LABORATORY EXAMINATIONS Hematology Hematology- the diagnostic tests of the blood and its constituent parts.

Date: 1/9/13

PARAMETERS Hemoglobin Hematocrit RBC Count

ACTUAL FINDINGS 150 0.46 4.87

WBC Count Neutrophils

11.4 87

NORMAL FINDINGS M: 140-180 g/L F: 120-160 g/L M: 0.40-0.54 F: 0.37-0.47 M: 4.6-6.5 x10 ^12L F: 3.9-5.6 x 10 ^12L 5-10 x 10 g/L 50-70%

INTERPRETATION Normal Normal Normal

ANALYSIS

increased increased

Lymphocytes

12

25-40%

decreased

Indicates infection. Indicates infection, gonorrhea, osteomyelitis, otitis media, Metabolic Disorders; diabetic acidosis, eclampsia, uremia, thyrotoxicosis, Stress Response; due to acute hemorrhage, surgery, emotional distress &others Severe debilitating illness; congestive heart failure, renal failure, advanced tuberculosis Others; Defective lymphatic circulation, high levels of adrenal Corticosteriods, others

Eosinophils Bleeding Time Clotting Time

1 2 30 6 9

1-4% 1-3 minutes 3-5 minutes

Normal Normal

Chemistry Blood chemistry - defined simply as identifying the numerous chemical substances found in the blood.

Date: 1/9/13

PARAMETERS FBS HGT

ACTUAL FINDINGS 6.90 10.1

NORMAL FINDINGS 4.2-6.4 mmo/L 4.4-7.7 mmo/L

INTERPRETATION increased increased

ANALYSIS May indicate diabetes. May indicate high sugar level in the blood that may result to diabetes.

CREATININE (Male)

116.3

47-159umol/L

Normal

Date: 1/10/13

PARAMETERS Sodium Potassium

ACTUAL FINDINGS 142.1 3.49

NORMAL FINDINGS 135-148mmol/L 3.6-5.4 mmol/L

INTERPRETATION Normal decreased

ANALYSIS

Hypokalemia can be caused by decreased intake, protracted vomiting, renal loss, cirrhosis and others.

Chemistry Blood chemistry - defined simply as identifying the numerous chemical substances found in the blood.

Date: 1/13/13

PARAMETERS Creatinine (Male) Blood Urea Nitrogen

ACTUAL FINDINGS 86.4 3.32

NORMAL FINDINGS 47-159 umol/L 2.88-8.21mmol/L

INTERPRETATION Normal Normal

ANALYSIS

Date:1/14/13 PARAMETERS Sodium Potassium Chloride ACTUAL FINDINGS 146.5 3.60 117.5 NORMAL FINDINGS 135148mmol/L 3.6-5.4 mmol/L 96-100 mmol/L INTERPRETATION Normal Normal increased An increased level of blood chloride (called hyperchloremia) usually indicates dehydration, but can also occur with other problems that cause high blood sodium, such as Cushing syndrome or kidney disease. ANALYSIS

URINALYSIS Urinalysis- is the physical, chemical & microscopic examinations of urine. It involves a number of tests to detect & measure various compounds that pass through the urine.

DATE: 1/9/13

PARAMETERS Color

ACTUAL FINDINGS Dark Yellow

NORMAL FINDINGS Pale yellow

INTERPRETATION abnormal

ANALYSIS dark yellow to orange indicates some liver disorder. Excess turbidity results from the presence of suspended particles in the urine. Common causes of abnormal turbidity include increased cells (RBC, WBC), numerous crystals, bacteria, lipiduria (lipids often rise to the surface), mucus (especially in horses), semen, fecal contamination. High specific gravity indicates diabetes mellitus or acute kidney infection. Presence of albumin in the urine may indicate onset of kidney dysfunction. acidic Increase level of pus cells indicates urinary tract infection or non infectious condition such as fever, stress,

Transparency

Turbid

Clear to slightly turbid

abnormal

Specific Gravity

1.030

1.015-1.025

increased

Albumin

Positive

negative

abnormal

Sugar pH Pus cells

Negative 5.0 6-8/ hpf

negative 7.35-7.45 2-3 hpf

normal decreased increased

dehydration irritation to urethra, bladder or urethra. RBC Epithelial Cells Bacteria 1-3/ hpf Few Few 2-4 hpf few Absent normal normal abnormal

Presence of bacteria indicates infection. Too much crystals in the urine is an indication of having kidney stones. calcium oxalate and/or hippurate crystals may suggest ethylene glycol (antifreeze) ingestion. Neurological abnormalities, appearance of drunkenness, hypertension, and a high anion gap acidosis are usually accompanied with the antifreeze toxicity. The crystals are best seen with a polarized (yellow lens). Large numbers of calcium oxalate crystals occur, as well, with acute renal failure following methoxyflurane (Metophane) anesthesia. Urine is usually supersaturated in calcium oxalate, often in calcium phosphate, and acid urine is often saturated in uric acid.

Amorphous Materials Crystals

Moderate

few

abnormal

CALCIUM OXALATES: Few

few

normal

ARTERIAL BLOOD GAS Arterial blood gases (ABGs)- are diagnostic tests performed on blood taken from an artery which contains oxygen and carbon dioxide. Date/Time: 1/13/13 ( 1:19pm)

PARAMETERS RESULT NORMAL VALUES INTERPRETATION pH 7.434 7.35-7.45 Normal PCO2 31.1 mmHg 35-45 mmHg Alkalosis PO2 69.3 mmHg 80-100 mmHg Moderate Hypoxemia HCO3 20.8 mmol/L 22-26 mmol/L Acidosis RESULT: PARTIALLY COMPENSATED RESPIRATORY ALKALOSIS WITH MODERATE HYPOXEMIA O2 SAT 94.4% 95-100% May indicate low blood oxygen. Base Excess -1.7 mmol/L 2 reduced