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What Do These Lab Reports Indicate?
Question: I have a query regarding my husband test . few parameters in the attached report are above normal. please recommend the follow up test .
Brief Answer:
Kindly re-attach the report
Detailed Answer:
Hello,
Thanks for posting your query in HealthcareMagic,
I am not able to see any attached report. Kindly re-upload and send a follow up query.
Regards
Kindly re-attach the report
Detailed Answer:
Hello,
Thanks for posting your query in HealthcareMagic,
I am not able to see any attached report. Kindly re-upload and send a follow up query.
Regards
Above answer was peer-reviewed by :
Dr. Remy Koshy
EST. GLOMERULAR FILTRATION RATE (eGFR) CALCULATED mL/min/1.73 m2
HOMOCYSTEINE C.L.I.A 51.8 μmol/L
IRON PHOTOMETRY 89.6 μg/dl
Reference Range :
Male : 70 - 180
Female : 60 - 180
Method :FERROZINE METHOD WITHOUT DEPROTEINIZATION
TOTAL IRON BINDING CAPACITY (TIBC) PHOTOMETRY 357 μg/dl
Reference Range :
Male: 225 - 535 μg/dl Female: 215 - 535 μg/dl
Method :SPECTROPHOTOMETRIC ASSAY
% TRANSFERRIN SATURATION CALCULATED 25.1 %
Reference Range :
13 - 45
Method :DERIVED FROM IRON AND TIBC VALUES
Please correlate with clinical conditions.
BLOOD UREA NITROGEN (BUN) PHOTOMETRY 12.38 mg/dl 7.9-20
CREATININE - SERUM PHOTOMETRY 0.86 mg/dl 0.6-1.1
URIC ACID PHOTOMETRY 6.8 mg/dl 3.5-7.2
CALCIUM PHOTOMETRY 9.06 mg/dl 8.8-10.6
BUN / SR.CREATININE RATIO CALCULATED 14.4 Ratio 9:1-23:1
TOTAL CHOLESTEROL PHOTOMETRY 212 mg/dl 125-200
HDL CHOLESTEROL - DIRECT PHOTOMETRY 43 mg/dl 35-80
LDL CHOLESTEROL - DIRECT PHOTOMETRY 127 mg/dl 85-130
TRIGLYCERIDES PHOTOMETRY 206 mg/dl 25-200
TC/ HDL CHOLESTEROL RATIO CALCULATED 4.9 Ratio 3 - 5
LDL / HDL RATIO CALCULATED 2.9 Ratio 1.5-3.5
VLDL CHOLESTEROL CALCULATED 41.2 mg/dl 5 - 40
NON-HDL CHOLESTEROL CALCULATED 168.8 mg/dl < 160
ALKALINE PHOSPHATASE PHOTOMETRY 88.5 U/l 53 - 128
BILIRUBIN -DIRECT PHOTOMETRY 0.15 mg/dl < 0.3
BILIRUBIN - TOTAL PHOTOMETRY 0.48 mg/dl 0.3-1.2
BILIRUBIN (INDIRECT) CALCULATED 0.33 mg/dl 0-0.9
GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 18 U/l < 55
ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 20.4 U/l < 37
ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 25.6 U/l 13-40
PROTEIN - TOTAL PHOTOMETRY 7.2 gm/dl 5.7-8.2
ALBUMIN - SERUM PHOTOMETRY 4.3 gm/dl 3.2-4.8
SERUM GLOBULIN PHOTOMETRY 2.9 gm/dL 2.5-3.4
SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.48 Ratio 0.9 - 2
TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 83 ng/dl 60-200
TOTAL THYROXINE (T4) C.L.I.A 8.5 μg/dl 4.5-12
