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What Do My Lab Test Reports Indicate?
Question: hello XXXXXXX
i have used you before
my name XXXXXXX kuzma
this is for my wife
she has a brain tumor that we are treating naturally.
can you view the attached (how do you attach) blood and urine and give your
analysis. she is on a ketogenic diet and high ketones is good
thanks
LabCorp
SPECIMEN INFORMATION
SPECIMEN: 0000
REQUISITION: 0000
LAB REF NO:
COLLECTED: 2016/11/01 12:10
RECEIVED: 2016/11/01 00:00
REPORTED: 2016/11/02 14:33
PATIENT INFORMATION
Kuzma, XXXXXXX
DOB: February 21, 1952
AGE: 64
GENDER: Female
FASTING: Yes
Clinical Info:
REPORT STATUS: FINAL
ORDERING PHYSICIAN
Hancock, XXXXXXX
CLIENT INFORMATION
2016-11-02 14:33:00 -0700
HealthOne LC
131 E Broad Street
Suite 204
Falls Church, VA 22046
Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 7.0 3.4-10.8 x10E3/uL 01
RBC 4.63 3.77-5.28 x10E6/uL 01
Hemoglobin 14.1 11.1-15.9 g/dL 01
Hematocrit 43.4 34.0-46.6 % 01
MCV 94 79-97 fL 01
MCH 30.5 26.6-33.0 pg 01
MCHC 32.5 31.5-35.7 g/dL 01
RDW 13.5 12.3-15.4 % 01
Platelets 206 150-379 x10E3/uL 01
Neutrophils 46 % 01
Lymphs 43 % 01
Monocytes 6 % 01
Eos 4 % 01
Basos 1 % 01
Neutrophils (Absolute) 3.2 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 3.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.3 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.1 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 85 65-99 mg/dL 01
BUN 10 8-27 mg/dL 01
Creatinine, Serum 0.76 0.57-1.00 mg/dL 01
eGFR If NonAfricn Am 83 >59 mL/min/1.73 01
eGFR If Africn Am 96 >59 mL/min/1.73 01
BUN/Creatinine Ratio 13 11-26 01
Sodium, Serum 143 136-144 mmol/L 01
Potassium, Serum 4.1 3.5-5.2 mmol/L 01
Chloride, Serum 99 97-106 mmol/L 01
Carbon Dioxide, Total 25 18-29 mmol/L 01
Calcium, Serum 9.9 8.7-10.3 mg/dL 01
Protein, Total, Serum 7.2 6.0-8.5 g/dL 01
Albumin, Serum 4.6 3.6-4.8 g/dL 01
Globulin, Total 2.6 1.5-4.5 g/dL 01
A/G Ratio 1.8 1.1-2.5 01
Bilirubin, Total 1.5 HIGH 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 55 39-117 IU/L 01
AST (SGOT) 20 0-40 IU/L 01
ALT (SGPT) 12 0-32 IU/L 01
Urinalysis, Complete
Specific Gravity 1.022 1.005-1.030 01
pH 6.0 5.0-7.5 01
Urine-Color Yellow Yellow 01
Appearance Cloudy ABNORMAL Clear 01
WBC Esterase 2+ ABNORMAL Negative 01
Protein 1+ ABNORMAL Negative/Trace 01
Glucose Negative Negative 01
Ketones 2+ ABNORMAL Negative 01
1 of 2
Occult Blood Trace ABNORMAL Negative 01
Bilirubin Negative Negative 01
Urobilinogen,Semi-Qn 0.2 0.2-1.0 mg/dL 01
Nitrite, Urine Negative Negative 01
Microscopic Examination See below: 01
Microscopic was indicated and was performed.
Microscopic Examination
WBC 0-5 0 - 5 /hpf 01
RBC 0-2 0 - 2 /hpf 01
Epithelial Cells (non renal) 0-10 0 - 10 /hpf 01
Crystals Present ABNORMAL N/A 01
Crystal Type Calcium Oxalate N/A 01
Mucus Threads Present Not Estab. 01
Bacteria Few None seen/Few 01
Lipid Panel
Cholesterol, Total 180 100-199 mg/dL 01
Triglycerides 67 0-149 mg/dL 01
HDL Cholesterol 59 >39 mg/dL 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 13 5-40 mg/dL 01
LDL Cholesterol Calc 108 HIGH 0-99 mg/dL 01
Iron and TIBC
Iron Bind.Cap.(TIBC) 366 250-450 ug/dL 01
UIBC 209 118-369 ug/dL 01
Iron, Serum 157 HIGH 27-139 ug/dL 01
Iron Saturation 43 15-55 % 01
Hemoglobin A1c
Hemoglobin A1c 5.4 4.8-5.6 % 01
.
