Complete Health Report for Ayappa Selva Pille
Complete Health Report for Ayappa Selva Pille
HbA1c Ready
ELECTROCARDIOGRAM Ready
Summary Report
Tests outside reference range
TEST NAME OBSERVED VALUE UNITS Bio. Ref. Interval.
COMPLETE HEMOGRAM
EOSINOPHILS 8 % 1-6
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 34.6 pq 27.0-32.0
MEAN CORPUSCULAR VOLUME(MCV) 105.9 fL 83.0-101.0
PLATELET DISTRIBUTION WIDTH(PDW) 9.4 fL 9.6-15.2
PLATELET TO LARGE CELL RATIO(PLCR) 19.4 % 19.7-42.4
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 51.9 fL 39-46
TOTAL RBC 4.37 X 10^6/µL 4.5-5.5
COMPLETE URINE ANALYSIS
URINE BLOOD PRESENT - Absent
LIPID
HDL CHOLESTEROL - DIRECT 33 mg/dL 40-60
LIVER
BILIRUBIN (INDIRECT) 1.17 mg/dL 0-0.9
BILIRUBIN - TOTAL 1.5 mg/dL 0.3-1.2
BILIRUBIN -DIRECT 0.33 mg/dL < 0.3
RENAL
CREATININE - SERUM 0.65 mg/dL 0.72-1.18
Disclaimer: The above listed is the summary of the parameters with values outside the BRI. For detailed report values,
parameter correlation and clinical interpretation, kindly refer to the same in subsequent pages.
PROCESSED AT :
Thyrocare
D-37/1,TTC MIDC,Turbhe,
Navi Mumbai-400 703
PATIENTID : AP26008001
TEST NAME TECHNOLOGY VALUE UNITS
HbA1c - (HPLC)
H.P.L.C 5 %
Bio. Ref. Interval. :
Bio. Ref. Interval.: As per ADA Guidelines Guidance For Known Diabetics
Clinical Significance:
- An erythrocyte sedimentation rate (ESR) is a blood test that can rise if you have inflammation in your
body. Its also used as a marker to monitor prognosis of an existing inflammatory/infective condition.
- Inflammation is your immune systems response to injury, infection, and many types of conditions,
including immune system disorders, certain cancers and blood disorders.
- A high ESR test result may be from a condition that causes inflammation, such as: Arteritis, Arthritis,
Systemic vasculitis, Polymyalgia rheumatica, Inflammatory bowel disease, Kidney disease, Infections like
Tuberculosis etc, Rheumatoid arthritis and other autoimmune diseases, Heart disease, Certain cancers and
many other Conditions.
- A low ESR test result may be caused by conditions such as: A blood disorder, such as: Polycythemia, Sickle
cell disease (SCD), Leukocytosis, Heart failure, Certain kidney and liver problems etc.
- Certain physiological conditions also affect ESR results, these include : Pregnancy, menstrual cycle,
ageing, obesity, drinking alcohol regularly, and exercise, Certain medicines and supplements also can
affect ESR results.
- Hence Its always suggested to interpret ESR results in conjunction with Clinical History and other
findings.
References :
https://medlineplus.gov/lab-tests/erythrocyte-sedimentation-rate-esr/
PATIENTID : AP26008001
*Note - Mentzer index (MI), RDW-CV and RDWI are hematological indices to differentiate between Iron Deficiency Anemia (IDA) and Beta
Thalassemia Trait (BTT). MI >13, RDWI >220 and RDW-CV >14 more likely to be IDA. MI <13, RDWI <220, and RDW-CV <14 more likely
to be BTT. Suggested Clinical correlation. BTT to be confirmed with HB electrophoresis if clinically indicated.
