Chapter VII

Laboratory Findings
Laboratory Findings
Complete Blood Count
TEST
WBC

Nov. 29, 2015 AM

NORMAL
RESULTS
VALUES
1.5 x 109/L
4.0 10.0

REMARKS
Decrease due to inadequate

LYMPH#

0.5 x 109L

0.8 4.0

inflammatory response defense to

suppress infection and antibody
mediated immunity takes place.
Low lymphocytes count indicates that
the body is low on infection resistance.
Decrease due to debilitating illness,
humoral immune response to take place.

MID#
GRAN#

0.2 x 109/L
0.8 x 109/L

0.1 1.5
2.0 7

within normal range

Dengue virus induces bone marrow
suppression thus bone marrow fails to
make enough granulocytes.
Low granulocyte count can be caused
by viral infection

LYMPH%

42.0%

20.0 40.0

MID%
GRAN%
HGB
RBC
HCT
MCV
MCH
MCHC
RDW-CV
RDW-SD
PLT

12.8%
55.2%
139 g/L
5.02 x 1012/L
42.7%
85.2fL
27.6 pg
325g/L
13.1%
43.2fL
65 x 109/L

3.0 15.0
50.0 70.0
120. 160
4.00 5.50
40.0 54.0
80.0 100.0
27.0 34.0
320 360
11.0 16.0
35.0 56.0
100 300

8.1fL

6.5 12.0

MPV

Lymphocytes are elevated due to

viral infection
within normal range
within normal range
within normal range
within normal range
within normal range
within normal range
within normal range
within normal range
within normal range
within normal range
Dengue virus induces bone marrow
suppression. Since bone marrow is the
manufacturing centre of blood cells its
suppression causes deficiency of blood
cells leading to low platelet count.
When vascular endothelial cell that
infected with dengue virus gets
combined with platelets they tend to
destroy platelets.
The antibodies that are produced after
infection of dengue virus can contribute
in destruction of platelets, thus lowering
the platelet count.

within normal range

PDW
PCT

16.6
0.052%

9.0 17.0
0.108 0.282

within normal range

Decrease due to the presence of dengue
virus
Low PCT levels indicate a minor
infection

HEMATOLOGY REPORT
Date: Nov. 29 2015, PM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes
Fraction

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
65
0.35

HEMATOLOGY REPORT
Date: Nov. 30 2015, AM
Examination Desired: blood typing, Plt, Hct
PARAMETER
Thrombocytes
Fraction
Blood group: A positive

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
72
0.41

HEMATOLOGY REPORT
Date: Nov. 30 2015, PM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes
Fraction

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
111
0.39

HEMATOLOGY REPORT
Date: Dec. 01 2015, AM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes
Fraction

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
90
0.37

HEMATOLOGY REPORT
Date: Dec. 01 2015, PM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes

NORMAL FINDINGS
150-400 x 103/mL

ACTUAL FINDINGS
118

Fraction

0.42-0.47 vol %

0.40

HEMATOLOGY REPORT
Date: Dec. 02 2015, AM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes
Fraction

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
130
0.38

HEMATOLOGY REPORT
Date: Dec. 02 2015, PM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes
Fraction

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
159
0.41

HEMATOLOGY REPORT
Date: Dec. 03 2015, AM
Examination Desired: Plt, Hct
PARAMETER
Thrombocytes
Fraction

NORMAL FINDINGS
150-400 x 103/mL
0.42-0.47 vol %

ACTUAL FINDINGS
168
0.44

URINALYSIS REPORT
Date: Nov. 30 2015 AM
PARAMETER

RESULTS

COLOR
TRANSPARENCY
REACTION
SPECIFIC
GRAVITY
SUGAR

yellow
Clear
6.5
1.020

NORMAL
FINDINGS
yellow
Clear or cloudy
4.5-8
1.005-1.030

negative

negative

1-2/HPF
5-13/HPF
absent

2/hpf
2-5/hpf
absent

Normal
Due to the presence of infection
Normal

few

0-2

Normal

RBC
WBC
EPITHELIAL
CELLS
PUS CELLS

REMARKS
Normal
Normal
Normal
Normal
Normal

FECALYSIS REPORT
Date: Dec.01 2015 AM
PARAMETER

RESULTS

COLOR
brown
CONSISTENCY
formed
Findings: No ova and parasite seen

NORMAL
FINDINGS
yellow
Semi-formed

REMARKS
Normal
Normal