THYROID STIMULATING HORMONE (TSH) C.L.I.A 4.68 μIU/ml 0.3-5.5
HbA1c H.P.L.C 5.2 %
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 103 mg/dl
TOTAL LEUCOCYTES COUNT 6.93 X 10³ / μL 4 - 10
NEUTROPHILS 52.6 % 40-80
LYMPHOCYTE PERCENTAGE 37.8 % 20-40
MONOCYTES 3 % 0-10
EOSINOPHILS 6.3 % 0 – 6
BASOPHILS 0.2 % <2
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.1 % 0-0.5
NEUTROPHILS - ABSOLUTE COUNT 3.65 X 10³ / μL 2 - 7
LYMPHOCYTES - ABSOLUTE COUNT 2.62 X 10³ / μL 1.0 - 3.0
MONOCYTES - ABSOLUTE COUNT 0.21 X 10³ / μL 0.2 - 1
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.1
EOSINOPHILS - ABSOLUTE COUNT 0.44 X 10³ / μL 0.02 - 0.5
IMMATURE GRANULOCYTES(IG) 0.01 X 10³ / μL 0-0.3
TOTAL RBC 4.86 X 10^6/μL 4.5-5.5
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL < 0.01
NUCLEATED RED BLOOD CELLS % Nil % < 0.01
HEMOGLOBIN 14.6 g/dL 13-17
HEMATOCRIT(PCV) 49.6 % 40-50
MEAN CORPUSCULAR VOLUME(MCV) 102.1 fL 83 - 101
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 30 pq 27-32
MEAN CORP.HEMO.CONC(MCHC) 29.4 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 53.1 fL 39-46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 13.9 % 11.6-14
PLATELET DISTRIBUTION WIDTH(PDW) 16.8 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 12.5 fL 6.5-12
PLATELET COUNT 226 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 44.8 % 19.7-42.4
PLATELETCRIT(PCT) 0.28 % 0.19-0.39
Please let me know any further test required . As the following parameter not normal .
And what are the concern area to get the reports back to normal .
TOTAL CHOLESTEROL PHOTOMETRY 212 mg/dl 125-200
TRIGLYCERIDES PHOTOMETRY 206 mg/dl 25-200
VLDL CHOLESTEROL CALCULATED 41.2 mg/dl 5 - 40
NON-HDL CHOLESTEROL CALCULATED 168.8 mg/dl < 160
HOMOCYSTEINE C.L.I.A 51.8 μmol/L
PLATELET TO LARGE CELL RATIO(PLCR) 44.8 % 19.7-42.4
PLATELET DISTRIBUTION WIDTH(PDW) 16.8 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 12.5 fL 6.5-12
MEAN CORP.HEMO.CONC(MCHC) 29.4 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 53.1 fL 39-46
MEAN CORPUSCULAR VOLUME(MCV) 102.1 fL 83 - 101
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.1
EOSINOPHILS 6.3 % 0 – 6
HOMOCYSTEINE C.L.I.A 51.8 μmol/L
IRON PHOTOMETRY 89.6 μg/dl
Reference Range :
Male : 70 - 180
Female : 60 - 180
Method :FERROZINE METHOD WITHOUT DEPROTEINIZATION
TOTAL IRON BINDING CAPACITY (TIBC) PHOTOMETRY 357 μg/dl
Reference Range :
Male: 225 - 535 μg/dl Female: 215 - 535 μg/dl
Method :SPECTROPHOTOMETRIC ASSAY
% TRANSFERRIN SATURATION CALCULATED 25.1 %
Reference Range :
13 - 45
Method :DERIVED FROM IRON AND TIBC VALUES
Please correlate with clinical conditions.