Method : Fully automated bidirectional analyser (6 Part Differential SYSMEX XN-1000)
(Reference : *FC- flowcytometry, *HF- hydrodynamic focussing, *EI- Electric Impedence, *Hb- hemoglobin, *CPH- Cumulative pulse height)
Clinical Significance
HIV is a screening test being performed as per NACO guidelines. The kits utilize a mixture of recombinant
proteins for detection of antibodies to all subtypes of HIV-1 and HIV-2 in human serum or plasma. A positive
report does not confirm diagnosis of HIV infection at any point of time and all positive cases should be
confirmed by confirmatory test like western blot or PCR. Similarly, a non-reactive test doesnt exclude the
possibility of HIV infection and must be interpreted by a medical practitioner in light of the exposure and
possible window period.
Specifications:
Precision: Intra-Assay (%CV) :5.90%, Inter-Assay (%CV):4.50%, Sensitivity : 100%, Specificity :100%
Kid validation reference : Proposal for the validation of Anti HIV 1/2 or HIV Ag/Ab combination Assays Anti HCV
Assays HBsAg and Anti HBc assay for Use with cadaveric Samples PEI 08/05/2014.
PATIENTID : AP26008001
TEST NAME TECHNOLOGY VALUE UNITS Bio. Ref. Interval.
TOTAL CHOLESTEROL PHOTOMETRY 113 mg/dL < 200
HDL CHOLESTEROL - DIRECT PHOTOMETRY 33 mg/dL 40-60
LDL CHOLESTEROL - DIRECT PHOTOMETRY 68 mg/dL < 100
TRIGLYCERIDES PHOTOMETRY 60 mg/dL < 150
TC/ HDL CHOLESTEROL RATIO CALCULATED 3.4 Ratio 3-5
TRIG / HDL RATIO CALCULATED 1.81 Ratio < 3.12
LDL / HDL RATIO CALCULATED 2.1 Ratio 1.5-3.5
HDL / LDL RATIO CALCULATED 0.48 Ratio > 0.40
NON-HDL CHOLESTEROL CALCULATED 80.02 mg/dL < 160
VLDL CHOLESTEROL CALCULATED 11.96 mg/dL 5 - 40
Please correlate with clinical conditions.
Method :
CHOL - Cholesterol Oxidase, Esterase, Peroxidase
HCHO - Direct Enzymatic Colorimetric
LDL - Direct Measure
TRIG - Enzymatic, End Point
TC/H - Derived from serum Cholesterol and Hdl values
TRI/H - Derived from TRIG and HDL Values
LDL/ - Derived from serum HDL and LDL Values
HD/LD - Derived from HDL and LDL values.
NHDL - Derived from serum Cholesterol and HDL values
VLDL - Derived from serum Triglyceride values
*REFERENCE RANGES AS PER NCEP ATP III GUIDELINES:
TOTAL CHOLESTEROL (mg/dl) HDL (mg/dl) LDL (mg/dl) TRIGLYCERIDES (mg/dl)
PATIENTID : AP26008001
TEST NAME TECHNOLOGY VALUE UNITS Bio. Ref. Interval.
ALKALINE PHOSPHATASE PHOTOMETRY 50.9 U/L 45-129
BILIRUBIN - TOTAL PHOTOMETRY 1.5 mg/dL 0.3-1.2
BILIRUBIN -DIRECT PHOTOMETRY 0.33 mg/dL < 0.3
BILIRUBIN (INDIRECT) CALCULATED 1.17 mg/dL 0-0.9
GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 24.6 U/L < 55
ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 19.7 U/L < 35
ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 15 U/L < 45
SGOT / SGPT RATIO CALCULATED 1.31 Ratio <2
PROTEIN - TOTAL PHOTOMETRY 7.14 gm/dL 5.7-8.2
ALBUMIN - SERUM PHOTOMETRY 4.27 gm/dL 3.2-4.8
SERUM GLOBULIN CALCULATED 2.87 gm/dL 2.5-3.4
SERUM ALB/GLOBULIN RATIO CALCULATED 1.49 Ratio 0.9 - 2
Please correlate with clinical conditions.
