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Pathology tests

Ashley Monroe

Full blood count – handout available

Test Case result Reference range
Hb (g/L) 95 115-155
RBC (x1012/L) 3.6 4.0-5.2
HCT 0.312 0.35-0.40
Platelets (x109/L) 270 150-400
MCV (fL) 75 78-97
MCH (pg) 27.1 26.0-29.4
MCHC (g/L) 281 327-358
WBC (x109/L) 5.7 4.5-14.5
Neutrophils (x109/L) 3.7 1.0-8.0
Lymphocytes (x109/L) 1.5 1.5-7.0
Monocytes (x109/L) 0.3 0.2-1.0
Eosinophils (x109/L) 0.19 <0.4
Basophils (x109/L) 0.01 <0.1

Iron studies – handout available

Test Case result Reference range
Serum iron (µmol/L) 6 10-30
Serum transferrin (g/L) 4.5 1.7-3.0
Serum transferrin saturation 13% 15-45%
Serum ferritin µg/L 12 15-200

Coeliac Serology and genetic testing – handout available

Test Case result Reference range
tTG-IgA antibody Positive Negative
Deaminated gliadin peptide Positive Negative
HLA-DQ2 Positive N/A
HLA-DQ8 Negative N/A

Other pathology

Investigation Case result
ACTH & Synacthen test Normal
Aldosterone Normal
ANA Normal
Arterial Blood Gas Normal
Ascitic Fluid Analysis No ascitic fluid to collect
B12 and Folate Normal
Bone Marrow Biopsy Not indicated
Brain Naturetic Peptide Normal
Cervical Screening Test Normal
CMP (Calcium, Magnesium, Phosphate) Normal
Coagulation Studies (PT/aPTT) Normal
Coeliac Serology See above
Cortisol Normal
Creatine Kinase Normal
CRP (C-reactive Protein) Mildly elevated
D-Dimer Normal
Direct Antiglobulin Test Normal
ENA Normal
ESR – RBC sedimentation rate Mildly elevated
EUC – Electrolytes, Urea, Creatinine Normal
Fasting Blood Glucose Normal
Fibrinogen Normal
FSH Normal
Full Blood Count See above
Growth Hormone Normal
Haptoglobin Normal
HbA1c Normal
Iron Studies See above
Joint Aspiration Analysis Not indicated
Lactate Dehydrogenase Normal
LFTs – Liver Function Tests Normal
LH Normal
Lipids Normal
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 Normal
Reticulocyte Count Normal
Serum Free Light Chains Normal
Serum Immunoglobulins Normal
Serum MCS Normal
Serum Osmolality Normal
Serum Protein Electrophoresis Normal
Sputum Culture No sputum to collect
Stool Sample MCS Normal flora on culture. Elevated faecal fat content, elevated faecal calprotectin. Reduced faecal elastase.
TFTs - Thyroid Function Tests Normal
Thiamine Levels Normal
Total Testosterone Normal
Troponin Normal
Urine MCS Normal
Urine Osmolality Normal
Urine Sodium Normal
Venous Blood Gas Normal
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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