23 Year/Male 20241007005 UHID NUMBER : 20241007005
REFERRED BY : SELF REGISTRATION DATE : 07-10-2024 12:00 PM
TEST(s) : CBC,WD,LFT,DENGUC REPORTING DATE : 07-10-2024 01:00 PM
Investigations Result Unit Biological Reference Range
HAEMATOLOGY COMPLETE BLOOD COUNT (CBC) HAEMOGLOBIN 14.9 gm/dl 13.5-18.0 TOTAL LEUCOCYTE COUNT 5200 /cumm 4000 -11000 DIFFERENTIAL LEUCOCYTE COUNT Neutrophils 70 %. 40-75 Lymphocytes 20 %. 20-45 Eosinophils 04 %. 00-06 Monocytes 06 %. 00-08 Basophil 00 % 00-01 PLATELET COUNT 2.18 lacs/mm3 1.50 -4.50 RED CELL BLOOD COUNT 5.12 million/cumm 3.5-6.5 HAEMATOCRIT 38.7 % 35-54 MEAN CORPUSCULAR VALUME (MCV) L 75.59 fL 76-96 MEAN CORPUSCULAR HAEMAGLOBIN (MCH) 29.10 pg 27.00-32.00 MEAN CORPUSCULAR HAEMAGLOBIN Con. H 38.50 g/dl 30.50-34.50 (MCHC) RED DISTRIBUTION WIDTH (RDW-CV) H 15.0 % 11.5-14.5 MEAN PLATELET VOLUME (MPV) H 9.0 u3 6.0-8.5 PCT 0.21 % 0.15-0.3 PLATELET DISTRIBUTION WIDTH 15.8 % 10.0-17.9
Clinical Significance : CBC comprises of estimation of the cellular componenets of blood including RBCs, WBCs and Platelets. Mean corpuscular volume (MCV) is a measure of the size of the average RBC, MCH is a measure of the hemoglobin content of the average RBC and MCHC is the hemoglobin concentration per RBC. The red cell distribution width (RDW) is a measure of the degree of variation in RBC size (anisocytosis) and is helpful in distinguishing between some anaemias. CBC examination is used as a screening tool to confirm a hematologic disorder, to establish or rule out a diagnosis, to detect an unsuspected hematologic disorder, or to monitor effects of radiation or chemotherapy. Abnormal results may be due to a primary disorder of the cell-producing organs or an underlying disease. Results should be interpreted in conjunction with the patient's clinical picture and appropriate additional testing performed.
IgM ANTIBODIES NON REACTIVE
IgG ANTIBODIES NON REACTIVE PATIENT NAME
AGE/ GENDER :
: Mr. PRASHANT DWIVEDI
23 Year/Male 20241007005 UHID NUMBER : 20241007005
REFERRED BY : SELF REGISTRATION DATE : 07-10-2024 12:00 PM
TEST(s) : CBC,WD,LFT,DENGUC REPORTING DATE : 07-10-2024 01:00 PM
Investigations Result Unit Biological Reference Range
NS1AG NEGATIVE
Interpretations :
The presence of three pink coloured line indicate the presence of specific IgM & IgG antibodies against Dengue virus. The presence of two pink coloured lines one test line IgM with in test zone closer to the sample well & one conrol line in control zone indicate presence of IgM antibodies against of Dengue virus. The presence of two pink coloured lines one test line IgG with in test zone closer to control zone or away from sample zone and one control line in control zone indicate presence of IgG antibodies against dengue virus.
In primary Dengue fever IgM antibodies can be detected as early as 3-5 days after the fever, where as IgG antibodies are negative. In secondary Dengue fever IgG antibodies are positive & IgM antibodies may also be positive. Secondary dengue fever is a secondary infection with same or different sero type & is often associated with the complications as dengue Haemorrhagic fever and dengue shock syndrome.
A few patients of dengue fever may not produce detectable levels of antibodies with in 7-10 days after infection & test result may show negative for antibodies. If Symptoms persist a retest after 5-7 days is recommented.
