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Pathology tests

Lucy Potts

Full blood count – handout available

Test Case result Reference range
Hb (g/L) 131 115-155
RBC (x1012/L) 4.8 4.0-5.0
HCT 0.52 0.35-0.40
PLT (x109/L) 320 150-400
MCV (fL) 82 78-97
MCH (pg) 27.1 26.0-29.4
MCHC (g/L) 346 327-358
WBC (x109/L) 17.9 4.5-14.5
Neutrophils (x109/L) 13.4 1.0-8.0
Lymphocytes (x109/L) 3.7 1.5-7.0
Monocytes (x109/L) 0.6 0.2-1.0
Eosinophils (x109/L) 0.1 <0.4
Basophils (x109/L) 0.12 <0.1

Arterial Blood Gases / Venous Blood Gases performed in child – handout available

Test Case result Reference range
pH 7.0 7.35-7.45
pCO2 (mmHg) 21.8 40-50
pO2 (mmHg) 53.3 30-55
HCO3- (mEq/L) 9 22-26
Base Excess (mmol/L) -23.5 -2 to +2
Lactate (mmol/L) 2.5 <2.0

Other pathology

Investigation Case result
ACTH & Synacthen test Normal
Aldosterone Normal
ANA Normal
Arterial Blood Gas See above - VBG performed
Ascitic Fluid Analysis Not applicable
B12 and Folate Normal
Bone Marrow Biopsy Not indicated
Brain Naturetic Peptide Normal
Cervical Screening Test Not indicated
CMP (Calcium, Magnesium, Phosphate) Normal
Coagulation Studies (PT/aPTT) Normal
Coeliac Serology Normal
Cortisol Normal
Creatine Kinase Normal
CRP (C-reactive Protein) 9.2 mg/L (normal <5mg/L)
D-Dimer Normal
Direct Antiglobulin Test Normal
ENA Normal
ESR – RBC sedimentation rate Normal
EUC – Electrolytes, Urea, Creatinine Moderately elevated urea, slightly elevated creatinine, slightly reduced sodium, normal potassium
Fasting Blood Glucose Patient is not fasted
Fibrinogen Normal
FSH Normal
Full Blood Count See above
Growth Hormone Normal
Haptoglobin Normal
HbA1c 9%
Iron Studies Normal
Joint Aspiration Analysis Not indicated
Lactate Dehydrogenase Normal
LFTs – Liver Function Tests Normal
LH Normal
Lipids Slightly elevated total cholesterol, LDL cholesterol and triglycerides
Myoglobin Normal
Oestradiol Normal
Parathyroid Hormone Normal
Peripheral Blood Smear Normal
Pleural Fluid Analysis Not indicated
Procalcitonin Normal
Progesterone Normal
Prolactin Normal
Prostate Specific Antigen Not indicated
Random Blood Glucose 29 mmol/L
Reticulocyte Count Normal
Serum Free Light Chains Normal
Serum Immunoglobulins Elevated
Serum MCS Normal
Serum Osmolality Elevated
Serum Protein Electrophoresis Normal
Sputum Culture No sputum to collect
Stool Sample MCS Normal
TFTs - Thyroid Function Tests Normal
Thiamine Levels Normal
Total Testosterone Normal
Troponin Normal
Urine MCS Gram negative rod identified on microscopy, with WBC and scant erythrocytes. Culture in progress
Urine Osmolality Elevated
Urine Sodium Normal
Venous Blood Gas See above
Viral Serology Normal
Vitamin D Normal
Wound Swab MCS No wound to swab

 

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Diagnosis: a Medical Education Game Copyright © 2024 by Eleonora Leopardi & Nara Jones is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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