I.

LABORATORY AND DIAGNOSTIC EXAMINATIONS RESULTS

Date Procedure Norms Result Interpretation and

Analysis
July CBC
16,  Hemoglobin 110-160 g/L 155 Normal
2010  Hematocrit 0.370-0.540 0.482 Normal
 RBC count 3.50- 5.50 5.07 Normal
10^12/L
 MCV 80.0-100.0 95.1 Normal
fL
 MCH 27.0-34.0 30.6 Normal
pg
32.0-36 32.2 Normal
 MCHC
g/dL
11.0-16.0 % 12.0 Normal
 RDW-CV 4.00-10.00 8.20 Normal
 WBC count 10^9/L
50.0-70.0 % 45.2 Decreased neutrophil
 Neutrophils levels may be the result
of severe infection or
other conditions, such as
responses to various
medications, particularly
chemotherapy.
(www.labtestonline.org)

20.0-40.0 % 44.8 Lymphocytes can

 Lymphocytes increase in cases of viral
infection, leukemia,
cancer of the bone
marrow, or radiation
therapy
(www.labtestonline.org)

0.0-1.0 % 0.5 Normal

 Basophils 3.0-8.0 % 5.0 Normal
 Monocytes 0.5-5.0 % 4.5 Normal
 Eosinophils 100-300 168 Normal
 Platelets 10^9/L
6.5-12.0 fL 8.5 Normal
 MPV
July Clinical Chemistry
12,  Creatinine Adults: 45- 62.17 Normal
2010 104 umol/L
Neonate:
 27-87
umol/L
Infant: 14-
34 umol/L
Child: 23-
68 umol/L
 Na+ 135-145 137.00 Normal
mmol/L
 K+ 3.6-5.5 3.87 Normal
mmol/L
July X-ray
14,  Skull Normal > There is Patients with nasal
2010 findings are complete fractures usually present
a normal fracture of with some combination
skull and the proximal of deformity, tenderness,
surrounding half of the hemorrhage, edema,
structures. nasal bone. ecchymosis, instability,
and crepitation;
however, these features
may not be present or
may be transient. To
further complicate the
matter, edema can mask
underlying nasal
deformity, crepitation,
and instability; thus,
many physicians and
patients fail to pursue
further diagnosis and
appropriate treatment. If
untreated, nasal fractures
can result both in
unfavorable appearance
and in unfavorable
function, especially
when the underlying
structural integrity of
bone and cartilage is
lost.
(http://emedicine.medsca
pe.com)

 Cervical Three >No definite > no fracture and sudden

curves to radiologic deceleration of the body,
follow evidence of with flexion and
fracture in extension movements of
 a. Anterior the views the cervical spine
aspect of obtained. usually results in sprain
vertebral > There is or intervertebral disc
bodies straightening injury without fracture
b. Posterior of the or dislocation. The
aspect of cervical commonest radiographic
vertebral vertebrae appearance is
bodies probably straightening of the
c. secondary to cervical spine due to
Spinolamin muscle severe muscle spasm,
ar line spasm. with the normal
Bones for curvature reduced or
symmetry reversed.
(www.imageinterpretatio
n.com)

 CXR A normal > There are Rib fractures may

chest x ray multiple compromise ventilation
will show fracture noted by a variety of
normal involving the mechanisms. Pain from
structures 3rd, 4th, 5th, 6th rib fractures can cause
for the age and 7th respiratory splinting,
and medical posterior ribs. resulting in atelectasis
history of > There is and pneumonia. Multiple
the patient. inhomogeneo contiguous rib fractures
Findings, us opacity (ie, flail chest) interfere
whether noted in the with normal
normal or right lateral costovertebral and
abnormal, chest. There diaphragmatic muscle
will be are linear excursion, potentially
provided to lucencies causing ventilatory
the referring noted in the insufficiency. Fragments
physician in left lateral of fractured ribs can also
the form of chest wall act as penetrating objects
a written both leading to the formation
report. supraclavicul of a hemothorax or a
ar area, pneumothorax. Ribs
suggestive of commonly fracture at the
subcutaneous point of impact or at the
emphysema. posterior angle
(structurally their
weakest area). Ribs four
through nine (4-9) are
the most commonly
injured.
(http://emedicine.medsca
 pe.com)

No fracture identified
 Right hand No fracture > No definite and the pathophysiology
in any radiologic of soft tissue injuries of
cartilage evidence of the hand is diverse. The
and bone in fracture in most common
the hand the views mechanisms of injury
obtained. are blunt trauma (eg,
> A soft crush injury, contusions,
tissue injury abrasions), laceration,
os noted in avulsion, ring avulsion,
the dorsal and burns. Besides skin
aspect of the and superficial tissues,
right hand. the many muscles,
ligaments, and tendons
of the hand are
vulnerable to injury, as
are the nerves and blood
vessels that supply these
structures. Damage to
these structures may
create permanent
functional and/or
sensory deficits specific
to the site of injury. Soft
tissue injuries of the
hand rarely are life
threatening. However,
the high incidence of
disability from
chronically painful or
unstable joints is
reflected by the fact that
hand derangements
account for 9% of all
worker compensation
claims.
(http://emedicine.medsca
pe.com)
No fracture identified.
 Right No fracture > No definite
forearm/left on the radiologic
thigh/pelvis forearm, left evidence of
thigh, and fracture in
pelvis the views
obtained.