michelle craig case study

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MichelleCraig-370116-LABTESTS.updated.xlsx
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Patient Information

Name: Michelle Craig
ID Number: 370116
Physician: Stark
Date Admitted: 1/28/94
Time:
Address: 354 Hodges
City: Chicago
State: IL
Zip: 02425
Phone: 000-555-3892
Date of Birth: 12/13/69
Sex: F
Race W
Ward:

Type and Screen

UNIVERSITY MEDICAL CENTER
Name: Michelle Craig Date: 1/28/94
Record #: 370116 Time:
Cell Tests Serum Tests
Anti-A 4+ A1 Cells 0
Anti-B 0 A2 Cells 0
Anti-D IS 4+ B Cells 4+
Anti-D 37 RT 37 AHG CC
Anti-D AHG Screen Cells I 0 0 0 2+
Anti-A1 Lectin Screen Cells II 0 0 0 2+
Screen Cells III 0 0 0 2+
Unit ID RT 37 AHG CC

Antibody Panel

UNIVERSITY MEDICAL CENTER
Name: Michelle Craig Date: 1/28/94
Record #: 370116 Time:
ANTIBODY IDENTIFICATION PANEL
Rh-Hr Kell Duffy Kidd Lewis P MN Lutheran Xga Test Methods
Vial Special Type Donor D C c E e f V Cw K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb Lea Leb P1 M N S s Lua Lub Xga 37 AHG CC
1 Bg(a+) R1R1 B1080 + + 0 0 + 0 0 0 0 + 0 + 0 + + 0 0 + 0 + + + + + + 0 + +
2 R1WR1 B1102 + + 0 0 + 0 0 + + + 0 + 0 + 0 + + + 0 + + 0 + 0 + 0 + 0
3 Bg(a+) R2R2 C1243 + 0 + + 0 0 0 0 0 + 0 + 0 + + + 0 + 0 + + + 0 + + 0 + +
4 ROR D575 + 0 + 0 + + 0 0 0 + 0 + 0 + 0 0 + 0 0 0 + 0 + 0 + 0 + +
5 r'r E370 0 + + 0 + + 0 0 0 + 0 + 0 + + + 0 + 0 + + + + + + 0 + 0
6 r"r F416 0 0 + + + + 0 0 0 + 0 + 0 + 0 + + + 0 + 0 + + 0 + + + +
7 rrK G488 0 0 + 0 + + 0 0 + + 0 + 0 + 0 + 0 + + 0 0 + 0 0 + 0 + 0
8 Yt(b+) rrFya H347 0 0 + 0 + + 0 0 0 + 0 + 0 + + 0 + 0 + 0 + + + + + 0 + 0
9 rr N1434 0 0 + 0 + + 0 0 0 + 0 + 0 + + + + + 0 + + + 0 + 0 0 + +
10 Co(b+) R2R2 C199 + 0 + + 0 0 0 0 0 + 0 + 0 + + + + 0 + 0 0 + + 0 + 0 + +
TC He+ R1R2 A1086 + + + + + 0 0 0 0 + 0 + 0 + 0 0 0 + 0 + + + + + + + + 0
Patient's Cells
Patient Phenotyping
Rh-Hr Kell Duffy Kidd Lewis P MN Lutheran Xga AUTO Other
D C c E e f V Cw K k Kpa Kpb Jsa Jsb Fya Fyb Jka Jkb Lea Leb P1 M N S s Lua Lub Xga 37
IS
RT
IAT
CC
Interp.
T&S results are negative
Not required for Platelet infusion

