Date: 08/17/13 TYPE OF EXAM NORMAL VALUES UNIT RESULTS RESULTS RESULTS RESULTS 08/25/13 pH Straw Hazy 5.

0 1.020 08/28/13 Straw Hazy 6.5 1.015 08/31/13 Straw Hazy 6.5 1.015 09/04/13 Straw Hazy 6.0 1.020 SIGNIFICANCE

Physical Properties Color Transparency Reaction Specific Gravity Chemical Test Sugar Albumin Pus Cells RBC Crystals Amorphous Urates Squamous Epithelial Cells Yeast Cell OccasionalFew OccasionalFew None Many Few Few Few Occasional Occasional Occasional Occasional Negative Negative 0-5 0-2/hpf /hpf /hpf (-) trace 1-3 25-30 (-) (-) 0-1 20-30 (-) (-) 1-2 70-90 (-) (+) 1-4 60-80 Straw, Amber Clear 4.5-8 1.010-1.025

Many

RESULTS 08/25/13
Differential Count Neutrophil Number Fraction

08/26/13

08/29/13

08/25/13

NORMAL VALUES

SIGNIFICANCE

Segmenters Lymphocytes

0.79

0.84

0.82

0.75

0.50 0.70

0.16

0.10

0.10

0.22

0.20 -0.40 NORMAL VALUES SIGNIFICANCE

RESULTS

08/25/13 Eosinophils 0.01

08/26/13 0.01

08/29/13 0.01

08/25/13 0.02 0.01 0.04 NORMAL VALUES 0.04 0.08 0.00 0.01 135 180 g/L 0.4 0.54 L/L 26.20 36.68 fmol 4.6 82.75 6.2 100.5 (1012/L) fL 4.5 - 11 31.65 33.75 (109/L) g/L 150 450 (109/L) 0-10mm/hr SIGNIFICANCE

RESULTS Monocyte Basophil Hemoglobin Hematocrit MCH Red Blood MCV Cells White Blood MCHC Cells 0.02 08/25/13 0.01 172 g/L 0.54 L/L 27.60 0.05 08/26/13 0.01 142 g/L 0.44 L/L 27.80 0.06 08/29/13 0.01 133 g/L 0.40 L/L 27.70 0.01 09/01/13 0.00 126g/L 0.38 L/L 27.80

6.23 5.29 86.60 83.80 (1012/L) (1012/L) 10.44 12.48 31.90 33.20 (109/L) (109/L)

4.80 4.53 82.80 82.80 (1012/L) (1012/L) 21.38 29.94 33.70 33.60 (109/L) (109/L)

Platelet

361

276

237

273

ESR

55mm/hr

_____

_____

_____

RESULTS ALT/SGPT 368.29 U/L

NORMAL VALUES 12-78 U/L

SIGNIFICANCE

RESULTS 08/25/13 Creatinine 162.90 Umol/L 08/26/13 159.40 Umol/L 08/29/13 08/31/13 09/03/13 93.70 Umol/L 99.80 Umol/L 90.40 Umol/L

NORMAL VALUE

SIGNFICANCE

53-115 Umol/L

RESULTS Uric Acid Date: 08/25/13 RESULTS FBS 15.50 mmol/L 770.30 Umol/L

NORMAL VALUES 155-428 Umol/L

SIGNIFICANCE

NORMAL VALUES 4.1-5.9 mmol/L

SIGNIFICANCE

RESULTS Cholesterol Triglycerides HDL 5.46 mmol/L 2.13 mmol/L 1.09 mmol/L

NORMAL VALUES 1.3-5.2 mmol/L 0.17-1.70 mmol/L 0.90-1.55 mmol/L

SIGNIFICANCE

LDL

3.40 mmol/L

0-3.9 mmol/L

Total Protein
Date: 08/25/13

RESULTS 86.20 g/L RESULTS 49.30 g/L

NORMAL VALUES 64-82 g/L NORMAL VALUES 34-50 g/L

SIGNIFICANCE

SIGNIFICANCE

Albumin
Date: 08/25/13

Globulin
Date: 08/25/13

RESULTS 36.90 g/L

NORMAL VALUES 23-35 g/L

SIGNIFICANCE

RESULTS A/G Ratio 1.3

NORMAL VALUES 1.5-2.4 ..

