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0% found this document useful (0 votes)
23 views14 pages

Report 76bebcf5

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pune1faults
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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You are on page 1/ 14

PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046648 / 7959900 Sample Receive Date : 03/Sep/2023 11:13AM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 03/Sep/2023 12:32PM

HAEMATOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Complete Blood Count


Hemoglobin 10.5 g/dL 12.0 - 15.0 Spectrophotometry:Cynide
free SLS
RBC 4.34 mili/cu.mm 3.8-4.8 Electrical Impedence
HCT 31.3 % 36-46 RBC Pulse height detection
MCV 72.0 fL 83 - 101 RBC Pulse measurement
MCH 24.1 pg 27 - 32 Calculated
MCHC 33.5 g/dL 31.5 - 34.5 Calculated
RDW-CV 15.5 % 11.5-14 Calculated
Total Leucocyte Count 3.04 10^3/µI 4 - 10 Double hydrodynamic
sequential
system/Microscopy
Differential Leucocyte Count
Neutrophils 49 % 40-80 Double hydrodynamic
sequential
system/Microscopy
Lymphocytes 32 % 20 - 40 Double hydrodynamic
sequential
system/Microscopy
Monocytes 17 % 2 - 10 Double hydrodynamic
sequential
system/Microscopy
Eosinophils 1 % 1-6 Double hydrodynamic
sequential
system/Microscopy
Basophils 1 % 0-2 Double hydrodynamic
sequential
system/Microscopy
Absolute Leucocyte Count
Absolute Neutrophil Count 1.49 10^3/µI 2-7 Calculated
Absolute Lymphocyte Count 0.97 10^3/µI 1.0 - 3.0 Calculated
Absolute Monocyte Count 0.52 10^3/µI 0.2 - 1 Calculated

Page 1 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046648 / 7959900 Sample Receive Date : 03/Sep/2023 11:13AM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 03/Sep/2023 12:32PM

HAEMATOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method
Absolute Eosinophil Count 0.03 10^3/µI 0.02 - 0.5 Calculated
Absolute Basophil Count 0.03 10^3/µI 0.02 - 0.1 Calculated
Platelet Count 150 10^3/µI 150-410 Electrical Impedence/
Microscopy
MPV 10 fL 7.5-12 Calculated
PDW 18 fL 11-22 Calculated

Comment:

As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts
are additionally being reported as absolute numbers of each cell in per unit volume of blood.

Page 2 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046648 / 7959900 Sample Receive Date : 03/Sep/2023 11:13AM
Referred By : Dr. Report Status : Final Report
Sample Type : EDTA Report Date : 03/Sep/2023 01:51PM

HAEMATOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Erythrocyte Sedimentation Rate 73 mm/hr 0-12 Modified Westergren

Comment:

ESR provides an index of progress of the disease and is widely used as an indicator of inflammation, infection, trauma, or
malignant diseases. Changes are more significant than a single abnormal test
It is specifically indicated to monitor the course or response to the treatment of diseases like rheumatoid arthritis,
tuberculosis bacterial endocarditis ,acute rheumatic fever ,Hodgkins disease,temporal arthritis , and systemic lupus
erythematosis; and to diagnose and monitor giant cell arteritis and polymyalgia rheumatica.
An elevated ESR may also be associated with many other conditions, including autoimmune disease, anemia,
infection,malignancy,pregnancy, multiple myeloma, menstruation, and hypothyroidism.
Although a normal ESR cannot be taken to exclude the presence of organic disease, its rate is dependent on various
physiologic and pathologic factors.
The most important component influencing ESR is the composition of plasma. High level of C-Reactive Protein, fibrinogen,
haptoglobin, alpha-1antitrypsin, ceruloplasmin and immunoglobulins causes the elevation of Erythrocyte Sedimentation
Rate.
Drugs that may cause increase ESR levels include: dextran, methyldopa, oral contraceptives, penicillamine, procainamide,
theophylline, and Vitamin A. Drugs that may cause decrease levels include: aspirin, cortisone, and quinine

"Test conducted on Whole Blood - EDTA "

Page 3 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : Tata 1mg


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046648 / 7959900 Sample Receive Date : 03/Sep/2023 11:13AM
Referred By : Dr. Report Status : Final Report
Sample Type : WHOLE BLOOD-EDTA Report Date : 03/Sep/2023 12:32PM

HAEMATOLOGY
FEVER PACKAGE EXTENSIVE

Peripheral Smear Examination


RBC- Anisocytosis + , microcytosis+, hypochromia+

WBC - Leucopenia .

