2011-12May - 20 - 2012Mar - 24 - 2012Jan - 01 - 2012May - 08 - 2011REERENCE RANGERESULT

Blood Urea Nitrogen*6 - 20mg/dl3431.122.7Alkaline Phosphatase*150 - 380U/litre125115Sodium (Na)*138 - 145mmol/L135.8132.9137Potassium *3.40 - 4.70mmol/L5.395.45.574.4Chloride (Cl)*98 - 107mmol/L113.3112.5108.9Creatinine *0.04 - 0.45mg/dl0.570.480.75Serum Albumin*3.80 - 5.40gm/dl1.471.361.55Urinary Albumin199>200Urinary creatinine26.323.2Urinary Albumin / Urinary Creatinine Ratio0.0 - 30.0 Ratio756.65>869.56Total Cholesterol*Abnormal : >199 mg/dl699610427747URINE ROUTINE*Volume602030ColourYellowYellowYellowAppearanceClearSlightly HazySlightly HazyReaction (pH)5.0 - 9.0777Specific Gravity1.005 - 1.0301.021.021.02ProteinsNegativePresent(+++)Present(+++)Present(+++)GlucoseNegativeNegativeNegativeNegativeBilirubinNegativeNegativeNegativeNegativeOccult BloodAbsentPresent (+++)Present (+++)Present (+++)KetonesNegativeNegativeNegativeNegativeUrobilinogen0.2 - 1.0 mg/dl0.20.20.2Pus Cells0 - 5 / hpf02 - 0306 - 0804 - 06Red Blood Cells0 - 5 / hpf25 - 3012 - 1518 - 20Epithelial Cells0 - 5 / hpf01 - 0202 - 0303 - 04Hyline Casts0 - 5 / hpfPresent (01 - 02)AbsentAbsentOther CastsAbsent /lpfAbsentAbsentAbsentCrystalsAbsentAbsentAbsentAbsentAmorphous DepositAbsentAbsentAbsentAbsentOthersAbsentAbsentAbsentAbsentSample TimeRandomMorningRandomVITAMIN D (25 HYDROXY )Deficiency : 3 years: 6.0 - 8.33.6 g/dlHAEMOGLOBIN PERCENTAGE (Automated blood cell count)3 months - 6 years - 12.6 +/-1.512.9 g/dlSerum CreatinineChild : 0.3 - 0.70.2 mg/dlBicarbonate23 - 29mEq/litreS.G.P.T.Alkaline Phosphatase150 - 380U/litreCreatinine0.04 - 0.45mg/dlCreatine kinase34 - 145IU/L

2012- till dateHiranandaniHiranandani JariwalaHiranandaniHiranandaniHiranandaniHindujaHiranandaniJariwalaHiranandaniJariwalaJariwalaGurgaonGurgaonGurgaon20-Oct27-OctNov 4th Nov 21st1-DecDec 3rdDec 8th Dec 15th 30-Jan17-Feb23-Feb15-Mar31-Mar7-Apr20-Apr27-Apr27-Apr9-May11-May16-Jun26-Jun3-Aug6-Aug5-Oct11-Nov1-Dec22-Dec28-Dec25-Jan9-Feb11-Feb7-Apr22-Apr22-Apr

