November 9, 2010

Complete Blood Count and Platelet Count

Result Normal Values Analysis

WBC 4,700/cu.mm 5,000-10,000
Hemoglobin 13.0 g/dL M:13.5-18
F:12.0-15.0
Hematocrit 39 vol% M:40.0-48.0
F:37.0-45.0
Segmenters 68% 55-65
Lymphocytes 32% 26-35
Platelet 160,000/cu.mm 150,000-400,000

Remarks:
Red cells show slight anisocytosis and poikilocytosis.
Platelets are adequate.

Prothrombine time and activity, PTT

Result Normal Values Analysis

Protime 10.2 secs 10.0-14.0
Control 11.6 secs
%activity 110.0 %
INR 0.89
PTT 36.7 secs 26.0-36.0
Control 32.0 secs

Clinical Chemistry

Result Normal Values Analysis

Sodium 129. mmol/L 137.-150.
Potassium 4.1 mmol/L 3.6-5
Calcium 11.7 mg/dL 8.4-10.2
Total Protein 3.8 g/dL 6.3-8.2
Albumin 2.0 g/dL 3.5-5.0
A/G 1.2
AST (SGOT) 23 u/L 14-59
ALT (SGPT) 35. u/L 9-72
ALKP 615. u/L 38-126
Globulin 1.8 g/dL 2.3-3.5
November 10, 2010

ULTRASOUND OF THE WHOLE ABDOMEN

Imaging Information: Focal fatty infiltration with coarsened parenchyma, contracted gall
bladder, splenomegaly, low-normal sized right kidney and status post hysterectomy in the
previous whole abdomen UTZ dated July 13, 2010.

Findings:
The right lobe of the liver is contracted while the left lobe is mildly enlarged. It has
lobulated external contour with heterogeneous echotexture. The spleen is enlarged with a
ssplenic indez of 521 (previously 596). The pancreas is normal in size with homogeneous
parenchymal echogenicity. No focal masses are seen. Intrahepatic ducks are not dilated.
Common bile duct measures 0.47cm.

Gall bladder is not appreciated in this study.

The right kidney is contracted while the left kidney is normal in size. Right kidney
measures 8.71x4.45x3.99cm with cortical thickness of 0.62cm while the left kidney
measures 9.1x3.68x4.02cm with cortical thickness of 0.88cm. Central echo complex in
both sides are intact with no evidence of hydronephrosis. No renal mass or calculi.
Cortices are normal in thickness and echogenicity. Tiny high-level echoes in the lower
pole of the left kidney are seen.

The urinary bladder is underfilled. Wall is not thickened. No intravesical mass or

lithiasis.

The uterus is surgically absent. Both ovaries are not visualized.

There are fluid collection seen in the perihepatic, perisplenic, paracolic gutters and pelvic
resesses.

Impression:
Liver Cirrhosis
Non= visualization of gall bladder
Splenomegaly
Small sized right kidney
Renal cortical calcification left
Undistended urinary bladder
Massive ascites
Status post hysterectomy
Normal UTZ of pancreas
November 11, 2010

Microbiology

Result
Polymorphonuclear cells Few
Gram (+) cocci in pairs Moderate
Gra, (+) Bacilli Few
Gram (-) Bacilli Few
Fungal elements Occasional