PLATELETS - Adequate on the smear.

Page 4 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046648 / 7959900 Sample Receive Date : 03/Sep/2023 11:13AM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 03/Sep/2023 01:04PM

HAEMATOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Malarial Antigen (Vivax & Falciparum) Detection


Plasmodium falciparum Antigen NEGATIVE Negative Immunocromatography
Plasmodium vivax Antigen NEGATIVE

Comment:

Four species of the Plasmodium parasites are responsible for human malaria infection - P.falciparum, P.vivax, P.ovale and
P.malariae. P.falciparum and P.vivax are the most prevalent . Falciparum infection is associated with Cerebral malaria and
drug resistance whereas vivax infection is associated with high rate of infectivity and relapse. Differentiation between
P.falciparum and P.vivax is of utmost importance for better patient management and speedy recovery.
This is only a screening test. The results must always be correlated with clinical history and relevant epidemiological and
therapeutic context.
A Positive result indicates malarial infection. False Positives may be seen due to cross reactivity and persistence
antigenemia.
False negatives may be seen in patient’s with very low parasitic index .

Page 5 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046646 / 7959900 Sample Receive Date : 03/Sep/2023 11:05AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 03/Sep/2023 12:32PM

BIOCHEMISTRY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

C-Reactive Protein (Quantitative) 55.64 mg/L 0-5 Turbidimetry

Comment:
•C-Reactive Protein [CRP] is an acute phase reactant ,hepatic secretion of which is stimulated in response to inflammatory
cytokines.
•CRP is a very sensitive but nonspecific marker of inflammation and infection.
•The CRP test is useful in patient with Inflammatory bowel disease, arthritis, Autoimmune diseases, Pelvic inflammatory disease
(PID), tissue injury or necrosis and infections.
•CRP levels can be elevated in the later stages of pregnancy as well as with use of birth control pills or hormone replacement
therapy i.e. estrogen. Higher levels of CRP have also been observed in the obese.
•As compared to ESR, CRP shows an earlier rise in inflammatory disorders which begins in 4-6 hrs, he intensity of the rise being
higher than ESR and the recovery being earlier than ESR. Unlike ESR, CRP levels are not influenced by hematologic conditions
like Anemia, Polycythemia.

Page 6 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046646 / 7959900 Sample Receive Date : 03/Sep/2023 11:05AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 03/Sep/2023 12:32PM

SEROLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Typhidot - IgM NEGATIVE Negative Immunocromatography


Typhidot - IgG NEGATIVE Negative Immunocromatography

Comment:
Typhoid fever is an infection caused by a bacterium, Salmonella Typhi. Timely diagnosis of typhoid fever at an early stage is
not only important for etiological diagnosis but also to identify and treat the potential carrier state in order to prevent acute
typhoid fever outbreaks. TYPHIDOT is an immunochromatographic assay designed for the qualitative detection and
differentiation of specific IgM and IgG antibodies against specific Salmonella Typhi antigen in human serum or plasma. This test is
an aid in the early diagnosis of typhoid infection.

Note:-

It is a rapid, qualitative, screening test for early detection of antibodies to Salmonella Typhi in human serum/plasma. All
positive results should be confirmed by supplement tests.
A negative result does not rule out recent infection, as positive result is influenced by the time elapsed after the onset of
fever and immuno- competence of the patient.

