URINALYSIS Date of Examination: February 21, 2013 Physical Examination Color Appearance Ph Result Yellow Turbid 6 Interpretation Normal

This appearance may be indicates presence of bacteria pus. Decrease, A low urine pH may be indicates Diarrhea,Starvation, Acidosis,Alkalosis,Interstitial nephritis,Sepsis Normal normal Presence of pus cells indicates infection Presence of bacteria maybe indicates infection The presence of epithelial cells in the urine may represent contamination of the sample; however, these cells in urine may also be associated with an inflammation or infection of the urethra or bladder. Presence of threads may be indicates presence of infection

Specific Gravity Sugar: Pus cells Bacteria Epithelial cells

1.030 Negative 40-50/hpf Many Many

Mucus threads

Many

BACTERIOLOGY Date of Examination: February 20, 2013 Result Smear shows plenty of gram negative rods Pus cells: Positive (one) Interpretation This maybe indicates diagnosis of Bacterial vaginitis Indicates indicates diagnosis of urinary tract infection

TRANSVAGINAL/TRANSABDOMINAL ULTRASOUND Date of Examination: February 4, 2013 The uterus is anteverted with irregular contour and heterogenous echopattern measuring 9.1x8x8.5cm (the cervix is homogenous measuring 2.4x2.3x2.5cm). The endometrium is hyperechoic measuring 0.6cm with intact subendometrial halo. There are at least 5 welcircumscribed heterogenous masses seen: M1-measures 1.2x1.3x1.01cm,anterior midcorpus, intramural with subserous component, M4 measures 3.5x2.5x2.3cm, right lateral, intramural with subserous component; M5 measures 2.6x2.9x2.3 cm, right lateral, intramural with subserous component. Both ovaries are not visualized. At the left adrenal area is a unlocular anechoic cystic structure measuring 9.7cmx10.1x7.4cm with papillary excrescenes at the inferior pole. The capsule measures 0.2cm and the papillary excrescences measured 3.1x1.9cm There is no free fluid in the cul-de-sac IMPRESSION/INTERPRETATION Left adnexal mass consider ovarian new Growth probably benign (sassone score-7);Myoma Uteri, Intramural and intramural with subserous BLOOD CHEMISTRY February 23, 2013 Test Name Glucose(fasting) Range 3.64-6.16 Result 7.41mmmol/L Interpretation Increase, may indicate diabetes mellitus and the presence of symptoms of diabetes. Normal Normal Normal Normal

Blood Urea Nitrogen Creatinine SGOT SGPT

2.158-7.138 53.04-97.24 F 0-31 F 0-37 M 0-31 F 0-42 M

2.35mmol/l 65.25umol 13 U/L 13 U/L

Chest X-ray FINDINGS Date of Examination: February 20, 2013 No active lung infiltrates Heart is not enlarged with atheromatous aorta Pulmonary vesicular markings are within normal The hemidiaphragm and costophrenic sulci are intact The visualized soft tissue and structures are unremarkable Impression/Interpretation: CLEAR LUNGS