Appropriate studies are obtained, and results are shown.
Complete blood count:
| Test (units) |
Result |
Ref. Range |
| Hematocrit (%) |
17.2 |
30–45 |
| Hemoglobin (g/dL) |
6.4 |
8–15 |
| RBC (x106/mcL) |
4.7 |
5–10 |
| Reticulocytes (x103/mcL) |
108 |
0–80 |
| Total WBCs (x103/mcL) |
33.9 |
6–18 |
| Neutrophils (x103/mcL) |
29.8 |
3–12 |
| Lymphocytes (x103/mcL) |
3.7 |
1.5–7.0 |
| Monocytes (x103/mcL) |
0.34 |
0.05–0.85 |
| Eosinophils (x103/mcL) |
0.1 |
0.1–1.5 |
| Platelets (x103/mcL) |
Not determined |
300–700 |
Platelets too clumped to count, platelet mass appears adequate, enlarged platelets noted.
RBCs show moderate anisocytosis and poikilocytosis with polychromasia, microcytes, schistocytes, Heinz bodies, hypochromasia with central pallor.
Blood chemistry profile, serum:
| Test (units) |
Result |
Ref. Range |
| Glucose (mg/dL) |
167 |
75–134 |
Creatinine (mg/dL) |
0.9 |
0.9–2.3 |
| Blood urea nitrogen (mg/dL) |
26 |
15–35 |
| Phosphorus (mg/dL) |
3.5 |
2.6–8.8 |
| Calcium (mg/dL) |
7.0 |
9.0–11.7 |
| Sodium (mmol/L) |
143 |
148–157 |
| Potassium (mmol/L) |
1.6 |
3.5–5.1 |
| Chloride (mmol/L) |
101 |
115–128 |
| Total Co2 (mmol/L) |
27 |
16–25 |
| Total protein (g/dL) |
5.8 |
5.5–7.1 |
| Albumin (g/dL) |
2.3 |
2.7–3.9 |
| Globulin (g/dL) |
3.5 |
2.3–3.8 |
| ALT (IU/L) |
541 |
20–108 |
| Alkaline phosphatase (IU/L) |
662 |
23–107 |
| GGT (IU/L) |
18 |
0–10 |
| Total bilirubin (mg/dL) |
12.7 |
0.1–0.4 |
Urinalysis (cystocentesis):
| Test (units) |
Result |
Ref. Range |
| Specific gravity |
1.014 |
1.035–1.060 |
| pH |
7.4 |
5.5–7.5 |
| Protein |
1+ |
Negative |
| Glucose |
1+ |
Negative |
| Occult blood |
3+ |
Negative |
| Bilirubin |
3+ |
Negative |