Authors:
Dovie Weston, MEd, OTR/L, †
Richard E. Oliver, PhD, †
Larry J. Petterborg, PhD, ‡
P. Kevin Rudeen, PhD, *
David D. Cravens, MD, §
Diana J. Baldwin, MA, OTR/L, FAOTA, †
Tarilyn Dobey, MEd, RRT, †
Marilyn Sanford Hargrove, PT, PhD, †
Damascene Kurukulasuriya, MD, §
Stephanie Reid-Arndt, PhD, †
Barry L. Slansky, PhD, CCC-SLP †
† School of Health Professions, University of Missouri-Columbia
‡ School of Physical Therapy, Texas Women's University, Dallas TX
§ School of Medicine, University of Missouri-Columbia
* College of Allied Health, University of Oklahoma, Oklahoma City, OK
Interdisciplinary Geriatric Assessment:
Mrs. Curtis
Lab Results
Blood and urine samples
were collected for laboratory analysis. An
electromyographic (EMG) exam
was also ordered. The lab results follow:
Table 1: Serum chemistries*
| |
Value |
Reference Range |
| LDH |
501 U/L |
(60-200) |
| Cholesterol |
213 mg/dL |
(< 200 is desirable) |
Table 2: Heme profile
| |
Value |
Reference Range |
| Hct |
34.3% |
(37-47) |
| MCV |
108 µ3 |
(81-99) |
| MCHC |
32.7 g/dL |
|
| Hgb |
11.2 g/dL |
(12-16) |
| MCH |
31.5 pg |
|
| RDW |
15.3% |
|
Table 3: Differential
| |
Value |
Reference Range |
| RBC |
4.45 x 106/mm3 |
|
| WBC |
3,800/mm3 |
|
| Neutrophils |
65.5% |
(40-70) |
| Lymphocytes |
28.6% |
(20-50) |
| Monocytes |
3.5% |
(2-9) |
| Eosinophils |
2.1% |
(1-3) |
| Basophils |
0.3% |
(0-1) |
| Platelets |
126,000/mm3 |
(150,000-450,000) |
Peripheral smear
Macrocytes, occasional neutrophils
with increased nuclear lobes.
Table 4: Thyroid panel
| |
Value |
Reference Range |
| Thyroxine |
7 µg/dL |
(5-12) |
| T3 |
108 ng/dL |
(80-200) |
| TSH |
0.53 µIU/ml |
(0.32-5.0) |
Table 5: Urinalysis
| |
Value |
| Normal, except
as follows |
| Leukocytes
|
2+ |
| Microscopic
exam reveals: |
| Epithelial
cells |
many/lpf |
| Mucous
|
3+/lpf |
| Casts
|
none seen |
| WBC
|
10-15/hpf |
| RBC
|
3-6/hpf |
| Bacteria
|
1+/hpf |
| Crystals
|
2+ Ca++ oxalate |
Table 6: Additional test results
| |
Value |
Reference Range |
| Vit B12 |
90 pg/ml |
(200-1600 pg/ml) |
| RBC folate |
250 ng/dl |
(140-960 ng/ml) |