Page 7 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : Tata 1mg


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046646 / 7959900 Sample Receive Date : 03/Sep/2023 11:05AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 03/Sep/2023 12:32PM

SEROLOGY
FEVER PACKAGE EXTENSIVE

Widal Test (Slide Agglutination)

Salmonella Typhi ‘O’ 1:40


Salmonella Typhi ‘H’ 1:20
Salmonella Typhi ‘AH’ <1:20
Salmonella Typhi ‘BH’ <1:20

Widal test is a serological test, used for invitro detection and quantitative estimation of specific antibodies to Salmonella
antigen (‘H’ and ‘O’) in the serum.

A positive widal test confirms Enteric fever or typhoid fever caused by Gram negative bacteria, Salmonella enterica (S.Typhi
or S.paratyphi). However, the positive slide widal test sometimes give a false positive result, which should be confirmed by
Tube widal test.

The widal test uses ‘O’ and ‘H’ antigens of S.Typhi and S. Paratyphi A and S. Paratyphi B

Titers ≥ 1:80 of O antigen and ≥ 1:160 of H antigen of S. Typhi and Titers ≥ 1:80 of H antigen for S. paratyphi A & B are
significant.

In the case of Low titres, it is suggested to perform repeat test after a week. A four fold rise in titre with gap of 1 week
confirms the Widal test.

Limitation:

1. False Positive: Anamnestic response is seen in person who had prior enteric infection or immunisation with TAB vaccination.
This response is seen during an unrelated fever like- Malaria, M.tuberculosis, Dengue, Influenza, Brucellosis, Rheumatic fever
etc. Where a transient rise in H antibody titer is seen whereas in the patient with enteric fever, a sustained rise is seen.

2. In endemic areas, people may show moderately elevated levels of ‘O’ and ‘H’ agglutinins.

3. False negative: seen in early course of disease (1st week) and immunosuppression.

4. False negative results can be seen in patient where antibiotic treatment is started before the sample is collected.

Page 8 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : Tata 1mg


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046646 / 7959900 Sample Receive Date : 03/Sep/2023 11:05AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 03/Sep/2023 12:32PM

SEROLOGY
FEVER PACKAGE EXTENSIVE

Page 9 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046646 / 7959900 Sample Receive Date : 03/Sep/2023 11:05AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 03/Sep/2023 12:32PM

SEROLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Chikungunya IgM
Chikungunya IgM NEGATIVE Positive-Negative Immunocromatography

Comment:

Chikungunya virus (CHIKV) is an insect-borne virus of the Alphavirus, that is transmitted to humans by Aedes mosquitoes. CHIKV
causes an illness similar to dengue fever but unlike dengue there is no hemorrhagic fever or shock syndrome. CHIKV manifests
with an acute febrile phase of the illness lasting only two to five days,followed by a prolonged arthralgic disease that affects the
joints of the extremities.

NOTE

1. This is only a screening test . All samples detected reactive must be confirmed by using confirmatory test.
2. False positive results can be obtained due to cross reaction with Epstein-BARR virus, Influenza A & B, Brucella and Dengue
virus.
3. False negative results are seen if IgM antibody is below the detectable limit.
4. A negative result does not preclude the possibility of exposure or infection with CHIKV

Page 10 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046646 / 7959900 Sample Receive Date : 03/Sep/2023 11:05AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 03/Sep/2023 08:22PM

SEROLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Dengue NS1 Antigen


Dengue NS1 Antigen Negative (0.048) Index <0.8 ELISA

Comment:

RESULT IN INDEX REMARKS


Negative
No detectable dengue NS1 antigen.
(<0.8)
Equivocal
Repeat sample after 1 week.
(0.8- <1.1)
Positive (>1.1) Presence of detectable dengue NS1 antigen.
Note:

The referring centre/ Lab is responsible for informing concerned Local authorities on notifiable disease.
Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the recommended test is
Dengue virus antibodies IgG & IgM by ELISA.

