D.

LABORATORY AND DIAGNOSTIC RESULTS

Variables

WBC

RBC

Hgb

Normal

January

Februar

February

Range

29, 2016

y 1.

2, 2016

4.50-

5.7 X

2016
8.2 X

5.0 X

No presence of

11.50x

109/L

109/L

109/L

bacterial infections

109/L
3.69-

4.84 X

Not

5.12 X

There is adequate

5.90x1

1012/L

indicated

1012/L

number of RBCs in

012/L
12.0-

13.0 g/dL

12.7

13.7 g/dL

16.0

g/dL

g/dL

Hct

37.00-

38 %

41.4%

80.9 fl

Normocytic (Normal

26.80pg

average RBC size)

Normal RBC size

33.1 g/dL

Normochromic

MCV

78.0-

Not

Not

MCH

102.0 fl
26.10-

indicated
Not

indicated
Not

33.30

indicated

indicated

pg
31.0-

Not

Not

37.0g/d

indicated

indicated

Platelets

the blood
Transport oxygen
from the lungs to the
tissues and then
transport CO2 back
from the tissues to
the lungs adequately
The percentage of
red blood cells is
within normal limits

39%

45.00%

MCHC

Interpretation

(Hemoglobin

concentration of the

150-

57 X

252 X

66 X

RBCs are normal)

Antibodies, which are

390x10

109/L
Low

109/L

109/L
Low

/L

supposed to attack
infections, instead
mistakenly destroy
blood platelets which
leads to

Neutroph

37.0-

ils

72.0%

80%
High

75.0%
High

34.4%
Low

thrombocytopenia.
Low Diminished
ability to destroy
bacteria
High Presence of

Lymphoc

20.0-

ytes
Monocyt

50.0%
8.0-

es

14.0%

16%
Low
0.02

24%

48.9%

bacterial infection
The body is low on
infection resistance

12.7%

No presence of tissue
breakdown and

COMPLETE BLOOD COUNT

URINALYSIS 02/02/16
Physical Exam:
Color Light Yellow
Transparency Clear
Chemical Parameter
Specific Gravity 1.015
pH 7.5
Sugar Negative
Protein Negative
Microscopic/Urine Flowcy
WBC 5/uL (Normal range: 0-11)
RBC 2/ uL (Normal range: 0-11)
Epith. Cells 12/uL (Normal range: 0-17)
Cast 1/ul (Normal range: 0-1)
BACTERIA 23/uL (Normal range: 0-278)

XRAY 11/30
Chief Complaint: Seizure
Findings:
Both lungs are well aerated with no evidence of active parenchymal densities.
Heart is normal in size and configuration.
Aorta is normal.
Trachea is midline.

Diaphragm is intact.
Costophrenic angle are intact.
The visualized osseous structures are nit remarkable.
.
Impression:
No radiographic abnormality in chest

CHEMISTRY 02/02/16
Variable
Creatinine

Result
0.56 mg/dL

Normal Range
0.60 1.20 mg/dL

Interpretation

CT SCAN 02/02/16
Chief Complaint: Seizure
Findings:
Gray-white matter differentiation is maintained. Ventriculo-sulcal pattern is
preserved. Midline structures are in place.
No discrete mass, edema, acute intracranial hemorrhage nor abnormal
calcification is noted in this examination.
The posterior fossa structures appear intact.
Small suggestion nodular enhancement of the pituitary stalk is noted. No definite
abnormal parenchymal sinuses and mastoids are well-aerated.
Opacities are seen in the left sphenoid and left ethmoid sinuses. The rest of the
visualized paranasal sinuses and mastoids are well-aerated.
The osseous paranasal are grossly unremarkable.

Impression:
SUGGESTIVE PITUITARY STALK NODULAR ENHANCEMENT. CRANIAL MRI
WITH CONTRAST (PITUITARY GLAND PROTOCOL) MAY BE DONE AS
CLINICALLY INDICATED.

OTHERWISE,

UNREMARKABLE

PLAIN

AND

CONTRAST CT-SCAN STUDY OF THE BRAIN

LEFT SPHENOID AND ETHMOID SINUSITIS

EEG 02/03/16
Diagnosis: Chronic Idiopathic Thrombocytopenic Purpura
Technical Description:
This was a routine 32 channel digital EEG done to a 13 year old patient
during drowsy and sleep states.
The patient was drowsy at the start of the recording. The background activity
consisted of diffuse, symmetric, medium-voltage, 5 6 Hz, sometimes reaching 7
Hz waves with good attenuation on eye opening. Occasional movement and
muscle artifacts were seen. Sleep was characterized by symmetric, low voltage,
2-3 Hz activities seen diffusely. Features of stage 2 sleep consisting of vertex
sharp waves, K complexes, and symmetric sleep spindles were observed.
Photic activation and hyperventilation had no effect.
Occasional bursts of independent, sometimes synchronous, medium-voltage, 1-2
Hz spike and slow waves were seen over both frontal regions with end of chains
and highest amplitudes at Fp1, Fp2.
Impression:
This was an abnormal drowsy and sleep EEG study due to the presence of
occasional epileptiform discharges at both frontal regions predisposing the

patient to localization-related epilepsy. The background activity was normal and

appropriate for age.