Chemistry

UNIVERSITY MEDICAL CENTER
CONFIDENTIAL PATIENT INFORMATION
CUMULATIVE SUMMARY REPORT
PATIENT INFORMATION ID number: 370116 Ward: 0
Name: Michelle Craig Physician: Stark
Address: 354 Hodges Date Admitted: 1/28/94
Phone: 000-555-3892
City: Chicago State: IL Zip: 02425
Date of Birth: 12/13/69 Sex: F Race: W
CHEMISTRY
Tests Reference 1/28/94 1/29/94 1/30/94 2/4/94 8/7/96 7/23/98 8/3/98 8/26/98 9/10/98 1/28/00 4/18/00
Ranges 10:00 8:00 7:45 7:30 8:30 10:45
Acid Phos 2.5-11.7 U/L
ACTH 9-52 pg/mL
ALT 0-45 IU/L 13 13 13
Albumin 3.5-5.0 g/dL 1.5 2.8 2.8
A/G Ratio 0.7-2.1
Aldosterone 2-41 ng/dL 0.5
Alkaline Phos 41-137 IU/L 57 57
Ammonia 11-35 µmol/L
Amylase 95-290 U/L
Anion Gap 10-28 mmol/L
AST 0-41 IU/L 20 20
Bilirubin 0.2-1.0 mg/dL 5 5
Bilirubin (direct) 0.2-1.0 mg/dL 0.1 0.1
BUN 10-20 mg/dL 32 22 16 22 15 16 16
Calcium (total) 4.3-5.3 mEq/L 3.8 4.3
Calcium (ionized) 1.16-1.32 mmol/L 1.16 1.16
Chloride 95-100 mmol/L 101 98 105 108 102 102
Carbon Dioxide 23-32 mmol/L 21 20 24 25 28 28
Cholesterol <200 mg/dL 263 217 205 263
Cortisol 221-552 mmol/L
CK 15-160 U/L
CK-MB 15-160 U/L
Creatinine 0.7-1.5 mg/dL 1.5 1.1 0.8 1.5 0.7 0.7 0.7
Creatinine Clearance 80-120 mL/min
GGT 6-45 U/L
Globulin 2.3-3.2 g/dL 3
Glucose 65-105 mg/dL 140 98 86 101 103 100
HDL Cholesterol 29-60 mg/dL
5-HIAA 10-52 µmol/day
Insulin 4-20 µM/mL
Iron 40-180 µg/dL 64 68 68
TIBC 250-420 µg/dL 187 252 252
UIBC 110-370 µg/dL 123 184 184
Iron Saturation 20-50% 34 27 27
LD 100-225 U/L
LDL Cholesterol 75-140 U/L
LDL/HDL 2.9-2.2
Lipase 0-1.0 U/mL
Magnesium 1.3-2.1 mEq/L
Osmolality 275-295 mOsM/kg
Phosphorus 2.7-4.5 mg/dL 4.8
Potassium 3.5-5.0 mmol/L 3.4 4.8 4.5 4.1 4.2 4.2
Protein 5.8-8.2 g/dL 5.3
Resin T3 Uptake 25-35% 0.79 0.79
Sodium 135-145 mmol/L 141 143 140 146 143 143 143
TSH 5-10 µU/mL <0.03 0.03 7 0.03 14
Thyroxine 4.5-13 µg/dL 24.5 24.5 10 24 2.2
Total T3 0.6-2.2 ng/mL 7 14 0.6
T3 Uptake 24-45% 40% >45% <24%
FTI 1.4-4.4 1.7 1.7 3.3
Troponin I 0-0.4 ng/mL
Triglycerides 10-190 mg/dL
Uric Acid 3.5-7.2 mg/dL
Myoglobin 100-225 U/L
Base Excess 100-225 U/L
%HGB Saturation 100-225 U/L
pO2 100-225 U/L
pCO2 100-225 U/L
T/HDL 100-225 U/L
HCO3 100-225 U/L

