Report C93796a6
Report C93796a6
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217181 / 5485915 Sample Receive Date : 26/Aug/2022 10:20AM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 26/Aug/2022 01:22PM
HAEMATOLOGY
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Test Name Result Unit Bio. Ref. Range Method
Page 1 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217181 / 5485915 Sample Receive Date : 26/Aug/2022 10:20AM
Referred By : Dr. Report Status : Final Report
Sample Type : Whole Blood-EDTA Report Date : 26/Aug/2022 01:22PM
HAEMATOLOGY
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Test Name Result Unit Bio. Ref. Range Method
Comment:
As per the recommendation of International council for Standardization in Hematology, the differential leucocyte counts
are additionally being reported as absolute numbers of each cell in per unit volume of blood.
Test conducted on EDTA whole blood.
Page 2 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 11:38AM
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Range Method
Comment:
Creatinine is a more specific and sensitive indicator of renal disease than Blood Urea Nitrogen.
Uses:
Increased In: Blockage in the urinary tract, Pre- and postrenal azotemia, Impaired kidney function, Loss of body fluid
(dehydration), Muscle diseases such as gigantism, acromegaly.
Decreased In: Pregnancy, certain drugs (e.g., cimetidine, trimethoprim), Myasthenia Gravis, Muscular dystrophy.
Comment:
Long-term follow-up of asymptomatic hyperuricemic patients is undertaken because many are at risk for kidney disease that may
develop as a result of hyperuricemia and hyperuricuria; few of these patients ever develop the clinical syndrome of gout.. It is
also used in the diagnosis and monitoring of pregnancy-induced hypertension (pre- eclamptic toxemia). Concentrations in excess
of 6.0 mg/dL at 32 weeks gestation have been noted to be associated with a high perinatal mortality rate.
Comment:
Page 3 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 11:38AM
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Test Name Result Unit Bio. Ref. Range Method
Elevated Blood Urea Nitrogen can occur with kidney diseases, but it can also happen from a high protein diet, increased
protein breakdown, certain medications, dehydration or burns, GI haemorrhage, cortisol and renal failure. BUN levels often
rise with aging as well.
Abnormally low levels of Blood Urea Nitrogen can be a sign of malnutrition, lack of protein in the diet, and liver disease.
Comment:
Elevated Blood Urea can occur with kidney disease, but it can also happen from high protein diet, increased protein
breakdown, certain medications, dehydration or burns, GI haemorrhage, cortisol and renal failure. Blood urea levels often
rise with aging as well.
Abnormally low levels of Blood Urea can be a sign of malnutrition, lack of protein in the diet, and liver disease.
Note:
Independently, blood urea may not reflect kidney function. For this reason, it is often interpreted in the context of other
measurements, such as creatinine, a breakdown product of the muscle, that is filtered by the kidneys.
In blood, Urea is usually reported as BUN and expressed in mg/dl. BUN mass units can be converted to urea mass units by
multiplying by 2.14.
Page 4 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217180 / 5485915 Sample Receive Date : 26/Aug/2022 10:44AM
Referred By : Dr. Report Status : Final Report
Sample Type : FLUORIDE PLASMA Report Date : 26/Aug/2022 12:14PM
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Test Name Result Unit Bio. Ref. Range Method
Glucose - Fasting
Glucose - Fasting 77.00 mg/dL 70 - 99 Hexokinase
Comment:
American Diabetes associations reference range,
Comment: Random glucose in plasma measures the glucose levels regardless of the last meal intake.
Page 5 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 02:53PM
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Test Name Result Unit Bio. Ref. Range Method
Lipid Profile
Cholesterol - Total 135 mg/dL Adults: Enzymatic
Desirable <200,
Borderline High 200-239,
High >=240
Triglycerides 71 mg/dL Normal: <150, GPO
Borderline: 150 - 199,
High:200-499,
Very High>=500
Cholesterol - HDL 43 mg/dL Low(undesirable, high Elimination/catalase
risk):<40
High(desirable, low
risk):>=60
Cholesterol - LDL 77 mg/dL Desirable: <100 Calculated
Above desirable: 100-
129
Borderline high: 130-159
High: 160-189
Very high: >=190
Cholesterol- VLDL 14 mg/dl <30 Calculated
Cholesterol : HDL Cholesterol 3.1 Ratio Desirable : 3.5-4.5 Calculated
High Risk : >5
LDL / HDL Cholesterol Ratio 1.78 Ratio Desirable : 2.5-3.0 Calculated
High risk : >3.5
Non HDL Cholesterol 92 mg/dl Desirable:< 130, Calculated
Above Desirable:130 -
159,
Borderline High:160 -
189,
High:190 - 219,
Very High: >= 220
Page 6 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 02:53PM
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Range Method
Comment:
Measurements in the same patient can show physiological & analytical variations. Three serial samples 1 week apart
are recommended for Total Cholesterol, Triglycerides, HDL & LDL Cholesterol.
Lipid Association of India (LAI) recommends screening of all adults above the age of 20 years for Atherosclerotic
Cardiovascular Disease (ASCVD) risk factors, especially lipid profile. This should be done earlier if there is a family
history of premature heart disease, dyslipidemia, obesity, or other risk factors.