SIGNIFICANCE

RESULTS 08/25/13 08/26/13 08/29/13 08/31/13 09/03/13 Sodium 147.6 mmol/L 4.07 mmol/L 146.2 mmol/L 3.92 mmol/L 1.73 mmol/L 142.4 mmol/L 3.75 mmol/L _____ 136.2 mmol/L 3.78 mmol/L 3.50 139.1 mmol/L 3.83 mmol/L 1.95

NORMAL VALUES

SIGNIFICANCE

135-148 mmol/L 3.5-5.3 mmol/L 2.12-2.52 mmol/L 0.74 -0.99 mmol/L

Potassium

Calcium

2.01 mmol/L 09/01/13 Magnesium 0.60 mmol/L

Date: 08/25/13 TYPE OF EXAM Protime Patient % Activity INR Normal Control NORMAL VALUES 11.5-15.5 75-101 UNIT RESULT SIGNIFICANCE OF ABNORMAL RESULTS Within Normal Limits.

sec %

13.7 89% 1.08 92

Date: 08/25/13 TYPE OF EXAM Protime APTT Normal Control Date: 8-26-13 RESULTS Hb1AC 5.3 % VALUES 4.0 5.6 % (normal) 5.7 6.4 % (pre diabetes) 6.5 % and higer (diabetic) SIGNIFICANCE Within normal limits. NORMAL VALUES 24 - 35 25 - 36 UNIT RESULT SIGNIFICANCE OF ABNORMAL RESULTS Within Normal Limits. Within Normal Limits

sec sec

30.8 32.9

Name of Examination: ETA, Gram stain, KOH Results: Date: 09/01/13 Gram stain > 500 polymorphonuclear cells/lpf < 5 squamous epithelial cells/lpf Occasional gram (+) cocci singly and pairs Few gram (-) bacilli KOH: (-) fungi Date: 08/25/13 Gram stain > 100 polymorphonuclear cells/lpf

< 5 squamous epithelial cells/lpf Occasional gram (-) bacilli and gram (+) cocci singly Name of Examination: Culture and Sensitivity Testing Specimen: Blood Results: Date: 08/28/13 No growth after 12 hours of incubation No growth after 3 days of incubation

Date: 08/30/13 Mg 0.60 mmol/L 0.74 0.99 with specimen done twice

Date: 09/01/13 No growth after 7 days of incubation Date: 09/04/13

Medication amikacin cefepime ciprofloxacin levofloxacin piperacillin ricarcillin

Heavy Growth of P. aeruginosa 21mm 18mm 6mm 14mm 14mm 6mm

Interpretation strong strong resistant intermediate resistant resistant

Medication aztreonam ceftazidine gentamycin meroperem piperacillin/ tazobactam

Heavy Growth of P. aeruginosa 6mm 6mm 15mm 6mm 9mm

Interpretation resistant resistant strong resistant intermediate

Fecalysis

Actual Value 08/25/13 Color Consistency Occult Blood Microorganism Brown Mucoid ------No ova or parasites seen

Normal Value Yellow-Brown Solid and formed Negative Negative

Significance

Utz Results: a. Liver: The liver is normal in size and parenchymal echopattern. No focal mass lesion. The intrahepatic ducts not dilated. b. Common Bile Duct: The common bile duct is 0.4cm in its widest visualized diameter. c. Gallbladder: The gallbladder is not enlarged. The wall is not thickened. No intraluminal ehoes seen. d. Pancreas: The pancreas is obscured. e. Spleen: The spleen is normal in size and parenchymal echopattern. No focal masses seen. f. Kidneys: There is no significant disparity in the size of the kidneys. Right kidney measures 11.0 x 5.1 x 4.3 (L x W x AP) with cortical thickness of 1.0cm. Central echo complex intact. Corticomedullary demarcation well defined. No lithiasis or focal lesions seen g. Urinary Bladder: The urinary bladder is partially distended. Its wall is not thickened. No intraluminal echoes noted. Inflated FC 3 is seen intraluminally

h. Prostate: The prostate is not enlarged, measuring 2.7 x 4.2 x 3.9 cm with approximate weight of 23.0g. No focal mass seen. There is no peripheral assymetry. Prostatic capsule intact. i. No ascites Remarks: NORMAL LIVER, GALLBLADDER, SPLEEN, KIDNEYS, PROSTATE ULTRASOUND.

Cranial CT Results: Plain tomographic sections of the head reveal no focal lesion on The ventricles are unenlarged Cerebral sulci and cisterns are intact. No extra- axial fluid demonstrated. The midline structures are undisplaced. The posterior fossa, brainstem,and sellon region do not appear unusual. The petromastoids, included orbits, paranasal sinuses and bony calvarium appear unremarkable. Impression Essentially unremarkable plain cranial CT study.

CXR AP Definition: Results: Follow- up study done as compared with previous film taken on 8/25/13 shows regression of the hazy densities in both lungs. ET is still seen with its tip approximately 1.5cm above the carina. The rest of the findings are unremarkable.

Impression: Pulmonary edema with regression.

s/p ET insertion Follow- up is suggested.

Doppler Echocardiography Date: 09/02/13 i. Results and Findings:

Actual Value 65% Normal Value (53.0 77.0) %

EF% (m-mode)

Impression: Trivial mosaic color flow display across tricuspid valve during systole. Normal mitral flow velocity E/A ratio Normal pulmonary artery pressure by right ventricular acceleration time.

Conclusion: Normal left ventricle with good wall motion contractility and systolic function Trivial tricuspid regurgitation. Normal pulmonary artery pressure.