Method :
ALKP - Modified IFCC method
BILT - Vanadate Oxidation
BILD - Vanadate Oxidation
BILI - Derived from serum Total and Direct Bilirubin values
GGT - Modified IFCC method
SGOT - IFCC* Without Pyridoxal Phosphate Activation
SGPT - IFCC* Without Pyridoxal Phosphate Activation
OT/PT - Derived from SGOT and SGPT values.
PROT - Biuret Method
SALB - Albumin Bcg¹method (Colorimetric Assay Endpoint)
SEGB - DERIVED FROM SERUM ALBUMIN AND PROTEIN VALUES
A/GR - Derived from serum Albumin and Protein values
Clinical Significance :
1. This is a screening and qualitative test and a positive report does not confirm diagnosis. All Reactive tests should be confirmed
with HBV DNA PCR and other laboratory methods, as per National guidelines.
2. The test should always be evaluated with other data available to the physician.
3. False Reactive tests can be observed in patients receiving Mouse monoclonal antibodies, Biotin therapy and due to presence of
heterophile antibodies in serum.
4. False Non reactive results can be obtained if sample collected in early course of disease.
References: VollerA, Bartlett A, and Bidwell D. Zuckermann AJ: Viral Hepatitis with special reference to hepatitis B immunoassays
for the 80s. eds University Park Press.1981;361-373. National Laboratory guidelines for viral Hepatitis.
PATIENTID : AP26008001
TEST NAME TECHNOLOGY VALUE UNITS Bio. Ref. Interval.
BLOOD UREA NITROGEN (BUN) PHOTOMETRY 9.51 mg/dL 7.94 - 20.07
UREA / SR.CREATININE RATIO CALCULATED 31.31 Ratio < 52
UREA (CALCULATED) CALCULATED 20.35 mg/dL Adult : 17-43
BUN / Sr.CREATININE RATIO CALCULATED 14.63 Ratio 9:1-23:1
URIC ACID PHOTOMETRY 4.6 mg/dL 4.2 - 7.3
Please correlate with clinical conditions.
Method :
BUN - Kinetic UV Assay.
UR/CR - Derived from UREA and Sr.Creatinine values.
UREAC - Derived from BUN Value.
B/CR - Derived from serum Bun and Creatinine values
URIC - Uricase / Peroxidase Method
Clinical Significance :
The significance of a single creatinine value must be interpreted in light of the patients muscle mass. A patient with a greater
muscle mass will have a higher creatinine concentration. The trend of serum creatinine concentrations over time is more important
than absolute creatinine concentration. Serum creatinine concentrations may increase when an ACE inhibitor (ACEI) is taken. The
assay could be affected mildly and may result in anomalous values if serum samples have heterophilic antibodies, hemolyzed ,
icteric or lipemic.
> = 90 : Normal
60 - 89 : Mild Decrease
45 - 59 : Mild to Moderate Decrease
30 - 44 : Moderate to Severe Decrease
15 - 29 : Severe Decrease
Clinical Significance
The normal serum creatinine reference interval does not necessarily reflect a normal GFR for a patient. Because mild and
moderate kidney injury is poorly inferred from serum creatinine alone. Thus, it is recommended for clinical laboratories to routinely
estimate glomerular filtration rate (eGFR), a “gold standard” measurement for assessment of renal function, and report the value
when serum creatinine is measured for patients 18 and older, when appropriate and feasible. It cannot be measured easily in
clinical practice, instead, GFR is estimated from equations using serum creatinine, age, race and sex. This provides easy to
interpret information for the doctor and patient on the degree of renal impairment since it approximately equates to the
percentage of kidney function remaining. Application of CKD-EPI equation together with the other diagnostic tools in renal
medicine will further improve the detection and management of patients with CKD.
Reference
Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF, 3rd, Feldman HI, et al. A new equation to estimate glomerular filtration
rate. Ann Intern Med. 2009;150(9):604-12.
PATIENTID : AP26008001
TEST NAME METHODOLOGY VALUE UNITS Bio. Ref. Interval.