Comments:Dengue viruses belong to the family Flaviviridae and have 4 serotypes ( 1-4).It is transmitted by the mosquito Aedes
aegypti and Aedes albopictus and is widely distributed in Tropical and Subtropical areas of the world. The disease may be
subclinical, self limiting, febrile or may progress to a severe form of Dengue hemorrhagic fever or Dengue shock syndrome.
Positive: The presence of Dengue nonstructural protein 1 (NS1) antigen is typically detectable within 1 to 2 days following
infection and up to 9 days following symptom onset.NS1 antigen may also be detectable during secondary dengue virus
infection, but for a shorter duration of time (1-4 days following symptom onset).

Negative: The absence of dengue NS1 antigen is suggestive of absence of acute phase of the infection. The NS1 antigen may
be negative if specimen is collected too early such as immediately following dengue virus infection (<24-48 hours) or is collected
following 9 to 10 days of symptoms. Results should always be interpreted in conjunction with clinical presentation and
exposure history.

Limitations:

Cross reactivity is seen in the Flavivirus group between Dengue virus,Zika virus, Murray Valley encephalitis, Japanese
encephalitis, Yellow fever & West Nile viruses.
Negative NS1 antigen results may occur if the specimen was collected after 7 days following symptom onset. Serologic
testing for the presence of IgM and IgG antibodies to Dengue Virus is recommended in such cases.

Page 11 of 12
PO No :PO2030862719-337

Name : Ms.LAXMI PRIYA TRIPATHY Client Name : TATA 1MG PUNE


Age/Gender : 24/Female Registration Date : 03-Sep-23 09:57 AM
Patient ID : MGP297619 Collection Date : 03/Sep/2023 06:26AM
Barcode ID/Order ID : D6046650 / 7959900 Sample Receive Date : 03/Sep/2023 11:25AM
Referred By : Dr. Report Status : Final Report
Sample Type : Urine Report Date : 03/Sep/2023 01:04PM

CLINICAL PATHOLOGY
FEVER PACKAGE EXTENSIVE
Test Name Result Unit Bio. Ref. Interval Method

Urine Routine & Microscopy


Colour YELLOW Pale Yellow Visual
Appearance CLEAR Clear Visual
Specific gravity 1.025 1.003 - 1.035 pKa change
pH 6.0 4.6-8.0 Double Indicator
Glucose Negative Negative GOD-POD
Protein Negative Negative Protein- error principle
Ketones Negative Negative Nitroprusside
Blood Negative Negative Visual
Bilirubin Negative Negative Diazonium
Urobilinogen Normal Normal Azo Dye
Leucocyte Esterase Negative Negative Pyrrole
Nitrite Negative Negative Sulphanilamide Diazo
Pus cells 1-2 0 - 5/HPF Microscopy
Red Blood Cells NIL 0-2 Microscopy
Epithelial cells 1-2 /hpf Few Microscopy
Casts Nil Nil Microscopy
Crystals Nil Nil Microscopy
Yeast Nil Nil Microscopy
Bacteria Nil Nil Microscopy

Comment:
•Note: Pre-test condition to be observed while submitting the sample-first void, mid stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra, perineum,
Avoid prolonged transit time & undue exposure to sunlight.
•During interpretation, points to be considered are Negative nitrite test does not exclude the urinary tract infections. Trace
proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False positive
reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by disinfectants, therapeutic
dyes, ascorbic acid and certain drugs.• Urine microscopy is done in centrifuged urine specimens

*** End Of Report ***

Page 12 of 12
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Conditions of Laboratory Testing & Reporting:


Test results released pertain to the sample, as received. laboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be
clinically correlated by the interpreting clinician. Result delays may happen because of unforeseen or uncontrollable circumstances. Test report may vary
depending on the assay method used. Test results may show inter-laboratory variations. Test results are not valid for medico-legal purposes. Please mail
your queries related to test results to Customer Care mall ID [email protected]

Disclaimer: Results re/ate only to the sample received. Test results marked "BOLD" indicate abnormal results i.e. higher or lower than normal. All lab test
results are subject to clinical interpretation by a qualified medico/ professional. This report cannot be used for any medico-legal purposes. Partial
reproduction of the test results is not permitted. Also, TA TA 1mg Lobs is not responsible for any misinterpretation or misuse of the information. The test
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