M Karuppasamy Report-2
M Karuppasamy Report-2
M Karuppasamy Report-2
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Aspartate Aminotransferase
(AST) 72 U/L 17-49
MC-6367
Multipoint-Rate/UV with Pyridoxal-5-
Phosphate (P-5-P)
Aspartate
Aminotransferase/Alanine 1.7 0.7-1.4
Transaminase (AST/ALT) Ratio
Calculated
Protein
6.0 g/dL 6.0-8.3
MC-6367 Biuret
Gamma-Glutamyl
MC-6367
Transpeptidase (GGT) 34 U/L 15-73
SZAZ Carboxylated Substrate
Albumin
3.5 g/dL 3.5-5.0
MC-6367 Bromo-Cresol Green
Globulin
2.5 g/dL 2.3-3.5
MC-6367 Calculated
In certain individuals, total bilirubin up to 2.0 mg/dl is considered normal. High bilirubin values can be due to jaundice.
Total bilirubin is invariably increased in jaundice. Causes of jaundice are prehepatic, resulting from various hemolytic diseases;
hepatic, resulting from hepatocellular injury or obstruction; and posthepatic, resulting from obstruction of the hepatic or
common bile ducts.
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
High indirect bilirubin levels can occur in hemolytic disorders, Gilbert’s syndrome, Crigler-Najjar syndrome, neonatal jaundice,
and ineffective erythropoiesis.
High Aspartate Aminotransferase values can occur in Myocardial infarction, pulmonary emboli, skeletal muscle trauma, alcoholic
cirrhosis, viral hepatitis, or drug-induced hepatitis.
Elevated Alanine Aminotransferase levels are seen in liver cell necrosis, hepatitis, hepatic cirrhosis, liver tumours, obstructive
jaundice, Reye’s syndrome, extensive trauma to skeletal muscle, myositis, myocarditis, or myocardial infarction.
High alkaline phosphatase levels can be be due to primary and secondary hyperparathyroidism, Paget’s disease of bone,
carcinoma metastatic to the bone, osteogenic sarcoma, Hodgkin’s disease, Hepatobiliary diseases involving cholestasis,
inflammation, or cirrhosis.
ALP levels can also be elevated in fever and increased bone metabolism(e.g., in adolescents and during the healing of a fracture),
in renal infarction and failure and in pregnancy complications.
Low ALP levels may occasionally be seen in hypothyroidism.
Gamma-glutamyl transferase (GGT) is a sensitive indicator of hepatobiliary disease. It is useful in the diagnosis of obstructive
jaundice and chronic alcoholic liver disease, in the follow-up of chronic alcoholics undergoing treatment, and in the detection of
hepatotoxicity. GGT is more responsive to biliary obstruction than AST, ALT, or ALP.
Globulin includes carrier proteins, enzymes, complement, and immunoglobulins. Most of these are synthesised in the liver,
although immunoglobulins are synthesised by plasma cells.
Increased globulin level usually results from an increase in immunoglobulins.
Malnutrition and congenital immune deficiency can decrease globulin levels due to decreased synthesis. Nephrotic syndrome
can cause decreased globulin levels due to protein loss through the kidney.
AST/ALT Ratio > 2:1 (AST is two times higher than ALT) is indicative of alcoholic liver disease.
AST/ALT Ratio < 1:1 (ALT is higher than AST) indicates non-alcoholic fatty liver disease.
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Hemoglobin (Hb)
12.6 g/dL 13.0-17.0
MC-6367 Cyanide-free SLS method
Differential Count
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Monocytes
8.3 % 2-10
MC-6367 Flow Cytometry
Comments Kindly correlate clinically and advise IgE levels for further evaluation.
Platelet Count
148 10^3/µL 150-450
MC-6367 DC Impedance Method
1. Reference Ranges are in accordance with Dacie & Lewis Practical Hematology International Edition (12th)
2. As per International Council for Standardization in Hematology's recommendations Differential Leucocyte counts are
additionally reported in Absolute numbers in each cell per unit volume of blood.
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Typhidot
Serum
Typhidot IgG
Negative Negative
Immunochromatography
Typhidot IgM
Negative Negative
Immunochromatography
A negative result does not preclude the possibility of exposure to S.typhi or paratyphi. It can occur if the quantity of antibodies is
below the detection limit of the assay or the antibodies that are detected are not present during the stage of disease in which the
sample is collected.
It is a screening test. If the symptoms persist and the test is negative, it is recommended to correlate clinically and test with an
alternative test method, such as blood culture.
Dengue Profile
Serum
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
No detectable IgM
NEGATIVE (<0.8)
antibody.
Recommended test is NS1 Antigen by ELISA in the first 5 days of fever. After 7-10 days of fever, the recommended test is Dengue
fever antibodies IgG and IgM by ELISA.
Cross reactivity is seen in the Flavivirus group between Dengue Virus, Leptospira, Rheumatoid arthritis (RA), Hepatitis-A, Influenza
A & B, Salmonella Typhi, Japanese encephalitis, Epstein-Barr virus, West Nile virus disease.
