Final: Code/Name & Address
Final: Code/Name & Address
Final: Code/Name & Address
HAEMATOLOGY - CBC
CBC-5, EDTA WHOLE BLOOD
BLOOD COUNTS, EDTA WHOLE BLOOD
HEMOGLOBIN (HB) 14.4 13.0 - 17.0 g/dL
RED BLOOD CELL (RBC) COUNT 5.01 4.5 - 5.5 mil/µL
WHITE BLOOD CELL (WBC) COUNT 11.0 High 4.0 - 10.0 thou/µL
PLATELET COUNT 150 150 - 410 thou/µL
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Interpretation(s)
RBC AND PLATELET INDICES-Mentzer index (MCV/RBC) is an automated cell-counter based calculated screen tool to differentiate cases of Iron deficiency anaemia(>13)
from Beta thalassaemia trait (<13) in patients with microcytic anaemia. This needs to be interpreted in line with clinical correlation and suspicion. Estimation of HbA2
remains the gold standard for diagnosing a case of beta thalassaemia trait.
WBC DIFFERENTIAL COUNT-The optimal threshold of 3.3 for NLR showed a prognostic possibility of clinical symptoms to change from mild to severe in COVID positive
patients. When age = 49.5 years old and NLR = 3.3, 46.1% COVID-19 patients with mild disease might become severe. By contrast, when age < 49.5 years old and NLR <
3.3, COVID-19 patients tend to show mild disease. (Reference to - The diagnostic and predictive role of NLR, d-NLR and PLR in COVID-19 patients A.-P. Yang, et al.
International Immunopharmacology 84 (2020) 106504
This ratio element is a calculated parameter and out of NABL scope.
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HAEMATOLOGY
MALARIAL PARASITE (M.P), EDTA WHOLE BLOOD/SMEAR
THICK SMEAR NOT DETECTED NOT DETECTED
THIN SMEAR NOT DETECTED NOT DETECTED
Interpretation(s)
MALARIAL PARASITE (M.P), EDTA WHOLE BLOOD/SMEAR-1. Parasites Are Usually Seen During Febrile Episode.
2. Peripheral Smear Has Sensitivity of 86.79% And Hence Repeated smear Examination Can Be Required To Rule Out False Negativity.
3. Peripheral Smear Examination Is A Screening Test And Other Methods Like Malaria Antigen Test And PCR Should Be Used For Confirmation Especially In Low Parasitic
Index.
4. Parasitic Index Reflects Severity Of Infestation ( Parasites Per 100 RBC ).
5. Parasitemia After Adequate Therapy Is Indicative Of Resistant Strains:
Additional Confirmatory tests done in undiagnosed tropical fever:
Tropical fever profile (PCR assay)1. Dengue PCR2. Chikungunya PCR3. Leptospira PCR4. Malaria PCR5. Salmonella PCR,6. Rickettsia PCR,7. West nile virus PCR.
Tropical Mini Profile:-1. Dengue PCR,2. Chikungunya PCR.
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BIOCHEMISTRY
GLUCOSE RANDOM, PLASMA
RBS(RANDOM BLOOD SUGAR) 98 Normal < 140 mg/dL
Diabetes mellitus : >= 200
(on more than one occassion)
(American diabetes association
guidelines 2017)
METHOD : GOD-POD METHOD
Interpretation(s)
GLUCOSE RANDOM, PLASMA-Abnormal glucose level should be followed up with FBS,PPBS,HbA1c if clinically indicated.
**End Of Report**
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