Name: S.T.Y.

Date: 6/18/12

Hematology
Exam Name Result Normal

Leukocyte Thrombocyte : Neutrophil Lymphocyte (P) Monocyte (P)

12.29 (HIGH) 80.700 (HIGH) 10.800 (LOW) 7.200 (HIGH)

5.0-10.0 50.00-70.00 20.0-40.0 0.0-7.0

ANALYSIS: The patients hematology has an abnormal result which generally indicates a sign of infection. Older adults have reduced defenses against infection because the immune responses become weak. It may also be due to her diabetes mellitus which increases the risk of infection and delayed healing by causing an alteration in nutrition and impaired peripheral circulation which decreases the oxygen transport to the tissues.

CLINICAL CHEMISTRY
Exam name BUN Sodium Creatinine Result 31mg/dl(HIGH) 126mmol/L (LOW) 0.81 (NORMAL) Normal 7-17 137-145 0.52-1.04

ANALYSIS: Increased BUN levels suggest impaired kidney function. This may be due to acute or chronic kidney disease, damage, or failure. It may also be due to a condition that results in decreased blood flow to the kidneys, such as congestive heart failure, shock, stress, recent heart attack, or severe burns, to conditions that cause obstruction of urine flow, or to dehydration. BUN concentrations may be elevated when there is excessive protein breakdown (catabolism), significantly increased protein in the diet, or gastrointestinal bleeding (because of the proteins present in the blood). Low sodium level are common in older adults due to age-related causes that affect the way the body handles the balance of sodium and water such as: Taking certain medications, such as diuretics, antidepressants and pain medications, Severe vomiting or diarrhea, Urinating less frequently.

URINALYSIS
DATE: 6-18-12 Color: Transparency: Quantity: Specific gravity: Yellow TURBID 10ml 1.020

XRAY CHEST
DATE: 6-18-12 FINDINGS: Chest follow-up film shows clear lungs. The Right diaphragm is elevated. The heart is magnified The aorta is prominent and calcified

CT Scan Whole abdomen CT scan contrast

DATE: 6-21-12

IMPRESSION:
Calcific nodule, body of the pancreas Thoracolumbar spondylosis and bilateral hip arthroses Atheromatous aorta and both common iliac arteries