COMPLETE BLOOD COUNT

EXAMINATION RESULT 07/16/13 RESULT 07/19/13 RESULT 07/23/13 REFERENCE VALUE SIGNIFICANCE
WBC is increased due to leukemia a bone marrow disease which causes an abnormally high production of immature white blood cells Hemoglobin is decreased due to suppression of the RBC in the bone marrow Hemoglobin is decreased due to suppression of the RBC in the bone marrow

WBC

80.15

42.54

15.79

5-15

Hemoglobin

43

98

97

120-140

Hematocrit

0.14

0.28

0.28

0.36-0.44

MCV

87.50

82.60

82.60

73-89

Within normal limits

MCH

26.90

28.80

29.00

24-30

Within normal limits

In leukemia, the RBC Count decreases because they are crowded out of the bone marrow by the immature forms of white blood cells

RBC Count

1.60

3.40

3.35

4.10-5.50

MCHC RDW

327

349 17.90

343 18.50

320-360 11-16

Within normal limits -

23.90

MPV

9.10

10.00

11.90

6-11

Within normal limits

In leukemia, the platelet count decreases because they are crowded out of the bone marrow by the early forms of white blood cells

Platelet Count

39

17

18

200-400

DIFFERENTIAL COUNT
EXAMINATION RESULT 07/16/13 RESULT 07/19/13 RESULT 07/23/13 REFERENCE VALUE SIGNIFICANCE
Neutrophil production is decreased due to inability of the bone marrow to produce mature white blood cells In leukemia, lymphocytes decreases because they are crowded out of the bone marrow by the early forms of white blood cells

Neutrophil

1.0

40-74

Lymphocytes

12.0

20

19-48

Monocytes

3.0

3.0

3-9

Eosinophil Basophil

0 0

0 0

0-7 0-2

Within normal limits Within normal limits

Stab

Within normal limits

Atypical Lymph Metamyelocytes Myelocytes Blast

0 0 0

0 0 0 88

1 0 0 79

Within normal limits Within normal limits Within normal limits Indicates lymphoblastic leukemia

84

CHEMISTRY
EXAMINATION RESULT 07/17/13 136 4.0 104 RESULT 07/22/13 0.55 3.16 9.29 136 3.70 101 REFERENCE VALUE SIGNIFICANCE

Creatinine Uric Acid Urea Sodium Potassium Chloride

0.9-1.3 3.5-7.2 8.87-20.55 135-148 3.50-5.30 90-107

Within normal limits Within normal limits Within normal limits Within normal limits Within normal limits Within normal limits

URINALYSIS
07/18/13

Examination Color Transparency Specific Gravity pH Glucose Protein RBC WBC

Result Light Yelow Clear 1.010 6.5 Negative (-) Negative (-) 0-1 0-2

Normal Findings Yellow Clear 1.010 1.030 5.0-7.0 Negative (-) Negative (-) Absent Absent

Significance Within normal limits Within normal limits Within normal limits Within normal limits Within normal limits Within normal limits Within normal limits Within normal limits

05/28/13

HEMAPATHOLOGIC REPORT
PERIPHERAL SMEAR Smear shows microcytic, hypochromic erythrocytes with wild anisopoikilocytosis. Leukocytes are increased in number, consisting predominantly of blast forms. The rest of the WBC population is composed of mature lymphocytes. Thrombocytes are slightly decreased in number, showing normal morphology Differential Counts Blasts: 72% Lymphocytes: 28% Neutrophils: 1 %

BONE MARROW SMEAR The bone marrow smears are hemodiluted with peripheral blood showing a monotonous population of lymphoid precursors, which is predominantly composed of lymphoblast. These cells have small round nuclei, noting strict chromatin with inconspicuous nucleoli surrounded by very scant pale blue cytoplasm. There is a decrease number in myeloid and erythroid precursors observed. There are no megakaryocytes seen.

IMPRESSION: Hemodiluted bone marrow smears suggestive of Acute Lymphoblastic Leukemia