Hematology

UNIVERSITY MEDICAL CENTER
CONFIDENTIAL PATIENT INFORMATION
CUMULATIVE SUMMARY REPORT
PATIENT INFORMATION ID Number: ID number: ___________________ 370116 Ward: 0
Name: Michelle Craig Physician: Stark
Address: 354 Hodges Date Admitted: 1/28/94
Phone: 000-555-3892
City: Chicago State: _______________________ State: IL Zip: 02425
Date of Birth: 12/13/69 Sex: ________________________ Sex: F Race: W
HEMATOLOGY
Tests Reference 1/28/94 1/28/94 1/29/94 1/30/94 1/31/94 2/1/94 2/2/94 2/4/94 2/6/94 8/7/96 7/23/98 8/3/98 8/26/98 9/10/98 1/28/00 2/28/00 6/14/00
Ranges 10:00 19:00 8:00 7:45 8:15 8:30 8:15 7:30 8:10 8:45 10:35 9:45 10:10 9:45 10:00 9:25
Hemoglobin (g/dL) 10.2 11.5 13.0 10.4 10.5 8.2 11.6 8.8 8.8 9.7
Male 14.0-18.0 8.6
Female 12.0-15.0
Hematocrit (%) 31.9 35.4 39.8 32.5 32.5 25.0 33.4 27.6 25.5 30.8
Male 40-54 26
Female 35-49
RBC (x 1012/L) 3.68 3.90 4.4 3.98 3.94 3.05 4.02 3.31 2.92 3.98
Male 4.6-6.6 3.05
Female 4.0-5.4
WBC(x 109/L) 4.5-11.5 17.1 14.1 13.9 13.9 3.8 3.0 4.7 7.0 3.8 4.1 3.4
MCV (fL) 80-94 86.7 90.8 90.5 90.5 81.7 81.2 82 83.1 83.3 87.3 77.3
MCH (pg) 26-32 27.7 29.5 29.5 27 26.1 26.6 26.6 28.9 26.6 30.1 24.4
MCHC (g/dL or %) 32-36 32.0 32.4 32.7 32 32.0 32.8 32.8 34.7 31.9 34.5 31.5
Platelet Count (x 109/L) 150-450 12 14 10 16 18 24 62 184 258 258 193 200 173 210 100 100 72
RDW (%) 11.5-14.5 11.2 12.2 11.8 11.5 11.8 11.7 12.0 11.9 11.3 11.7 12.1
Reticulocyte Count 1.5
Neutrophils (%) Seg 50-70 90 93 57
Neutrophils (%) Band
Lymphocytes (%) 18-42 8 7 35
Monocytes (%) 2-11 2 7
Eosinophils (%) 1-3 1
Basophils (%) 0-2 0
Erythrocyte Sed Rate (ESR) >140 35 90
Male 0-9 mm/hr 35
Female 0-15 mm/hr
Prothrombin Time (PT) <2-sec deviation from control; 12-14 sec
Activated Partial Thromboplastin Time (APTT) <35 sec
Fibrin Degradation Products (FDP) 4.9 + 2.8 µg FDP/mL
Thrombin Time 15 sec
D-Dimer <0.5 µg/mL
HA1C

Immunology

UNIVERSITY MEDICAL CENTER
CONFIDENTIAL PATIENT INFORMATION
CUMULATIVE SUMMARY REPORT
PATIENT INFORMATION ID Number: 370116 Ward: 0
Name: Michelle Craig Physician: Stark
Address: 354 Hodges Date Admitted: 1/28/94
Phone: 000-555-3892
City: Chicago State: IL Zip: 02425
Date of Birth: 12/13/69 Sex: F Race: W
IMMUNOLOGY
Tests Reference 1/29/94 1/30/94 2/1/94 8/7/96 7/23/98 8/3/98 8/11/98
Ranges 8:00 7:45 8:30 9:45 10:35 11:10
Alpha-1 Antitrypsin 78-200 mg/dL
Anti-DNA Antibody <1:85 Pos Pos
Anti-Intrinsic Factor Negative
AntiPlatelet Antibody Negative
Anti-RANA Antibody Neg at 1:20 32 32
Anti-SM Antibody Neg 32 32
Anti-SS-A Antibody Neg Neg Neg
Anti-SS-B Antibody Neg Neg Neg
Beta2-Microglobulin
ANA Titer Neg at 1:20 320 320 320 320
ANA Pattern Speckled Specked and Rim Speckled and Rim Speckled
TSHR Titer ?? Pos
TPO Titer ?? Pos
Carcinoembryonic <2.5 ng/mL
Antigen (CEA) 18-45 mg/dL
Ceruloplasmin
Cold Agglutinins 1:8
C Reactive Protein (CRP) 0 22.8 0.1
hsC Reactive Protein 0
Cryoglobulins <6 mg/dL
C3 83-177 mg/dL 77 77
C4 15-45 mg/dL
Ferritin 10-445 ng/mL
Immunoglobulin A (IgA) 100-400 mg/dL
Immunoglobulin D (IgD) 0.5-3.0 mg/dL
Immunoglobulin M (IgM) 50-150 mg/dL
Immunoglobulin G (IgG) 800-1800 mg/dL
Transferrin 200-430 mg/dL
IgG Rheumatoid Factors <1:20
IgM Rhemumatoid Factors <1:20
Nitroblue Tetrazolium (NBT)
CMV - IgG <0.3 >250
CMV - IgM <0.3 0.08
EBV - VCA IgG ?? 7.39
EBV - VCA IgM ?? 0.05
HBsAg Neg Neg Neg
HBcAb - IgM Neg Neg Neg
Hepatitis A Ab - IgM Neg Neg Neg
Hepatitis C Ab Neg Neg Neg

