Specimen: Serum

Sample submitted: 5/17/2010 4:25:00pm

Result finished: 5/17/2010 9:44:16pm
Result validated: 5/17/2010 9:44:16pm

Examination Result Normal Value

Calcium 2.14 2.12-2.52 mmol/L

Magnesium 0.73 0.74-0.99 mmol/L
Potassium 3.03 3.5-5.1 mmol/L
Sodium 142.00 136-145 mmol/L
Albumin 32.4 35-50 mmol/L
Specimen: Blood
Sample submitted: 5/17/2010 8:02pm
Result finished: 5/17/2010 8:25:51pm
Result validated: 5/17/2010 8:25:51pm

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.31 0.37-0.45

Thrombocytes 58.00 150-400 10^g/L
Specimen: Serum
Sample submitted: 5/17/2010 4:25pm
Result finished: 5/17/2010 9:06:44pm
Result validated: 5/17/2010 9:06:44pm

PROTIME (Prothrombin Time)

Examination Result Normal Value

Control 13.4 11.8-13.9 secs

Test 12.8 secs
INR 0.98
% activity 104 %
Specimen: Serum
Sample submitted: 5/17/2010 4:25pm
Result finished: 5/17/2010 9:06:44pm
Result validated: 5/17/2010 9:06:44pm

APTT

Examination Result Normal Value

Control 27.2 25.8-30.8 secs

Test 47.6 secs
Specimen: Blood
Sample submitted: 5/17/2010 2:19pm
Result finished: 5/17/2010 3:40:25pm
Result validated: 5/17/2010 3:40:25pm

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.33 0.37-0.45

Thrombocytes 20.0 150-400 10^g/L
Specimen: Blood
Sample submitted: 5/17/2010 10:10am
Result finished: 5/17/2010 10:59:44am
Result validated: 5/17/2010 10:59:44am

Examination Result Normal Value

Hematocrit 0.35 0.37-0.45

Thrombocytes 25.00 150-400 10^g/L
Exam taken: Chest P.A. Lateral (Pedia)
Exam date: 5/17/2010
Result finished: 5/17/2010 10:03:46am

Interpretation

Chest 30 degrees HBR (pedia) 5/17/2010 8:41AM

A comparison with the radiograph dated 5/15/10 discloses a haziness in

the right lung with a homogenous density in the lateral hemothorax extending towards the
apex. The same linear infiltrates are noted in both lungs. Heart is within normal limits in
size. Left lateral costophrenic sinus is likewise limited.

Impression:
Pleural fluid, bilateral
Exam taken: Chet P.A. Lateral (Pedia)
Exam date: 5/15/2010
Result date: 5/17/2010

Interpretation

Chest A.P. Supine (Pedia) 5/15/10 9:05pm

Heart size is within normal limits. Its configuration is unremarkable.

Pulmonary vascularity is normal. Linear infiltrates are noted in both lungs with haziness
in the right lower lobe. The lateral costophrenic sinuses are shiny. Hili are not enlarged.
Visualized osseous structures were normal.

Impression:
- suggestive of an Inflammatory lung disease compatible with pneumonia or
interstitial pattern
- consider also Pleural fluid, right
 ECHOCARDIOGRAPHY and COLOR FLOW DOPPLER

Date done: May 15, 2010

Quantitative

Dimension Patient Normal Fxn Patient Normal

LV(ed) 2.6 4.5-5.0 LVEDV

LV(es) 1.2 LVESV
RV(ed) 2.0 2.2-4.0 Stroke Vol
LA(es) 2.5 3.0-3.5 CO
RA(es) 2.1 3.5-4.5
AORTA 1.7 3.5 EF% 85 55.0-77.0
PA 1.4 3.0-4.0 FS% 52 2.2-4
IVS(ed) 0.5 0.8-1.1 VCF(CIR)/SE 0.8-1.5
IVS(es) 0.9 EPSS < = 1.0
LVPW(ed) 0.5 WALL STRESS(S) <195
LVPW(es) 0.9 WALL STRESS <600
MV ANNU 2.2 LV WMSI
TV ANNU 2.1 HEART RATE
LVET RHYTHM

Spectral and Color Flow Doppler

VALVE MAX VEL(m/s) PEAK GRAD mmHg ORIF. AREA(cm2) % REG

Aortic 1.4 7.5

Mitral 1.3 6.7
Tricuspid 1.0 4.0
Pulmonic 1.0 4.3
PAT = 96
Interpretation

No intracardiac shunts
Structurally normal tricuspid, pulmonary, mitral and aortic valves with moderate
tricuspid regurgitation
Estimated pulmonary artery pressure = 40mmHg by pulmonary artery pressure
Mild left arterial dilatation
Mildly dilated left ventricle with good systolic function
Ejection fraction is 85%
No abnormal masses
Minimal pericardial effusion (0.6 cm echo free space located posteriorly)

Note: Mild pleural effusion noted bilaterally

Specimen: Blood
Sample submitted: 5/17/2010 2:26am
Result finished: 5/17/2010 2:41:14am
Result validated: 5/17/2010 2:41:14am

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.37 0.37-0.45

Thrombocytes 32.00 150-400 10^g/L
Specimen: Blood
Sample Submitted: 5/16/2010
Result finished: 5/16/2010 9:05:38pm
Result validated: 5/16/2010 9:05:38pm

