5.0-10.0 10^9/L
DIFFERENTIAL COUNT
Neutrophils 85 50-70 %
Lymphocytes 7 20-40 %
 Monocytes 6 0-10%
Eosinophils 2 0-7%
Basophils 0 0-1%
Total 100
RBC Count 4.61 4.04-5.48 10^12/L
Platelet Count 619 150-400 10^12/L
“Thrombocytosis”
RBC Indices
MCV 75.80 80-100 fL
MCH 24.70 27-31 pg
“Anemia and cancer”
MCHC 326.00 310-360 g/L
RDW-CV 18.90 11-16 %
RDW-SD 52.70 35-56 fL
MPV 8.70 6.5-12 fL

IMPLICATION:
A complete blood count, or CBC, is a blood test that measures many different parts and
features of the blood, including Red blood cells, which carry oxygen from your lungs to the rest
of your body. White blood cells, which fight infections and other diseases. There are five major
types of white blood cells. A CBC test measures the total number of white cells in your blood. A
different test called a CBC with differential measures the number of each type of these white
blood cells. Platelets, which stop bleeding by helping your blood to clot. Hemoglobin, a protein
in red blood cells that carries oxygen from your lungs to the rest of your body. Hematocrit, a
measurement of how much of your blood is made up of red blood cells and Mean corpuscular
volume (MCV), a measure of the average size of your red blood cells.

The patients Hemoglobin and Hematocrit are below normal ranges this shows that

Low (mean corpuscular hemoglobin) MCH levels can be a sign of anemia, autoimmune
disease, and other issues.

CHEMISTRY
February 7, 2023
SI Unit Conventional Unit
Test Name Instrument Result Unit Range Result Unit Range
Sodium Alinity C 135.19 mmol/L 136-145
Potassium Alinity C 4.27 mmol/L 3.5-5.1
Chloride Alinity C 106.09 mmol/L 98-107
Total Alinity C 70.28 g/L 60-80 7.03 g/dL 6.0-8.0
Protein
Albumin Alinity C 32.93 g/L 35-52 3.29 g/dL 3.5-5.2
Globulin Alinity C 37.35 g/L 20-35 3.74 mg/dL 2.0-3.5
 A/G Ratio Alinity C 0.88 0.8-2.0 0.88 0.8-2.0

February 13, 2023

SI Unit Conventional Unit
Test Name Instrument Result Unit Range Result Unit Range
Sodium Alinity C 133.43 mmol/L 136-145
Potassium Alinity C 4.21 mmol/L 3.5-5.1
Chloride Alinity C 101.78 mmol/L 98-107
Creatinine Alinity C 88.37  µmol/L 50.4-98.1 1.00 mg/dL 0.57-1.11
Total Alinity C 64.82 g/L 60-80 6.48 g/dL 6.0-8.0
Protein
Albumin Alinity C 27.87 g/L 35-52 2.79 g/dL 3.5-5.2
LDH Alinity C 617.62 U/L 125-220

IMPLICATION:
The patient’s sodium is below the normal range as well as on the second take of her
chemistry. Sodium is an essential electrolyte that helps maintain the balance of water in and
around the cells. It’s important for proper muscle, nerve function and also it helps maintain
stable blood pressure levels.