Pathology tests
Olive Greene
Full blood count – handout available
| Test | Case result | Reference range |
|---|---|---|
| Hb (g/L) | 128 | 115-155 |
| RBC (x1012/L) | 4.4 | 4.0-5.0 |
| HCT | 0.42 | 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) | 16.9 | 4.5-14.5 |
| Neutrophils (x109/L) | 13.9 | 1.0-8.0 |
| Lymphocytes (x109/L) | 2.2 | 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 – handout available
| Test | Case result | Reference range |
|---|---|---|
| pH | 7.37 | 7.35-7.45 |
| paCO2 (mmHg) | 37.7 | 35.2-45 |
| paO2 (mmHg) | 83.8 | 82.5-97.5 |
| HCO3- (mEq/L) | 22 | 22-26 |
| Base Excess (mmol/L | 0 | -2 to +2 |
Sputum culture – handout available
Physical appearance: Yellow sputum with hematic traces
Microbiological examination: large amount of Gram-positive diplococci. Frequent neutrophils. Occasional RBCs.
Culture and sensitivity: Pending.
Other pathology
| Investigation | Case result |
|---|---|
| ACTH & Synacthen test | Normal |
| Aldosterone | Normal |
| ANA | Normal |
| Arterial Blood Gas | See above |
| Ascitic Fluid Analysis | Not indicated |
| 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 | Normal |
| Cortisol | Normal |
| Creatine Kinase | Normal |
| CRP (C-reactive Protein) | 19 mg/L (normal <5 mg/L) |
| D-Dimer | Normal |
| Direct Antiglobulin Test | Normal |
| ENA | Normal |
| ESR – RBC sedimentation rate | Normal |
| EUC – Electrolytes, Urea, Creatinine | Normal |
| Fasting Blood Glucose | 6.2 mmol/L |
| Fibrinogen | Normal |
| FSH | Normal |
| Full Blood Count | See above |
| Growth Hormone | Normal |
| Haptoglobin | Normal |
| HbA1c | Normal |
| Iron Studies | Normal |
| 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 | Insufficient fluid to collect |
| Procalcitonin | Normal |
| Progesterone | Normal |
| Prolactin | Normal |
| Prostate Specific Antigen | Not indicated |
| Random Blood Glucose | 9.2 mmol/L |
| Reticulocyte Count | Normal |
| Serum Free Light Chains | Normal |
| Serum Immunoglobulins | Normal |
| Serum MCS | Normal |
| Serum Osmolality | Normal |
| Serum Protein Electrophoresis | Normal |
| Sputum Culture | See above |
| Stool Sample MCS | Normal |
| 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 |
