Pathology tests
John Perkins
Liver function tests (including Paracetamol level) – handout available
| Test | Case result | Reference range |
|---|---|---|
| AST | 310 | 10-35 IU/L |
| ALT | 117 | 7-55 IU/L |
| Total Bilirubin | 290 | 5-17μmol/L |
| Conjugated Bilirubin | 265 | <5.1μmol/L |
| ALP | 272 | 35-130 IU/L |
| GGT | 556 | 10-48 IU/L |
| Albumin | 26 | 35-50 g/L |
| Prothrombin time (PT) | 41 | 9.4-12.5 sec |
| International Normalised Ratio (INR) | 3.9 | 0.9-1.1 |
| Paracetamol | 273 | <195 mg/L |
Full blood count – handout available
| Test | Case result | Reference range |
|---|---|---|
| Hb (g/L) | 107 | 115-155 |
| RBC (x1012/L) | 3.6 | 4.0-5.0 |
| HCT | 0.32 | 0.35-0.40 |
| PLT (x109/L) | 97 | 150-400 |
| MCV (fL) | 102 | 78-97 |
| MCH (pg) | 19.1 | 26.0-29.4 |
| MCHC (g/L) | 187 | 327-358 |
| WBC (x109/L) | 15.9 | 4.5-14.5 |
| Neutrophils (x109/L) | 8.4 | 1.0-8.0 |
| Lymphocytes (x109/L) | 5.7 | 1.5-7.0 |
| Monocytes (x109/L) | 0.6 | 0.2-1.0 |
| Eosinophils (x109/L) | 0.07 | <0.4 |
| Basophils (x109/L) | 0.1 | <0.1 |
Other pathology
| Investigation | Case result |
|---|---|
| ACTH & Synacthen test | Normal |
| Aldosterone | Normal |
| ANA | Normal |
| Arterial Blood Gas | Normal |
| Ascitic Fluid Analysis | Gross appearance – Chylous
Protein 18 g/L (ref 3-40 g/L) Serum-Ascites Albumin Gradient 1.8 mg/dL |
| 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) | PT 41 sec (ref 9.4-12.5 sec)
PT-INR 3.9 PTT 70 sec (ref 25-35 sec) |
| Coeliac Serology | Normal |
| Cortisol | Normal |
| Creatine Kinase | Normal |
| CRP (C-reactive Protein) | Mildly elevated |
| D-Dimer | Normal |
| Direct Antiglobulin Test | Normal |
| ENA | Normal |
| ESR – RBC sedimentation rate | Normal |
| EUC – Electrolytes, Urea, Creatinine | Urea 14 mg/dL (ref 7-30 mg/dL) |
| Fasting Blood Glucose | 2.2 mmol/L (ref 3.9-5.6 mmol/L) |
| Fibrinogen | 1.2 g/L (ref 1.5-4.0 g/L) |
| 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 | See above |
| LH | Normal |
| Lipids | Hyperlipidaemia |
| Myoglobin | Normal |
| Oestradiol | Normal |
| Parathyroid Hormone | Normal |
| Peripheral Blood Smear | Macrocytic, hypochromic RBCs |
| Pleural Fluid Analysis | Not indicated |
| Procalcitonin | Normal |
| Progesterone | Normal |
| Prolactin | Normal |
| Prostate Specific Antigen | Not indicated |
| Random Blood Glucose | See Fasting Blood Glucose |
| 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 |
| TFTs - Thyroid Function Tests | Normal |
| Thiamine Levels | 27 nmol/L (ref 66 - 200 nmol/L) |
| Total Testosterone | Normal |
| Troponin | Normal |
| Urine MCS | Normal |
| Urine Osmolality | Elevated |
| Urine Sodium | Normal |
| Venous Blood Gas | Normal |
| Viral Serology | Normal |
| Vitamin D | Normal |
| Wound Swab MCS | No wound to swab |