The serological cross reactivity across the Flavi virus group is common i.e. between Dengue1,2,3,4 murray valley Encephalitis, Japanese encephalitis & yellow fever virus.
Result to be correlated clinically
Note : Confirm by Elisa Method
PATIENT NAME
AGE/ GENDER :
: Mr. PRASHANT DWIVEDI
23 Year/Male 20241007005 UHID NUMBER : 20241007005
REFERRED BY : SELF REGISTRATION DATE : 07-10-2024 12:00 PM
TEST(s) : CBC,WD,LFT,DENGUC REPORTING DATE : 07-10-2024 01:00 PM
Investigations Result Unit Biological Reference Range
BIOCHEMISTRY LIVER PROFILE (LFT) SERUM BILIRUBIN TOTAL 0.85 mg/dL 0.3-1.0 DIRECT 0.55 mg/dL 0.2-0.6 INDIRECT 0.30 mg/dL 0.1-0.4 SERUM PROTEINS Total Proteins 7.98 Gm/dL 5.5-8.5 Albumin 4.82 Gm/dL 3.5 - 5.5 Globulin 3.16 Gm/dL 2.3 - 3.5 A : G Ratio 1.53 0.0-2.0 SGOT 26.1 IU/L 0-40 SGPT 38.3 IU/L 0-40 SERUM ALK.PHOSPHATASE 92.6 IU/L 00-115
NORMAL RANGE : BILIRUBIN TOTAL
Premature infants. 0 to 1 day: <8 mg/dL Premature infants. 1 to 2 days: <12 mg/dL Adults: 0.3-1 mg/dL. Premature infants. 3 to 5 days: <16 mg/dL Neonates, 0 to 1 day: 1.4-8.7 mg/dL Neonates, 1 to 2 days: 3.4-11.5 mg/dL Neonates, 3 to 5 days: 1.5-12 mg/dL Children 6 days to 18 years : 0.3-1.2 mg/dL COMMENTS-- Total and direct bilirubin determination in serum is used for the diagnosis,differentiation and follow -up of jaundice.Elevation of SGPT is found in liver and kidney diseases such as infectious or toxic hepatitis,IM and cirrhosis.Organs rich in SGOT are heart ,liver and skeletal muscles. When any of these organs are damaged,the serum SGOT level rises in proportion to the severity of damage.Elevation of Alkaline Phosphatase in serum or plasma is found in hepatitis ,biliary obstructions,hyperparathyroidism,steatorrhea and bone diseases. PATIENT NAME
AGE/ GENDER :
: Mr. PRASHANT DWIVEDI
23 Year/Male 20241007005 UHID NUMBER : 20241007005
REFERRED BY : SELF REGISTRATION DATE : 07-10-2024 12:00 PM
TEST(s) : CBC,WD,LFT,DENGUC REPORTING DATE : 07-10-2024 01:00 PM
Investigations Result Unit Biological Reference Range
Widal Agglutination test is carried out to confirm the diagnosis of Enteric fever . Causative organisms in these cases principally are Salmonella typhy, Salmonella paratyphi A & Salmonella paratyphi B in India .These organisms have `H` (Flagellar) & `O` (somatic) antigens . Sera from normal population & patients with Entric fever agglutinating antibodies in variable concentration . Test is performed with serially inceasing dilutions. Agglutination in dilution up to <1:60 is seen in normal individuals. Agglutination in dilution 1:160 is suggestive of Salmonella infection .Agglutination in dilution of & more than 1:320 is confirmatory of Enteric Fever . Causative organism is determined by species specific `H` antigen showing significant titre . Individual who had suffered Salmonella infection in the past may show mild to moderate increase in titre while suffering from unrelated illness . Similarly, those vaccinated against Entric Fever ,show non-specific rise in titre against more than one `H` antigen . Widal test carried out on paired sample during acute phase& during convalescent phase (10-14) days after first sample shows four fold rise in titre is considered diagnostic of Enteric fever.
