Ch BIOCHEMISTRY 0214:BA03559U Final Test Name Result Flag Reference Range SAMPLE APPEARANCE LIPAEMIC ABSENT ICTERUS ABSENT HAEMOLYSIS ABSENT P-GLUCOSE FASTING 4.8 3.9-5.5 mmol/L A normal fasting glucose does not exclude DM. Do GTT if clinically indicated. LIPOGRAM SPECIMEN TAKEN FASTING LIPAEMIA ABSENT S-CHOLESTEROL 3.6 < 5.0 mmol/L LIVER FUNCTIONS S-TOTAL PROTEIN 79 64-83 g/L S-ALBUMIN 54 H 35-52 g/L GLOBULIN 25 21-35 g/L BILIRUBIN TOTAL-S 11 < 22 umol/L S-CONJ. BILIRUBIN 4 < 9 umol/L UNCONJ. BILIRUBIN 7 < 19 umol/L S-ALK. PHOSPHATASE 45 L 53-128 IU/L S-GAMMA GT 70 H < 60 IU/L S-ALT 36 < 41 IU/L S-AST 16 < 41 IU/L En ENDOCRINOLOGY 0214:EA01765U Final Test Name Result Flag Reference Range Final Episode Report Intercare Medical & Dental Centre 43 Old Oak Rd Tygervalley Tel: 021 943 3590 Requisition No: 675658229 Collection Date: 2025-02-14 10:13 Received Date: 2025-02-14 10:22 Generated On: 2025-02-26 00:09 Patient: Patient ID No: Age:Sex:DoB: 35y: M: 1989-03-09 Contact No: Patient Email: Guarantor: Med Aid: CASH Member No: NOT AVAILABLE Contact No: Tests requested: FULL BLOOD COUNT & PLT; CHOLESTEROL; LIVER FUNCTION TESTS; GLUCOSE FASTING BLOOD; FERRITIN; VITAMIN B12; VITAMIN D3 (25 OH); TSH - S; FREE TESTOSTERONE CALCULATED; CORTISOL RANDOM - S Referral ICD10 code(s): F90.0 Report to: Referred by: DR A J KOTZE Practice No: 0774383 Page 1 of 3 Generated On: 2025-02-26 00:09 End of Report Patient: MR DANIEL L ACKERMAN Requisition No: 675658229 Report to: ACKERMAN DANIEL L FERRITIN (ABBOTT) 186 30-275 ug/L Ferritin Interpretation: 30 - 275 ug/L: Normal for healthy individuals. <30 ug/L: Highly suggestive of iron deficiency (ID). 30 - 70 ug/L: Suggestive of ID in the presence of inflammation. Ferritin >70 ug/L and transferrin saturation < 20%: Anaemia of chronic disease (ACD)/ID-ACD combination - recommend reticulocyte haemoglobin content and/or serum soluble transferrin receptor testing to differentiate. EFERMNO621 VITAMIN D (25 OH) (ABBOTT) 33 ng/mL Interpretation of 25-OH Vit D level [ng/ml]: Deficiency: < 12 Partial deficiency: 12 - 19 Optimal level: > 20 Toxicity: > 100 Ref: Munn et al. JCEM.2016;101(2):394 VITAMIN B12 (ROCHE) 1149 H 185-706 pmol/L <185 pmol/L Deficient 185 - 250 pmol/L Grey zone >250 pmol/L Deficiency unlikely >706 pmol/L Elevated Vit B12 may be increased with: - Oral or Parenteral B12 supplements - Haematological disorders - myeloproliferative disorders, leukaemia, high WCC - Solid neoplasms - Liver disease - Kidney failure S-TSH (ABBOTT) 2.61 0.35 - 4.94 mIU/L THYROID COMMENT The normal TSH excludes primary thyroid disease. The TSH may however, be normal with secondary hypothyroidism (low T4/T3). Please evaluate clinically. TESTOSTERONE T-TESTOSTERONE (ABBOTT) 9.3 8.3 - 30.1 nmol/L Due to diurnal variation, the ideal blood sampling time is before 10 am. SEX HORMONE BIND.GLOBULIN 10 L 11 - 78 nmol/L DECREASED SHBG LEVELS ARE SEEN IN: Obesity, Increased androgens (endogenous or exogenous), Cushings, Hypothyroidism. FREE TESTOSTERONE - CALCULATED 298.7 L 307-734 pmol/L Please note: Change in reference range from 06/11/24 CAUSES OF DECREASED FREE TESTOSTERONE (cFT) ------------------------------------------- 1. Primary Testicular defect. (LH/FSH increased) 2. Hypothalmic/Pituitary defect. (LH/FSH normal/decreased) HCG stimulation can confirm testicular defect. GnRH stimulation can confirm central defect. CALCULATED FREE TESTOSTERONE (cFT) ---------------------------------- 1. The Calculated Free Testosterone is a more reliable reflection of BIO-AVAILABLE TESTOSTERONE than total testosterone or Free Androgen Index. 2. A morning blood sample obtained before 10:00 is recommended. 3. Values are less accurate in patients with low albumin (eg. pregnancy, cirrhosis) Ref: Jnl of Clin.Endocrin. + Metab : 1999 CORTISOL RANDOM (ABBOTT) 390 nmol/L SERUM CORTISOL REFERENCE RANGES (nmol/l): (NON-STRESSED) Before 10am : 102 - 535 After 5pm : 80-477 Oestrogen (e.g. contraceptives and pregnancy) may cause values to rise to 2x above of reference interval. 20 - 30 % of patients with Cushing's syndrome may have normal am values, and a dexamethazone suppression test may be required if clinically indicated. Page 2 of 3 Generated On: 2025-02-26 00:09 End of Report Patient N Requisition No: 675658229 Ha HAEMATOLOGY 0214:HA02653U Final Test Name Result Flag Reference Range RED CELLS Red cell count 5.47 4.5 - 5.9 x10E12/L Haemoglobin 15.7 12.5 - 16.5 g/dL Haematocrit 0.47 0.40 - 0.50 L/L MCV 85 81 - 95 fl MCH 29 28 - 35 pg MCHC 34 32 - 36 g/dL RDW 13.2 10 - 15 % WHITE CELLS White cell count 9.8 4.0 - 11.0 x10E9/L Neutrophils % 46.3 % Lymphocytes % 42.8 % Monocytes % 6.5 % Eosinophils % 3.6 % Basophils % 0.6 % Imm Granulocytes % 0.2 <0.9 % Neutrophils ABS 4.55 2.00 - 7.50 x10E9/L Lymphocytes ABS 4.21 H 1.00 - 4.00 x10E9/L Monocytes ABS 0.64 0.00 - 0.80 x10E9/L Eosinophils ABS 0.35 0.00 - 0.40 x10E9/L Basophils ABS 0.06 0.00 - 0.10 x10E9/L Imm Granulocyte ABS 0.02 <0.07 x10E9/L PLATELETS Platelet count 357 140 - 420 x10E9/L FULL BLOOD COUNT COMMENT (SUPPLIED IF RELEVANT) - The interpretation of laboratory test results requires the clinical evaluation to be known and contextualised. Please contact your medical practitioner for any questions related to these results. Your doctor would know whether further consultation with one of our specialist pathologists is necessary. L =Low *L =Critically Low H =High *H =Critically High # =Delta Checked Page 3 of 3 Generated On: 2025-02-26 00:09 End of Report