Pre-diabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0
TSH
TSH 1.980 0.450-4.500 uIU/mL 01
Vitamin D, 25-Hydroxy
Vitamin D, 25-Hydroxy 105.0 HIGH 30.0-100.0 ng/mL 01
Vitamin D deficiency has been defined by the Institute of
Medicine and an Endocrine Society practice guideline as a
level of serum 25-OH vitamin D less than 20 ng/mL (1,2).
The Endocrine Society went on to further define vitamin D
insufficiency as a level between 21 and 29 ng/mL (2).
1. IOM (Institute of Medicine). 2010. Dietary reference
intakes for calcium and D. XXXXXXX DC: The
National Academies Press.
2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al.
Evaluation, treatment, and prevention of vitamin D
deficiency: an Endocrine Society clinical practice
guideline. JCEM. 2011 Jul; 96(7):1911-30.
C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.20 0.00-3.00 mg/L 01
Relative Risk for Future Cardiovascular Event
Low <1.00
Average 1.00 - 3.00
High >3.00
Vitamin B12
Vitamin B12 499 211-946 pg/mL 01
Performing Laboratory Information:
01: LabCorp XXXXXXX 1801 First Avenue South, XXXXXXX AL, phone: 205-581-3500
Medical Director: MD XXXXXXX D Ragland
2 of 2
i have used you before
my name XXXXXXX kuzma
this is for my wife
she has a brain tumor that we are treating naturally.
can you view the attached (how do you attach) blood and urine and give your
analysis. she is on a ketogenic diet and high ketones is good
thanks
LabCorp
SPECIMEN INFORMATION
SPECIMEN: 0000
REQUISITION: 0000
LAB REF NO:
COLLECTED: 2016/11/01 12:10
RECEIVED: 2016/11/01 00:00
REPORTED: 2016/11/02 14:33
PATIENT INFORMATION
Kuzma, XXXXXXX
DOB: February 21, 1952
AGE: 64
GENDER: Female
FASTING: Yes
Clinical Info:
REPORT STATUS: FINAL
ORDERING PHYSICIAN
Hancock, XXXXXXX
CLIENT INFORMATION
2016-11-02 14:33:00 -0700
HealthOne LC
131 E Broad Street
Suite 204
Falls Church, VA 22046
Test Name Result Flag Reference Range Lab
CBC With Differential/Platelet
WBC 7.0 3.4-10.8 x10E3/uL 01
RBC 4.63 3.77-5.28 x10E6/uL 01
Hemoglobin 14.1 11.1-15.9 g/dL 01
Hematocrit 43.4 34.0-46.6 % 01
MCV 94 79-97 fL 01
MCH 30.5 26.6-33.0 pg 01
MCHC 32.5 31.5-35.7 g/dL 01
RDW 13.5 12.3-15.4 % 01
Platelets 206 150-379 x10E3/uL 01
Neutrophils 46 % 01
Lymphs 43 % 01
Monocytes 6 % 01
Eos 4 % 01
Basos 1 % 01
Neutrophils (Absolute) 3.2 1.4-7.0 x10E3/uL 01
Lymphs (Absolute) 3.0 0.7-3.1 x10E3/uL 01
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL 01
Eos (Absolute) 0.3 0.0-0.4 x10E3/uL 01
Baso (Absolute) 0.1 0.0-0.2 x10E3/uL 01
Immature Granulocytes 0 % 01
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL 01
Comp. Metabolic Panel (14)
Glucose, Serum 85 65-99 mg/dL 01
BUN 10 8-27 mg/dL 01
Creatinine, Serum 0.76 0.57-1.00 mg/dL 01
eGFR If NonAfricn Am 83 >59 mL/min/1.73 01
eGFR If Africn Am 96 >59 mL/min/1.73 01
BUN/Creatinine Ratio 13 11-26 01
Sodium, Serum 143 136-144 mmol/L 01
Potassium, Serum 4.1 3.5-5.2 mmol/L 01
Chloride, Serum 99 97-106 mmol/L 01
Carbon Dioxide, Total 25 18-29 mmol/L 01
Calcium, Serum 9.9 8.7-10.3 mg/dL 01
Protein, Total, Serum 7.2 6.0-8.5 g/dL 01
Albumin, Serum 4.6 3.6-4.8 g/dL 01
Globulin, Total 2.6 1.5-4.5 g/dL 01
A/G Ratio 1.8 1.1-2.5 01
Bilirubin, Total 1.5 HIGH 0.0-1.2 mg/dL 01
Alkaline Phosphatase, S 55 39-117 IU/L 01
AST (SGOT) 20 0-40 IU/L 01
ALT (SGPT) 12 0-32 IU/L 01
Urinalysis, Complete
Specific Gravity 1.022 1.005-1.030 01
pH 6.0 5.0-7.5 01
Urine-Color Yellow Yellow 01
Appearance Cloudy ABNORMAL Clear 01
WBC Esterase 2+ ABNORMAL Negative 01
Protein 1+ ABNORMAL Negative/Trace 01
Glucose Negative Negative 01
Ketones 2+ ABNORMAL Negative 01
1 of 2
Occult Blood Trace ABNORMAL Negative 01
Bilirubin Negative Negative 01
Urobilinogen,Semi-Qn 0.2 0.2-1.0 mg/dL 01
Nitrite, Urine Negative Negative 01
Microscopic Examination See below: 01
Microscopic was indicated and was performed.