The LAI recommends LDL-C as the primary target and non-HDL-C as a co-primary target, for lipid-lowering therapy.
Non-HDL Cholesterol comprises the cholesterol carried by all atherogenic particles, including LDL, IDL, VLDL & VLDL
remnants, Chylomicron remnants and Lp(a).
Apo B measurement is recommended in high-risk subjects after LDL-C and non-HDL-C goals have been achieved.
Additional testing for Apolipoprotein B, hsCRP, Lp(a ) and LP-PLA2 should be considered among patients with
moderate risk for ASCVD for risk refinement.
Updated 2020 risk stratification approach recommended by the Lipid Association of India
Risk Factors/Markers
Moderate-risk
Major ASCVD Risk Factors Other High risk features nonconventional risk
factors
1. Age ≥45 years in males and 1. Diabetes with 0-1 other major ASCVD Risk factors and no 1. Coronary calcium score
≥55 years in females evidence of target organ damage 100-299
2. Family history of premature
2. CKD Stage 3B or 4 2. Increased carotid IMT
ASCVD
3. Current cigarette smoking and 3. Familial hypercholesterolemia (other than familial 3. Lipoprotein (a) 20-49
tobacco use homozygous hypercholesterolemia mg/dL
4. High blood pressure 4. Extreme of a single risk factor 4. Impaired Fasting Glucose*
5. Increased waist
5. Low HDL-C 5. Coronary calcium score ≥300
circumference**
6. Apolipoprotein B ≥110
6. Non-stenotic carotid plaque
mg/dL
7. Lipoprotein (a) ≥50 mg/dL 7. hsCRP ≥2 mg/L***
Risk groups
Low risk Moderate risk High risk Very High risk Extremely High risk
Page 7 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 02:53PM
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Range Method
2 Major
≥3 major ASCVD
ASCVD risk Pre-existing ASCVD Category A Category B
risk factor
factors
0-1 major
Low risk group 2 major ASCVD risk
ASCVD risk Diabetes ≥2 other CAD ≥1 feature of very high risk
≥1 moderate- factor with ≥1
factor and major risk factors or group or recurrent ACS (within
risk moderate-risk
Lifetime CVD evidence of target one year) despite LDL-C ≤50
nonconventional nonconventional risk
risk <30% organ damage mg/dL or polyvascular disease
risk factors factors
Lifetime CVD ≥1 other high risk Familial homozygous
risk ≥30% features Hypercholesterolemia
* A fasting blood sugar level from 100 to 125 mg/dl. It should be confirmed by repeat testing; **Waist circumference is to be
measured at the superior border of the iliac crest just after expiration. Increased waist circumference is defined as >90 cm
in men and >80 cm in women. If increased waist circumference is the only risk factor, it should again be measured after 6
months after initiating heart-healthy lifestyle measures; ***On two occasions at least 2 weeks apart. For reclassifying moderate
risk group only.
Newer treatment goals and statin initiation thresholds based on the risk categories proposed by LAI in 2020
Risk groups Treatment Goals Consider Drug Therapy
LDL-C (mg/dL) Non-HDL (mg/dL) LDL-C (mg/dL) Non-HDL (mg/dL)
Extreme Risk Group Category A <50 (Optional goal ≤30) <80 (Optional goal ≤60) ≥50 ≥80
Extreme Risk Group Category B ≤30 ≤60 >30 >60
Very High Risk <50 <80 ≥50 ≥80
High Risk <70 <100 ≥70 ≥100
Moderate Risk <100 ≥100 ≥130
Low risk <100 ≥130* ≥160*
*After an adequate non-pharmacological intervention for at least 3 months
Page 8 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 03:11PM
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Test Name Result Unit Bio. Ref. Range Method
Comment:
LFTS are based upon measurements of substances released from damaged hepatic cells into the blood that gives idea of
the Existence, Extent and Type of Liver damage.
Acute Hepatocellular damage: ALT & AST levels are sensitive index of hepatocellular damage
Obstruction to the biliary tract,Cholestasis and blockage of bile flow:
Serum Total Bilirubin concentration 2) Serum Alkaline Phosphatase (ALP) activity 3) Gamma Glutamyl Transpeptidase
(GGTP) 4) 5`-Nucleotidase
Chronic liver disease: Serum Albumin concentration
Bilirubin results from the enzymatic breakdown of heme. Jaundice is a yellowish discoloration of the skin and mucous
membranes caused by hyperbilirubinemia.
Pre-hepatic or hemolytic jaundice - Abnormal red cells, antibodies,drugs and toxins,Hemoglobinopathies, Gilbert’s
syndrome, Crigler-Najjar syndrome
Hepatic or Hepatocellular jaundice-Viral hepatitis,toxic hepatitis, intrahepatic cholestasis
Post-hepatic jaundice -Extrahepatic cholestasis, gallstones, tumors of the bile duct, carcinoma of pancreas
In viral hepatitis and other forms of liver disease associated with acute hepatic necrosis, serum AST and ALT
concentrations are elevated even before the clinical signs and symptoms of disease appear. ALT is the more liver-specific
enzyme and elevations of ALT activity persist longer than AST activity. Peak values of aminotransferase activity occur
Page 9 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 03:11PM
BIOCHEMISTRY
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Test Name Result Unit Bio. Ref. Range Method
between the seventh and twelfth days. Activities then gradually decrease, reaching normal activities by the third to fifth
week. Peak activities bear no relationship to prognosis and may fall with worsening of the patient's condition.