BLOOD UREA NITROGEN (BUN) PHOTOMETRY 12.38 mg/dl 7.9-20
CREATININE - SERUM PHOTOMETRY 0.86 mg/dl 0.6-1.1
URIC ACID PHOTOMETRY 6.8 mg/dl 3.5-7.2
CALCIUM PHOTOMETRY 9.06 mg/dl 8.8-10.6
BUN / SR.CREATININE RATIO CALCULATED 14.4 Ratio 9:1-23:1
TOTAL CHOLESTEROL PHOTOMETRY 212 mg/dl 125-200
HDL CHOLESTEROL - DIRECT PHOTOMETRY 43 mg/dl 35-80
LDL CHOLESTEROL - DIRECT PHOTOMETRY 127 mg/dl 85-130
TRIGLYCERIDES PHOTOMETRY 206 mg/dl 25-200
TC/ HDL CHOLESTEROL RATIO CALCULATED 4.9 Ratio 3 - 5
LDL / HDL RATIO CALCULATED 2.9 Ratio 1.5-3.5
VLDL CHOLESTEROL CALCULATED 41.2 mg/dl 5 - 40
NON-HDL CHOLESTEROL CALCULATED 168.8 mg/dl < 160
ALKALINE PHOSPHATASE PHOTOMETRY 88.5 U/l 53 - 128
BILIRUBIN -DIRECT PHOTOMETRY 0.15 mg/dl < 0.3
BILIRUBIN - TOTAL PHOTOMETRY 0.48 mg/dl 0.3-1.2
BILIRUBIN (INDIRECT) CALCULATED 0.33 mg/dl 0-0.9
GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 18 U/l < 55
ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 20.4 U/l < 37
ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 25.6 U/l 13-40
PROTEIN - TOTAL PHOTOMETRY 7.2 gm/dl 5.7-8.2
ALBUMIN - SERUM PHOTOMETRY 4.3 gm/dl 3.2-4.8
SERUM GLOBULIN PHOTOMETRY 2.9 gm/dL 2.5-3.4
SERUM ALBUMIN/GLOBULIN RATIO CALCULATED 1.48 Ratio 0.9 - 2
TOTAL TRIIODOTHYRONINE (T3) C.L.I.A 83 ng/dl 60-200
TOTAL THYROXINE (T4) C.L.I.A 8.5 μg/dl 4.5-12
THYROID STIMULATING HORMONE (TSH) C.L.I.A 4.68 μIU/ml 0.3-5.5
HbA1c H.P.L.C 5.2 %
AVERAGE BLOOD GLUCOSE (ABG) CALCULATED 103 mg/dl
TOTAL LEUCOCYTES COUNT 6.93 X 10³ / μL 4 - 10
NEUTROPHILS 52.6 % 40-80
LYMPHOCYTE PERCENTAGE 37.8 % 20-40
MONOCYTES 3 % 0-10
EOSINOPHILS 6.3 % 0 – 6
BASOPHILS 0.2 % <2
IMMATURE GRANULOCYTE PERCENTAGE(IG%) 0.1 % 0-0.5
NEUTROPHILS - ABSOLUTE COUNT 3.65 X 10³ / μL 2 - 7
LYMPHOCYTES - ABSOLUTE COUNT 2.62 X 10³ / μL 1.0 - 3.0
MONOCYTES - ABSOLUTE COUNT 0.21 X 10³ / μL 0.2 - 1
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.1
EOSINOPHILS - ABSOLUTE COUNT 0.44 X 10³ / μL 0.02 - 0.5
IMMATURE GRANULOCYTES(IG) 0.01 X 10³ / μL 0-0.3
TOTAL RBC 4.86 X 10^6/μL 4.5-5.5
NUCLEATED RED BLOOD CELLS Nil X 10³ / μL < 0.01
NUCLEATED RED BLOOD CELLS % Nil % < 0.01
HEMOGLOBIN 14.6 g/dL 13-17
HEMATOCRIT(PCV) 49.6 % 40-50
MEAN CORPUSCULAR VOLUME(MCV) 102.1 fL 83 - 101
MEAN CORPUSCULAR HEMOGLOBIN(MCH) 30 pq 27-32
MEAN CORP.HEMO.CONC(MCHC) 29.4 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 53.1 fL 39-46
RED CELL DISTRIBUTION WIDTH (RDW-CV) 13.9 % 11.6-14
PLATELET DISTRIBUTION WIDTH(PDW) 16.8 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 12.5 fL 6.5-12
PLATELET COUNT 226 X 10³ / μL 150-400
PLATELET TO LARGE CELL RATIO(PLCR) 44.8 % 19.7-42.4
PLATELETCRIT(PCT) 0.28 % 0.19-0.39
Please let me know any further test required . As the following parameter not normal .
And what are the concern area to get the reports back to normal .
