Question

Procedures

Blood Lab Corp

Specimen 100-200-3000	Type S			Primary Lab PD		Report Status COMPLETE	Page# 1
ADDITIONAL INFORMATION FASTING: Y PHONE  480-123-4567    DOB: 5/30/1968
PATIENT NAME DOE, JOHN			SEX M		AGE (YR.MOS.) 40/1
TEST	RESULT			LIMITS		LAB

Hemoglobin Alc
	Hemoglobin Alc
		5.5 %	< 7.0
		Diabetic Adult	< 7.0
		Healthy Adult	4.8 - 5.9
	(DCCT/NGSP)
		American Diabetes Association’s Summary of Glycemic Recommendations for Adults with Diabetes: Hemoglobin A1c <7.0%. More stringent glycemic goals (A1c < 6.0%) may further reduce complications at the cost of increased risk of hypoglycemia.

Lipid Panel and Cholesterol/ HDL ratio

TEST	RESULT	LIMITS	LAB
Cholesterol, Total	249 mg/dL	100 - 199	01
Triglycerides	260 mg/dL	0 - 149	01
HDL Cholesterol	34 H mg/dL	40 - 59	01

Comment

HDL cholesterol values > 59 mg/dL are associated with reduced cardiac risk

TEST	RESULT	LIMITS	LAB
VLDL Cholesterol Calc	52 mg/dL	5 - 40	01
LDL Cholesterol Calc	163 mg/dL	0 - 99	01
T. Chol/HDL Ratio	7.3 ratio units	0.0 - 5.0	01

CBC With Differential/Platelet

TEST	RESULT	LIMITS	LAB
WBC	5.7 x10E3/uL	4.0 - 10.5	01
RBC	4.48 x10E6/uL	4.10 - 5.60	01
Hemoglobin	14.9 g/dL	12.5 - 17.0	01
Hematocrit	42.2 %	36.0 - 50.0	01
MCV	94 fL	80 - 98	01
MCHC	35.3 g/dL	32.0 - 36.0	01
RDW	13.8 %	11.7 - 15.0	01
Platelets	306 x10E3/uL	140 - 415	01
Neutrophils	54%	40 - 74	01
Lymphs	33%	14 - 46	01
Monocytes	8%	4 - 13	01
Eos	4%	0 - 7	01
Basos	1%	0 - 3	01
Neutrophils(Absolute)	3.1 x10E3/uL	1.8 - 7.8	01
Lymphs(Absolute)	1.9 x10E3/uL	0.7 - 4.5	01
Monocytes(Absolute)	0.5 x10E3/uL	0.1 - 1.0	01
Eos(Absolute)	0.2 x10E3/uL	0.0 - 0.4	01
Baso(Absolute)	0.0 x10E3/uL	0.0 - 0.2	01

Comp. Metabolic Panel (14)

TEST	RESULT	LIMITS	LAB
Glucose, Serum	91 mg/dL	65 - 99	01
BUN	14 mg/dL	5 - 26	01
Creatinine, Serum	1.0 mg/dL	0.5 - 1.5	01
BUN/Creatinine Ratio	14	8 - 24	01
Sodium Serum	139 mmol/L	135 - 148	01
Potassium, Serum	4.2 mmol/L	3.5 - 5.5	01
Chloride, Serum	103 mmol/L	96 - 109	01
Carbon Dioxide, Total	24 mmol/L	20 - 32	01
Calcium Serum	9.8 mg/dL	8.5 - 10.6	01
Protein, Total, Serum	7.4 g/d/L	6.0 - 8.5	01
Albumin, Serum	4.8 g/dL	35. - 5.5	01
Globulin, Total	2.6 g/dL	1.5 - 4.5	01
A/G Ratio	1.8	1.1 - 2.5	01
Bilirubin, Total	0.7 mg/d/L	0.1 - 1.2	01
Alkaline Phosphatase, S	45 IU/L	25 - 150	01
AST (SGOT)	20 IU/L	0 - 40	01
ALT (SGPT)	17 IU/L	0 - 55	01

1. Using the blood lab data below, interpret the patient's blood cholesterol.
2. Using the blood work data, does Mr. Doe exhibit high blood cholesterol? Quantify your answer with supported data. (5 pts.)

3. It is recommended that total blood cholesterol be below 200 mg/dL. How does Mr. Doe’s level compare to the recommendation? (5 pts.)

4. It is recommended that HDL cholesterol be greater than 40 mg/dL. How does Mr. Doe’s level compare to the recommendation? (5 pts.)

5. Calculate Mr. Doe’s LDL cholesterol level using the Friedewald equation: LDL = Total cholesterol - HDL - (Triglycerides ÷ 5). Does this calculated number agree with the lab data? (

Answer 1

●The patient's blood cholesterol levels are increased making him at high risk for getting cardiovascular.

The total cholesterol, triglycerides, VLDL,Cholesterol calc, LDL cholesterol calc are increased than normal range

●Mr.Doe exhibit high cholesterol levels

When the total cholesterol level is more than 240 it is considered to be high

Also the LDL more than 100 is considered to be high.

●The range of total cholesterol should be less than 200 to be healthy here the patient has a value of 249.Usually a value above 240 is considered to very high and needs some medical management with active lifestyle practices.

●A HDL or good cholesterol is considered to be healthy when it is more than 40 to stay away from cardiovascular diseases. Here the level is 34 which is very low making him an high risk individual for cardiovascular disease.

●Friedewald equation

LDL=Total cholesterol _HDL_(Triglycerides÷5)

=249_34_(260÷5)

=249_34_(52)

=215_52

=163

The calculated values agree with the lab data that is 163mg/dL