Microscopic Examination
WBC 0-5 0 - 5 /hpf 01
RBC 0-2 0 - 2 /hpf 01
Epithelial Cells (non renal) 0-10 0 - 10 /hpf 01
Crystals Present ABNORMAL N/A 01
Crystal Type Calcium Oxalate N/A 01
Mucus Threads Present Not Estab. 01
Bacteria Few None seen/Few 01
Lipid Panel
Cholesterol, Total 180 100-199 mg/dL 01
Triglycerides 67 0-149 mg/dL 01
HDL Cholesterol 59 >39 mg/dL 01
According to ATP-III Guidelines, HDL-C >59 mg/dL is considered a
negative risk factor for CHD.
VLDL Cholesterol Cal 13 5-40 mg/dL 01
LDL Cholesterol Calc 108 HIGH 0-99 mg/dL 01
Iron and TIBC
Iron Bind.Cap.(TIBC) 366 250-450 ug/dL 01
UIBC 209 118-369 ug/dL 01
Iron, Serum 157 HIGH 27-139 ug/dL 01
Iron Saturation 43 15-55 % 01
Hemoglobin A1c
Hemoglobin A1c 5.4 4.8-5.6 % 01
.
Pre-diabetes: 5.7 - 6.4
Diabetes: >6.4
Glycemic control for adults with diabetes: <7.0
TSH
TSH 1.980 0.450-4.500 uIU/mL 01
Vitamin D, 25-Hydroxy
Vitamin D, 25-Hydroxy 105.0 HIGH 30.0-100.0 ng/mL 01
Vitamin D deficiency has been defined by the Institute of
Medicine and an Endocrine Society practice guideline as a
level of serum 25-OH vitamin D less than 20 ng/mL (1,2).
The Endocrine Society went on to further define vitamin D
insufficiency as a level between 21 and 29 ng/mL (2).
1. IOM (Institute of Medicine). 2010. Dietary reference
intakes for calcium and D. XXXXXXX DC: The
National Academies Press.
2. Holick MF, Binkley NC, Bischoff-Ferrari HA, et al.
Evaluation, treatment, and prevention of vitamin D
deficiency: an Endocrine Society clinical practice
guideline. JCEM. 2011 Jul; 96(7):1911-30.
C-Reactive Protein, Cardiac
C-Reactive Protein, Cardiac 0.20 0.00-3.00 mg/L 01
Relative Risk for Future Cardiovascular Event
Low <1.00
Average 1.00 - 3.00
High >3.00
Vitamin B12
Vitamin B12 499 211-946 pg/mL 01
Performing Laboratory Information:
01: LabCorp XXXXXXX 1801 First Avenue South, XXXXXXX AL, phone: 205-581-3500
Medical Director: MD XXXXXXX D Ragland
2 of 2
Brief Answer:
Major findings may indicate urinary tract infection.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Sorry for replying late,
I've gone through your query and understand your concern,
I am also aware of your previous queries,
Your wife reports doesn't indicate serious findings.
Major findings may indicate urinary tract infection.
She may need culture and sensitivity of urine and she may also need antibiotics.
I suggest my patient's to drink lot of water.
Her bilirubin is also raised.It is good that other parameters like SGPT etc are normal.
Bilirubin may be normally raised in some genetically predisposed persons.
Besides diabetes mellitus, ketones in urine may be due to many other reasons like fasting etc.
She may need follow up test for ketones.
She may also need ultrasound of abdomen.
Other findings are almost normal.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Major findings may indicate urinary tract infection.
Detailed Answer:
Hello,
Thanks for writing to HCM,
Sorry for replying late,
I've gone through your query and understand your concern,
I am also aware of your previous queries,
Your wife reports doesn't indicate serious findings.
Major findings may indicate urinary tract infection.
She may need culture and sensitivity of urine and she may also need antibiotics.
I suggest my patient's to drink lot of water.
Her bilirubin is also raised.It is good that other parameters like SGPT etc are normal.
Bilirubin may be normally raised in some genetically predisposed persons.
Besides diabetes mellitus, ketones in urine may be due to many other reasons like fasting etc.
She may need follow up test for ketones.
She may also need ultrasound of abdomen.
Other findings are almost normal.
Get well soon.
Hope I have answered your query.
Further queries are most welcome.
Take Care
Dr. Indu XXXXXXX
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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