Table 1.
General pathology tests.
| Test | Result | Ref Range & Units |
|---|---|---|
| Urea & Electrolytes | ||
| Serum sodium | 140 | 136−145 mmol/L |
| Serum potassium | 4.1 | 3.5−5.1 mmol/L |
| Serum urea | 5.8 | 2.8−8.1 mmol/L |
| Serum creatinine | 83 | 62−106 umol/L |
| eGFR (MDRD) per 1.73 sq m | >60 | 60−90 ml/min |
| Liver function tests | ||
| Serum albumin | 40 | 35−52 g/L |
| Serum total protein | 71 | 66−87 g/L |
| Serum globulin | 30 | 18−36 g/L |
| Serum alkaline phosphatase | 70 | 40−129 iu/L |
| Serum total bilirubin | 6 | 0−21 umol/L |
| Serum ALT | 15 | 0−41 iu/L |
| Bone profile (serum) | ||
| Serum calcium | 2.30 | 2.2−2.55 mmol/L |
| Serum adjusted calcium | 2.30 | 2.2−2.55 mmol/L |
| Serum phosphate | 0.71 | 0.87−1.45 mmol/L |
| Serum ferritin | 507 | 30−400 Ug/L |
| Prolactin serum | 276 | 86−324 miu/L |
| Serum cortisol | 129 | nmol/L |
| Serum LDH | 249 | 240−480 iu/L |
| Clotting screening | ||
| INR | 1.0 | 0.8−1.2 |
| APTT ratio | 1.0 | 0.8−1.2 |
| Fibrinogen | 7.8 | 1.8−4.5 g/L |
| Serum Creatinine Kinase (CK) | 35 | 39−308 iu/L |
| Thyroid function tests | ||
| Serum free thyroxine | 13.1 | 12−22 pmol/L |
| Serum TSH | 3.26 | 0.27−4.2 mu/L |
| Serum ACE (angiotensin converting enzyme) | 27 | 8−52 u/L |
| PSA (Serum prostate – specific Ag) | 0.34 | 0−41 ug/L |
| Serum protein electrophoresis | ||
| Serum immunoglobulin G | 8.9 | 7−16 g/L |
| Serum immunoglobulin A | 2.0 | 0.7−4 g/L |
| Serum immunoglobulin M | 0.9 | 0.4−2.3 g/L |
| Serum total protein | 65 | 66−87 g/L |
| Comment for SPE | Paraprotein band not detected | |
| Serum light chains | ||
| Serum Kappa light chains | 14 | 3−19 mg/L |
| Serum Lambda light chains | 9 | 6−29 mg/L |
| Serum Kappa: Lambda ratio | 1.56 | 0.26−1.65 |
| CD 4 + 8 | ||
| CD4 | 37 | 28−57 % |
| CD4 (abs) | 570 | 200−900 10^6/L |
| CD8 | 16 | 10−39 % |
| CD8 (abs) | 248 | 200−900 10^6/L |
| B&T CELL COUNT | ||
| T cell (abs) | 1233 | 700−2100 10^6/L |
| B cell | 7 | 6−19 % |
| B cell (abs) | 123 | 100−500 10^6/L |
| NK cell | 18 | 7−31 % |
| NK cell (abs) | 295 | 90−600 10^6/L |
| T cell | 74 | 55−83 % |
| Urine electrophoresis | ||
| Urine protein electrophoresis | No evidence of abnormal light chains | |
| Urine protein concentration | <40.0 | 0−150 mg/L |
| HLA B27 | Negative | |
| Autoimmune screening | ||
| p ANCA | negative | |
| c ANCA | negative | |
| Serum C3 | 1.58 | 0.81−1.57 g/L |
| Serum C4 | 0.36 | 0.13−0.39 g/L |
| Anti –nuclear antibody (ANA) | negative | negative |
| Extractable nuclear antigen autoantibodies (ENA) | negative | negative |
| Rheumatoid factor (RF) | 12 | 0−14 iu/mL |
| Anti –CCP antibodies (anti-citrullinated proten antibodies) | 1.1 | 0−7 u/mol |
| Infection screen | ||
| B. Burgdorferi IgM | Negative | |
| B. Burgdorferi Ig G | Negative | |
| Tropheryma Whippley PCR serology | Negative | |
| Throat swab culture | Negative | |
| Hepatitis B surface antigen | Negative | |
| Hepatitis C antibody | Negative | |
| Hepatitis A IgM | Negative | |
| Pneumococcal Ig G | 34.78 mg/L | 30 mg/L |
| Enteric pathogens (faeces) | ||
| Salmonella species DNA | Not detected | |
| Shigella species DNA | Not detected | |
| Campylobacter species DNA | Not detected | |
| VTEC DNA | Not detected | |
| Microscopy (Concentrate) | Pathogenic parasites not seen | |
| C. parvuum/C. hominis DNA | Not detected | |
| Giardia Lamblia DNA | Not detected | |