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.37 0.37-0.45

Thrombocytes 46.00 150-400 10^g/L
Specimen: Blood
Sample submitted: 5/16/2010 2:25pm
Request finished: 5/16/2010 2:55:10pm
Request validated: 5/16/2010 2:55:10pm

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.37 0.37-0.45

Thrombocytes 55.0 150-400 10^g/L
Specimen: Stool
Sample submitted: 5/16/2010 2:00pm
Request finished: 5/16/2010 2:21:37pm
Request validated: 4/16/2010 2:21:37pm

Stool Exam (Fecalysis)

Color GRNYLW
Consistency Loose

Remarks: No ova or parasite seen

Specimen: Blood
Sample submitted: 5/16/2010 3:53:51am
Request finished: 5/16/2010 9:08:07am
Request validated: 5/16/2010 9:08:07am

Examination Result Normal Value

Hematocrit 0.35 0.37-0.45

Thrombocytes 50.0 150-400 10^g/L
 URINALYSIS

Sample submitted: 5/16/10 6:35:42AM

Request finished: 5/16/10 7:17:49am
Request validated: 5/16/10 7:17:49am

Test Name Result Unit Reference Range

PHYS.EXAM
Color Yellow
Character SCLOUD
Reaction 5.5
S. Gravity 1.010
CHEM.EXAM
Albumin TRACE
Sugar NEG
Epithelial cells

URINE FLOW CYTOMETRY

WBC 63 /uL 0-17
11 /HPH 0-3
RBC 7 /uL 0-11
1 /HPF 0-2
Epithelial cells 16 /uL 0-17
3 /HPF 0-3
CAST 0 /uL 0-1
0 /LPF 0-3
Bacteria 4 /uL 0-278
1 /HPF 0-50
Specimen: Blood
Sample submitted: 5/16/10 2:31am
Request finished: 5/16/10 2:57:22am
Request validated: 5/16/10 2:57:22am

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.36 0.37-0.45

Thrombocytes 65.0 150-400 10^g/L
Date requested: 5/15/108:37:36pm
Result date: 5/15/10 9:33pm

Result Units Ref. Value

Arterial Blood Gas
Spontaneous RR 36.0 L/min
FO2 68.0 %
pH 7.537 7.350-7.450
Pco2 23.4 mmHg 35.0-45.0
PO2 316.0 mg/dL 80.0-100
HCO3 19.8 mmol/L
cBase(B) - 2.5 mmol/L
sO2 100.3 % 80.0-100
tHb 12.6 g/dL 13.5-17.5
Specimen: Serum
Sample submitted: 5/15/10 8:14pm
Request finished: 5/15/10 9:12:50pm
Request validated: 5/15/10 9:12:50pm

APTT

Examination Result Normal Value

Control 28.7 25.8-30.8 secs

Test 43.4 secs
Specimen: Blood
Sample submitted: 5/15/10 9:04:20pm
Request finished: 5/15/10 10:23:13pm
Request validated: 5/15/10 10:23:13pm

HEMATOLOGY SECTION

Test Name Result

Blood type “B”

RH Type Pos (+)
Sample submitted: 5/15/10 8:14pm
Request finished: 5/15/10 9:10:04pm
Request validated: 5/15/10 9:10:04pm

Examination Result Normal Value

LDH 1016 100-190 u/L

Calcium 2.21 2.12-2.52 mmol/L
Magnesium 0.74 0.74-0.99 mmol/L
Potassium 4.41 3.5-5.1 mmol/L
Sodium 137.00 136-145 mmol/L
CPKMB 43.61 7-24 u/L
Albumin 35.3 35-50 g/L
SGOT/KST 681 10-35 u/L
Specimen: Serum
Sample submitted: 5/15/10 8:14pm
Request finished: 5/15/10 9:12:50pm
Request validated: 5/15/10 9:12:50pm

PROTIME(Prothrombin Time)

Examination Result Normal Value

Control 13.9 11.8-13.9 secs

Test 12.0 secs
INR 0.92
% activity 119 %
Specimen: Blood
Sample submitted: 8:13pm
Request finished: 8:45:00pm
Request validated: 8:45:00pm

PACKAGE – HCT, PLT

Examination Result Normal Value

Hemoglobin 110 110-150g/L

Hematocrit 0.34 0.37-0.45
Erythrocytes(RBC) 4.07 4.0-5.5 10^g/L
Leukocytes(WBC) 2.60 4.5-13.5 10^g/L
Thrombocytes 72.00 150-400 10^g/L
*segmenters 0.246 0.55-0.65
*lymphocytes 0.593 0.29-0.49
*eosinophils 0.002 0.02-0.04
*monocytes 0.148 0.02-0.09
*basophils 0.011 0-0.02
MCV 83.00 75-90 fL
MCH 26.50 25-32pg
MCHC 321 320-360
Specimen: Blood
Sample submitted: 5/18/10 8:48am
Request finished: 5/18/10 9:59:34am
Request validated: 5/18/10 9:59:34am

PACKAGE – HCT, PLT

Examination Result Normal Value

Hematocrit 0.28 0.37-0.45

Thrombocytes 57.00 150-400 10^g/L