Case #1
Female 25 years old
Kasey presented to lab test after a referral from her midwife on the 30th of March 2015 to confirm pregnancy. A CBC and HCG Quantification were ordered. On the 13th of August 2015, a new blood test CBC was taken as a procedure screening, which showed a decrease of hemoglobin, compared to in March. The patient showed no history of any complications or signs of fatigue. A screen for gestational diabetes mellitus was ordered to determine if the patient had diabetes. An Iron study was also ordered to determine if there was any depletion of iron stores.
Findings: Ferritin 8 ug/L (Ref. Range 20-170)
Ferritin is analysed as a part of the reticuloendothelial system and is a good indicator of the levels of iron in out …show more content…
Due to this, a combined liver and kidney biochemical profile was done in 2012, to assess for kidney and liver function, as familial hypercholesterolemia we have an increase of LDL. Increased LDL primarily comes from a liver dysfunction, but increased LDL will have an inhibiting effect on the kidneys and the sodium/potassium activity.
• eGFR- Low-79 mL/min/1.73m2 (80-120)
eGFR is defined as the estimated glomerular filtration rate. This is often measured in conjunction with creatine levels. 100% of the creatine processed in the kidneys, will be excreted into the urine, meaning that the amount of creatine in the blood, can be linked to the filtration rate. In this case, the estimated filtration rate is decreased, however, the creatine levels are normal limits.
I think the patient’s values are out of range as a “normal” out of the normal range. This is due to multiple of factors affecting the serum levels of creatine, which is used to determine the GFR- In 2012, Eugene was heavily involved in competitive rugby, involving increased training load, which could explain a change in creatine levels and therefore
Female 25 years old
Kasey presented to lab test after a referral from her midwife on the 30th of March 2015 to confirm pregnancy. A CBC and HCG Quantification were ordered. On the 13th of August 2015, a new blood test CBC was taken as a procedure screening, which showed a decrease of hemoglobin, compared to in March. The patient showed no history of any complications or signs of fatigue. A screen for gestational diabetes mellitus was ordered to determine if the patient had diabetes. An Iron study was also ordered to determine if there was any depletion of iron stores.
Findings: Ferritin 8 ug/L (Ref. Range 20-170)
Ferritin is analysed as a part of the reticuloendothelial system and is a good indicator of the levels of iron in out …show more content…
Due to this, a combined liver and kidney biochemical profile was done in 2012, to assess for kidney and liver function, as familial hypercholesterolemia we have an increase of LDL. Increased LDL primarily comes from a liver dysfunction, but increased LDL will have an inhibiting effect on the kidneys and the sodium/potassium activity.
• eGFR- Low-79 mL/min/1.73m2 (80-120)
eGFR is defined as the estimated glomerular filtration rate. This is often measured in conjunction with creatine levels. 100% of the creatine processed in the kidneys, will be excreted into the urine, meaning that the amount of creatine in the blood, can be linked to the filtration rate. In this case, the estimated filtration rate is decreased, however, the creatine levels are normal limits.
I think the patient’s values are out of range as a “normal” out of the normal range. This is due to multiple of factors affecting the serum levels of creatine, which is used to determine the GFR- In 2012, Eugene was heavily involved in competitive rugby, involving increased training load, which could explain a change in creatine levels and therefore