Complete Urinogram
Physical Examination
VOLUME Visual Determination 3 mL -
COLOUR Visual Determination PALE YELLOW - Pale Yellow
APPEARANCE Visual Determination CLEAR - Clear
SPECIFIC GRAVITY pKa change 1.02 - 1.003-1.030
PH pH indicator 6 - 5-8
Chemical Examination
URINARY PROTEIN PEI ABSENT mg/dL Absent
URINARY GLUCOSE GOD-POD ABSENT mg/dL Absent
URINE KETONE Nitroprusside ABSENT mg/dL Absent
URINARY BILIRUBIN Diazo coupling ABSENT mg/dL Absent
UROBILINOGEN Diazo coupling Normal mg/dL <=0.2
BILE SALT Hays sulphur ABSENT - Absent
BILE PIGMENT Ehrlich reaction ABSENT - Absent
URINE BLOOD Peroxidase reaction PRESENT - Absent
NITRITE Diazo coupling ABSENT - Absent
LEUCOCYTE ESTERASE Esterase reaction ABSENT - Absent
Microscopic Examination
MUCUS Microscopy ABSENT - Absent
RED BLOOD CELLS Microscopy 3 cells/HPF 0-5
URINARY LEUCOCYTES (PUS CELLS) Microscopy ABSENT cells/HPF 0-5
EPITHELIAL CELLS Microscopy 3 cells/HPF 0-5
CASTS Microscopy ABSENT - Absent
CRYSTALS Microscopy ABSENT - Absent
BACTERIA Microscopy ABSENT - Absent
YEAST Microscopy ABSENT - Absent
PARASITE Microscopy ABSENT - Absent
~~ End of report ~~
I aVR V1 V4
II aVL V2 V5
III aVF V3 V6
II
v The reported results are for information and interpretation of the referring doctor only.
v It is presumed that the tests performed on the specimen belong to the patient; named or identified.
v Results of tests may vary from laboratory to laboratory and also in some parameters from time to time for the same
patient.
v Should the results indicate an unexpected abnormality, the same should be reconfirmed.
v Only such medical professionals who understand reporting units, reference ranges and limitations of technologies
should interpret results.
v This report is not valid for medico-legal purpose.
v Neither Thyrocare, nor its employees/representatives assume: (a) any liability, responsibility for any loss or damage
that may be incurred by any person as a result of presuming the meaning or contents of the report, (b) any claims
of any nature whatsoever arising from or relating to the performance of the requested tests as well as any claim for
indirect, incidental or consequential damages. The total liability, in any case, of Thyrocare shall not exceed the
total amount of invoice for the services provided and paid for.
v Thyrocare Discovery video link :- https://youtu.be/nbdYeRgYyQc
EXPLANATIONS
v Majority of the specimen processed in the laboratory are collected by Pathologists and Hospitals we call them
as "Clients".
v Name - The name is as declared by the client and recored by the personnel who collected the specimen.
v Ref.Dr - The name of the doctor who has recommended testing as declared by the client.
v Labcode - This is the accession number in our laboratory and it helps us in archiving and retrieving the data.
v Barcode - This is the specimen identity number and it states that the results are for the specimen bearing
the barcode (irrespective of the name).
v SCP - Specimen Collection Point - This is the location where the blood or specimen was collected as declared by
the client.
v SCT - Specimen Collection Time - The time when specimen was collected as declared by the client.
v SRT - Specimen Receiving Time - This time when the specimen reached our laboratory.
v RRT - Report Releasing Time - The time when our pathologist has released the values for Reporting.
v Reference Range - Means the range of values in which 95% of the normal population would fall.
SUGGESTIONS
v Values out of reference range requires reconfirmation before starting any medical treatment.
v Retesting is needed if you suspect any quality shortcomings.
v Testing or retesting should be done in accredited laboratories.
v For suggestions, complaints, clinical support or feedback, write to us at [email protected]
or call us on 022-3090 0000
+ T&C Apply, #As on 5th December 2024, *As per a survey on doctors' perception of laboratory diagnostics (IJARIIT,2023)
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