Admission laboratory values for a 40-year-old woman who was seen in the emergency department with abdominal pain over 3 days
Hematology: | Reference Interval | Patient Values Day 1 | Patient Values Day 4* |
|---|---|---|---|
| WBC billion/L | 3.3–10.7 | 4.7 | 6.1 |
| RBC trillion/L | 3.87–5.08 | 3.3 | 3.45 |
| Hemoglobin g/dL | 12.1–15 | 9.0 | 9.7 |
| Hematocrit % | 34.4–44.2 | 27.8 | 28.8 |
| MCV fL | 80–100 | 84 | |
| MCH pg | 28–32 | 27 | |
| MCHC % | 32–36 | 32 | |
| RDW % | 11.5–15.5 | 20 | |
| Platelet billion/L | 150–400 | 32 | 91 |
| MPV fL | 8.5–12.5 | 14 | |
| IPF% | 1–11 | 15 | |
| Neutrophils billion/L | 1.6–7.2 | 3.2 | 3.4 |
| Lymphocytes billion/L | 1.1–4.0 | 1 | 2.1 |
| Monocytes billion/L | 0.0–0.8 | 0.4 | 0.6 |
| Eosinophils billion/L | 0.0–0.5 | 0.0 | 0.0 |
| Basophils billion/L | 0.0–0.1 | 0.0 | 0.0 |
| Immature granulocytes billion/L | 0.00–0.03 | 0.01 | 0.01 |
| RBC morphology | <1/hpf | Schistocytes 3–5; polychromasia 1–3 | Bite cells 1–2 |
| Chemistry: | |||
| LDH U/L | 140–280 | 362 | 176 |
| Creatinine mg/dL | 0.5–1.0 | 1.2 | |
| Bilirubin mg/dL | 0.2–1.2 | 3.6 | |
| Haptoglobin mg/dL | 50–220 | <8 | 53 |
| Urinalysis—completed day prior to above results: | |||
| Test strip results | |||
| Color | Yellow | Dark yellow | |
| Clarity | Clear | Cloudy | |
| Glucose | Negative | Negative | |
| Bilirubin | Negative | Negative | |
| Ketones | Negative | Negative | |
| Specific gravity | 1.003–1.035 | 1.017 | |
| Blood | Negative | 3+ | |
| pH | 5.0–8.0 | 7.0 | |
| Protein mg/dL | Negative | 100 | |
| Urobilinogen mg/dL | 0.2–1 | 2 | |
| Nitrates | Negative | Negative | |
| Leukocyte esterase | Negative | Negative | |
| Urinary sediment | |||
| RBC | 0–2 (negative) | 0–2 (negative) | |
| WBC | 0–2 (negative) | 3–10 | |
| Epithelial, squamous | 0–5 (negative) | >50 | |
| Casts, hyaline | 0–2 (negative) | 0–2 negative | |
| Bacteria | 0–1+ (negative) | 1+ |
*Full data set not available for day 4.