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Chikungunya is a viral infection transmitted by the bite of an infected Aedes aegypti mosquito. Symptoms are very similar to
those of Dengue fever, but unlike Dengue there is no hemorrhagic or shock syndrome. The disease is characterized by rash, fever
and severe joint pain (arthralgia).
Note:
Negative result does not exclude the possibility of exposure to Chikungunya virus False negative results are seen if IgM antibody
is below the detectable limit or is absent during the stage of the disease in which specimen has been collected. All results to be
clinically correlated.
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Volume 40 mL
Manual
Appearance
Clear Clear
MC-6367 RGB Sensor Technology
pH 6.0 5.0-8.0
MC-6367 Double Indicator Method
Protein
Nil Nil
Protein Error of pH Indicator
Glucose
MC-6367
Enzyme Method Glucose Oxidase- Nil Nil
Peroxidase (GOD-POD)
Bilirubin
Nil Nil
Azo Coupling Method
Blood
Negative Negative
MC-6367 Peroxidase Activity
Urobilinogen
Normal Normal
MC-6367 Azo Coupling Method
Leucocyte Esterase
Negative Negative
MC-6367 Granulocyte Esterase Method
Nitrites
Negative Negative
MC-6367 Griess Method
Pus Cells
1-2 /hpf 0-5
MC-6367 Automated Morphological Microscopy
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Granular Casts
Nil /hpf Nil
Automated Morphological Microscopy
Hyaline Casts
Nil /hpf Occasional
Automated Morphological Microscopy
Phosphate Crystals
Nil /hpf Nil
Automated Morphological Microscopy
Amorphous Phosphates
Nil /hpf Nil
Automated Morphological Microscopy
Yeast
Nil Nil
Automated Morphological Microscopy
Bacteria
Nil Nil
Automated Morphological Microscopy
Parasites
Nil /hpf Nil
Automated Morphological Microscopy
Mucus
Nil Nil
Automated Morphological Microscopy
Increased protein in urine is seen in dehydration, kidney disorders, heart failure and transplant rejection. 24 hour urine protein
and Protein/creatinine ratio in a random urine sample recommended if increased.
Glucosuria can be seen in kidney disorders, uncontrolled diabetes mellitus, hormonal disorders, and pregnancy. To be correlated
with plasma glucose levels.
Ketonuria is seen in physical exercise, starvation, severe vomiting, exposure to cold, uncontrolled diabetes (diabetic ketoacidosis)
Increased bilirubin levels should be followed up with Liver function tests and indicates conjugated hyperbilirubinemia.
Increased urobilinogen can be seen due to haemolysis, megaloblastic anaemia and haemorrhage in tissues. Urobilinogen is
absent or reduced in obstructive liver disease and antibiotic therapy.
RBCs in urine (Haematuria) can be seen in anticoagulant therapy, bleeding diathesis and traumatic catheterization history to be
looked into. Dysmorphic RBCs suggestive of glomerular pathology. Non glomerular diseases line calculus, infections, tumours,
after strenuous exercise and diseases of the prostate.
BL91964701
Ref. Doctor - Patient ID OHPH4UB2885011 Received On 15/07/2024 11:03 PM
Infected urine may contain considerable amounts of nitrite as a result of bacterial nitrate reductase activity, and detection of
nitrite in urine is routinely used in the diagnosis of bacterial cystitis. It is indicative of the requirement of Urine culture and
sensitivity testing for identification and treatment of UTI.
Hyaline casts are seen normally (not associated with disease states) seen after strenuous exercise and with non renal diseases,
such as dehydration.
Tests marked with NABL symbol are accredited by NABL vide certificate no MC-6367
It is presumed that the test sample belongs to the patient named or identified in the test requisition form. Test results released
pertain to the specimen submitted.
Laboratory investigations are only a tool to facilitate arriving at a diagnosis and should be clinically correlated by the Referring
Physician.
All tests are performed and reported as per the turnaround time stated in the Orange Health Labs Directory of Services (DOS).
Orange Health Labs confirms that all tests have been performed or assayed with the highest quality standards, clinical safety &
technical integrity.
All test results are dependent on the quality of the sample received by the Laboratory and the assay technology.
Report delivery may be delayed due to unforeseen circumstances. Inconvenience is regretted.
A requested test might not be performed if:
The specimen received is insufficient or inappropriate, or the specimen quality is unsatisfactory
Incorrect specimen type
Request for testing is withdrawn by the ordering doctor or patient
There is a discrepancy between the label on the specimen container and the name on the test requisition form
Test results may show interlaboratory variations.
Test results are not valid for medico-legal purposes.
This is a computer-generated medical diagnostic report that has been validated by an Authorized Medical Practitioner/Doctor.
The report does not need a physical signature.
HOW ARE WE
FASTER THAN OTHERS?
We identified two gaps in diagnostics:
sample transportation time and
processing delays.