Aminotransferase activities observed in cirrhosis vary with the status of the cirrhotic process and range from the upper
reference limit to four to five times higher, with an AST/ALT ratio greater than 1. The ratio's elevation can reflect the grade
of fibrosis in these patients. Slight or moderate elevations of both AST and ALT activities have been observed after
administration of various medications and chronic hepatic injury such as (1) hemochromatosis, (2) Wilson disease, (3)
autoimmune hepatitis, (4) primary biliary cirrhosis, (5) sclerosing cholangitis, and (6) a1-antitrypsin deficiency. AST activity
also is increased in acute myocardial infarction, progressive muscular dystrophy and dermatomyositis, reaching
concentrations up to eight times the upper reference limit.Slight to moderate AST elevations are noted in hemolytic
disease.
GGT is a sensitive indicator of the presence of hepatobiliary disease, being elevated in most subjects with liver disease
regardless of cause. Increased concentrations of the enzyme are also found in serum of subjects receiving anticonvulsant
drugs, such as phenytoin and phenobarbital.
Page 10 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 03:55PM
Immunology
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Test Name Result Unit Bio. Ref. Range Method
Comment:
TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a minimum between 6-10 pm
.
The variation is of the order of 50%, hence time of the day has influence on the measured serum TSH concentrations.
TSH is secreted in a dual fashion: Intermittent pulses constitute 60-70% of total amount, background continuous secretion
is 30-40%.These pulses occur regularly every 1-3 hrs.
TSH is a very sensitive and specific parameter for assessing thyroid function and is particularly suitable for early detection
or exclusion of disorders in the central regulating circuit between the hypothalamus, pituitary and thyroid.
Changes in thyroid status are typically associated with concordant changes in T3, T4 and TSH levels.
For the diagnosis of hypothyroidism and hyperthyroidism, sole dependence on TSH should not be done and assay needs
to be interpreted with the clinical condition & other investigations.
Serum TSH level changes significantly in response to even minor changes in thyroid hormones.
Transient increase in TSH level or an abnormal TSH levels can be seen in various nonthyroidal diseases.
Unexpectedly abnormal or discordant thyroid test values may be seen with some rare, but clinically significant conditions
such as central hypothyroidism, TSH-secreting pituitary tumors, thyroid hormone resistance, or the presence of
heterophilic antibodies (HAMA) or thyroid hormone autoantibodies.
Page 11 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217182 / 5485915 Sample Receive Date : 26/Aug/2022 10:41AM
Referred By : Dr. Report Status : Final Report
Sample Type : Serum Report Date : 26/Aug/2022 03:55PM
Immunology
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Test Name Result Unit Bio. Ref. Range Method
TSH T3 T4 Interpretation
High Normal Normal Subclinical Hypothyroidism
Low Normal Normal Subclinical Hyperthyroidism
High High High Secondary Hyperthyroidism
Low High/Normal High/Normal Hyperthyroidism
Non thyroidal illness / Secondary
Low Low Low Hypothyroidism
Page 12 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217183 / 5485915 Sample Receive Date : 26/Aug/2022 10:27AM
Referred By : Dr. Report Status : Final Report
Sample Type : Urine Report Date : 26/Aug/2022 02:10PM
CLINICAL PATHOLOGY
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Test Name Result Unit Bio. Ref. Range Method
Comment:
Pre-test condition to be observed while submitting the sample-first void, mid stream urine, collected in a clean, dry, sterile
container is recommended for routine urine analysis, avoid contamination with any discharge from vaginal, urethra,
perineum, as applicable, avoid prolonged transit time & undue exposure to sunlight.
During interpretation, points to be considered are Negative nitrite test does not exclude the urinary tract infections. Trace
proteinuria can be seen with many physiological conditions like prolonged recumbency, exercise, high protein diet. False
positive reactions for bile pigments, proteins, glucose and nitrites can be caused by peroxidase like activity by
disinfectants, therapeutic dyes, ascorbic acid and certain drugs.
Page 13 of 14
PO No :PO1259451268-180
Name : Mr.SHUBHAM :
Age/Gender : 26/Male Registration Date : 25-Aug-22 02:18 PM
Patient ID : OKH241377 Collection Date : 25/Aug/2022 10:23AM
Barcode ID / Order ID : A9217183 / 5485915 Sample Receive Date : 26/Aug/2022 10:27AM
Referred By : Dr. Report Status : Final Report
Sample Type : Urine Report Date : 26/Aug/2022 02:10PM
CLINICAL PATHOLOGY
GOOD HEALTH SILVER PACKAGE
Test Name Result Unit Bio. Ref. Range Method
Page 14 of 14
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