Alex Maxwell
67, Male
Click on the tabs below (and click headings to open and close the subpanels) to view the results and interpretation of some of the investigations.
Haematology
Explanation:
Patient presents with normal results
Results
| Investigation Name | Investigation Result | Normal Range | Units |
|---|---|---|---|
| Haemoglobin | 120 | 115 - 165 | g/L |
| Neutrophils | 6.8 | 1.5 - 7 | 109/L |
| White Cell Count | 10.1 | 4 - 11 | 109/L |
| Platelets | 350 | 150 - 400 | 109/L |
Electrolytes, urea, creatinine
Results
| Investigation Name | Investigation Result | Normal Range | Units |
|---|---|---|---|
| Sodium | 141 | 137 - 145 | mmol/L |
| Potassium | 4.2 | 3.5 - 4.9 | mmol/L |
| Urea | 8.5 | 2.5 - 7.5 | mmol/L |
| eGFR | 50 | 70 - 130 | ml/min |
The reduced eGFR is likely to be as a result of diabetic nephropathy
Blood Glucose, Cholesterol, Liver Function Tests
Blood Glucose
| Investigation Name | Investigation Result | Normal Range | Units |
|---|---|---|---|
| Glucose | 12 | Random < 11 | mmol/L |
| Glycosylated Haemoglobin | 8.5 | < 6 | % |
The raised blood glucose and raised glycosylated haemoglobin suggest poorly controlled type 2 diabetes
Cholesterol
| Investigation Name | Investigation Result | Normal Range | Units |
|---|---|---|---|
| Total Cholesterol | 8.2 | < 5.0 | mmol/L |
The raised cholesterol in combination with diabetes suggest an increased risk of cardiovascular disease in general and is an important consideration in the management of peripheral arterial disease.
Liver function tests
| Investigation Name | Investigation Result | Normal Range | Units |
|---|---|---|---|
| ALP | 130 | 35 - 129 | IU |
| ALT | 135 | 4 - 59 | IU |
| GGT | 100 | 9 - 48 | IU/L |
| Albumin | 46 | 40 - 152 | g/L |
The raised ALT and GGT suggest non alcoholic fatty liver
Imaging
Explanation:
The chest X-ray is useful as he is a smoker and may have underlying lung disease