Microbiology

UNIVERSITY MEDICAL CENTER
CONFIDENTIAL PATIENT INFORMATION
CUMULATIVE SUMMARY REPORT
PATIENT INFORMATION ID number: 370116 Ward: 0
Name: Michelle Craig Physician: Stark
Address: 354 Hodges Date Admitted: 1/28/94
Phone: 000-555-3892
City: Chicago State: IL Zip: 02425
Date of Birth: 12/13/69 Sex: F Race: W
MICROBIOLOGY
Date and Procedure/ Direct Preliminary Final
Time Specimen Smear Report Report
1/29/94 Culture No Growth at 24 hours No Growth at 48 hours
8:00 Urine
8/7/96 Culture WBC, RBC and GNR GNR >100,000 cfu E. coli > 100,00 cfu
Urine

Urinalysis & BF

UNIVERSITY MEDICAL CENTER
CONFIDENTIAL PATIENT INFORMATION
CUMULATIVE SUMMARY REPORT
PATIENT INFORMATION ID Number: 370116 Ward: 0
Name: Michelle Craig Physician: Stark
Address: 354 Hodges Date Admitted: 1/28/94
Phone: 000-555-3892
City: Chicago State: IL Zip: 02425
Date of Birth: 12/13/69 Sex: F Race: W
URINALYSIS
Tests Reference 1/28/1994 8/7/1996 7/23/1998 8/3/1998 8/26/2000 Date:
Ranges 10:00 9:45 10:35 9:45 Time:
Color Colorless to Amber Yellow Yello Yellow Yellow Yellow
Transparency Clear Hazy Hazy Clear Clear Clear
Glucose Neg Neg Neg Neg Neg Neg
Bilirubin Neg Pos Neg Neg Neg Neg
Ketone Neg Neg Neg 50mg/d Neg Neg
Specific Gravity 1.001-1.035 1.026 1.026 1.020 1.020 1.015
pH 5.0-7.0 5.5 5 5 5 5
Protein Neg Neg 100 mg/d 100mg/d 100mg/d 100mg/d
Urobilinogen Normal Neg Neg Neg Neg Neg
Blood Neg Neg 25/ul 25/µl 25/µl 25/µl
Nitrite Neg Pos Pos Neg Neg Neg
Leucocyte Esterase Neg 1+ 1+ Neg Neg Neg
RBC 0-2/HPF 1-5 1-5 8-10 8-10 Neg
WBC 0-5/HPF 2-3 2-3 0-2 1-3 0-2
Squamous Few to Moderate Few Few Few Few Few
Transitional None
Renal None
Oval Fat Bodies None
Fat Droplets None
Hyaline Casts Few
RBC Casts None
WBC Casts None
Renal Tubular Casts None
Mixed Cell Casts None
Granular Casts None
Broad Casts None
Fatty Casts None
Waxy Casts None
Cylindroid None
Mucus Strands None
Bacteria None 2+ 3+
Yeast None
Sperm None
Trichomonas None
CSF
Tests Reference Date: Date: Date: Date: Date:
Ranges Time: Time: Time: Time: Time:
Glucose 40-80 mg/dL
Protein 15-45 mg/dL
WBC < 8 cells/mm3
RBC 0
Neutrophil 0%
Lymph 100%
Mono 0%
Eosino 0%