TOTAL CHOLESTEROL PHOTOMETRY 212 mg/dl 125-200
TRIGLYCERIDES PHOTOMETRY 206 mg/dl 25-200
VLDL CHOLESTEROL CALCULATED 41.2 mg/dl 5 - 40
NON-HDL CHOLESTEROL CALCULATED 168.8 mg/dl < 160
HOMOCYSTEINE C.L.I.A 51.8 μmol/L
PLATELET TO LARGE CELL RATIO(PLCR) 44.8 % 19.7-42.4
PLATELET DISTRIBUTION WIDTH(PDW) 16.8 fL 9.6-15.2
MEAN PLATELET VOLUME(MPV) 12.5 fL 6.5-12
MEAN CORP.HEMO.CONC(MCHC) 29.4 g/dL 31.5-34.5
RED CELL DISTRIBUTION WIDTH - SD(RDW-SD) 53.1 fL 39-46
MEAN CORPUSCULAR VOLUME(MCV) 102.1 fL 83 - 101
BASOPHILS - ABSOLUTE COUNT 0.01 X 10³ / μL 0.02 - 0.1
EOSINOPHILS 6.3 % 0 – 6
Brief Answer:
Explained below,
Detailed Answer:
Hi again,
Thanks for writing back,
I have gone through your query and the details of the report attached,
The only parameter than concerns me a little is the homocystine levels. His cholesterol levels also seems to be mildly elevated. The rest of the blood parameters are nothing of concern, as they tend t alter based on laboratory and mechanical techniques.
I will detail you on the above parameters:
1) Homocysteine levels- this is an amino acid that is normally present in the body. The foods we eat generally are metabolized and then broken down into homocysteine levels in blood. But when certain factors like vitamin B6, B12, folic acid, which are involved in metabolism, are deficient, homocysteine levels tend to accumulate in the blood.
Therefore, I would suggest you to get the following work up done for your husband so as to look at the severity of the condition:
- Vitamin B6
- Vitamin B12
- Folic acid
You can consult with your treating doctor or any internal medicine specialist, to start treatment with Vit injections and medicines in accordance with your report.
2) Cholesterol: The cholesterol levels seems to be only slightly elevated and can certainly be managed by diet and proper exercise schedules.
A daily minimum 45 minutes of brisk walking is mandatory.
Cut down on all fast food or take aways.
Avoid red meat completely.
Rest all parameters seems to be normal.
I hope this helps,
Please feel free to discuss further or else kindly close the query and share your positive feedback,
Regards
Explained below,
Detailed Answer:
Hi again,
Thanks for writing back,
I have gone through your query and the details of the report attached,
The only parameter than concerns me a little is the homocystine levels. His cholesterol levels also seems to be mildly elevated. The rest of the blood parameters are nothing of concern, as they tend t alter based on laboratory and mechanical techniques.
I will detail you on the above parameters:
1) Homocysteine levels- this is an amino acid that is normally present in the body. The foods we eat generally are metabolized and then broken down into homocysteine levels in blood. But when certain factors like vitamin B6, B12, folic acid, which are involved in metabolism, are deficient, homocysteine levels tend to accumulate in the blood.
Therefore, I would suggest you to get the following work up done for your husband so as to look at the severity of the condition:
- Vitamin B6
- Vitamin B12
- Folic acid
You can consult with your treating doctor or any internal medicine specialist, to start treatment with Vit injections and medicines in accordance with your report.
2) Cholesterol: The cholesterol levels seems to be only slightly elevated and can certainly be managed by diet and proper exercise schedules.
A daily minimum 45 minutes of brisk walking is mandatory.
Cut down on all fast food or take aways.
Avoid red meat completely.
Rest all parameters seems to be normal.
I hope this helps,
Please feel free to discuss further or else kindly close the query and share your positive feedback,
Regards
Above answer was peer-reviewed by :
Dr. Remy Koshy
thank you so much :)
But yes he does have stomach related issue and lower back ache . Are the reports related to these issues ?
But yes he does have stomach related issue and lower back ache . Are the reports related to these issues ?
Brief Answer:
Kindly detail on stomach issues
Detailed Answer:
Hello again,
Thanks for the follow up,
The variations in homocysteine levels can cause low back ache due to weakening of bones. Regarding stomach issues, kindly specify the details of his symptoms so that I can suggest better.
Regards
Kindly detail on stomach issues
Detailed Answer:
Hello again,
Thanks for the follow up,
The variations in homocysteine levels can cause low back ache due to weakening of bones. Regarding stomach issues, kindly specify the details of his symptoms so that I can suggest better.
Regards
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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