Sodium (Na)138 - 145mmol/L134.1143.1140.1139.3135.9136.3137136.3137.2140136.7134.2140.1137.9141136Chloride (Cl)98 - 107mmol/L113110.1110101.2110107.9117113114.9111.1108.7112.8119108Bicarbonate23 - 29mEq/litre32.921.7171621.813.117.81618.41517.51616Calcium*8.8 - 10.8mg/dl7.98.888.267.98.387.877.597.487.476.997.697.16.456.36.01Phosphorus4.00 - 7.00mg/dl6.617.134.536.585.065.764.435.67.16S.G.P.T.9 - 52U/L610121510618119272117471417Alkaline Phosphatase150 - 380U/litre122103123.3150123155165234372Creatinine0.04 - 0.45mg/dl0.890.770.690.690.770.710.630.80.90.890.750.770.760.90.911.121.551.63.49Creatine kinase34 - 145IU/L7347893762134173Serum Albumin*3.80 - 5.40gm/dl1.431.861.761.871.951.591.521.41.481.81.661.861.52 1.55Magnesium1.70 - 2.30mg/dl3.341.71.322.3Jariwala LabUrinary Albumin193140189 4419.222110716790.21211411460873.8932695.81281.70 mg/dL(Metropolis)1020917 (mg/dL)10201167809734Urinary creatinine26.824.916.714.513.814.3251919.38.524.827.320.818.214.718.35 mg%21.3115.721.313021.8520treatment futureUrinary Albumin / Urinary Creatinine Ratio0.0 - 30.0 Ratio720.15562.251131.74303.4139.13153.8544.384.2140.94141.1846.0353.4842.0151.2147.3369.8547.8958.4647.8938.937.0435.71250 mmf try to withdrawTotal Cholesterol*480659340391422377307280240291methyl prednisolone tail endPotassium3.40 - 4.70mmol/L6.244.884.924.14.043.753.645.35.35.374.43.234.845.13.563.553.964.044.144.75rituximap? Shld we. Since its not responsive y add more immuno suppressantsRED BLOOD CELLSonly treat symptomatically, like iron bp cholestrol etcR.B.C. Count4.00 - 5.30x10 ^6/cumm2.673.443.452.852.392.572.432.772.952.732.662.642.36genetic test will tell us moreHaemoglobin (Hb)11.5 - 14.5gm/dl8.110.1108.977.677.98.47.97.67.476.8abroad they treat to improve protein leak, but affects kidney in other waysPCV (Haematocrit)33.0 - 43.0%23.629.930.324.92122.521.224.825.824.824.22319.821mayo clinic, aims in delhi does some researchMCV76.0 - 90.0fL88.4878887.787.9888789.587.491918785.889MCH25.0 - 31.0pg30.329.329.131.329.129.528.828.528.42928.62830.428.8cut down visolone, mmf tooMCHC31 - 36%34.233.73335.733.233.63331.914.731.931.43235.432.4RDW - SD11.5 - 15.0%16.414.113.313.113.612.612.915.311.812.716.414.713.9WHITE BLOOD CELLSTotal W.B.C. Count4000 - 12000/cumm1710018900221001850016,2001410012300 152001000013700165007.8 thou/mm314.58DIFFERENTIAL COUNTNeutrophilic Band cells0-6 %8444456Neutrophils20 - 46%41575148516048807258658244.244.5Eosinophils0 - 6%3002022002222.41.9Lymphocytes20 - 45%5440384037304218193022840.946.3Monocytes0 - 10%23364442566211.97.2Basophils0 - 1%0000000000000.60.1PLATELETSTotal Platelet Count1.5 - 4.5Lacs/ cumm4.988.137.335.078.368.516.977.318.86.685.89416 thou/mm3420MPV6.0 - 9.5fL7.56.86.87.36.46.76.876.86.87.4Platelet on SmearIncreasedIncreasedincreasedincreasedincreasedincreasedincreasedAbsolute leucocyte countNeutrophilsthou/mm33.56.49Eosinophilsthou/mm30.20.28Lymphocytesthou/mm33.26.75Monocytesthou/mm30.91.05

IgG04-06 years : 560-1307170.83.4VITAMIN D (25 Hydroxy ) -Serum5.9Anion GAP20-Oct16.316.1Serum Iron50 - 120 ug/dl50.846Total Iron Binding Capacity (TIBC)250 - 450 ug/dl130.2101Percentage Saturation14 - 50%39/0245.54Blood Urea Nitrogen6 - 20 mg/dl 18.6Total Proteins6 - 8 gm/dl 4.63Globulin1.8 - 3.6 gm/dl2.83A//G Ration0.9 to 2 0.64

Kidney Panel Kft serum

Urea10.0 - 38.094154Creatinine0.3 - 0.71.63.49Uric Acid2.6- 6.005.47.51Alkaline Phosphate (ALP)96 - 297234372Total Protein6.0 - 8.03.73.81Albumin3.8 - 5.41.521.55A:G Ratio0.9 - 2.00.70.69Calcium total8.8 - 10.86.36.01Phosphorous3.2 - 5.85.67.16Sodium138 - 145141136Potassium3.4 - 4.7 4.144.75Chloride101 - 109119108Magnesium serum1.7 - 2.32.32.7CPK: Creatinie Kinase, Serum< 145134173ALT (SGPT) , Serum< 351417Cholesterol, Total serum< 170240291

TSH0.7 - 6.4 7.23

20-Oct27-OctNov 4th Nov 21st1-DecDec 3rdDec 8th Dec 15th 30-Jan17-Feb23-Feb15-Mar31-Mar7-Apr20-Apr27-Apr11-May16-Jun26-Jun3-Aug6-Aug

Sheet320-Oct27-OctNov 4th Nov 21st1-DecDec 3rdDec 8th Dec 15th 30-Jan17-Feb23-Feb15-Mar31-Mar7-Apr20-Apr27-Apr11-May16-Jun26-Jun3-Aug6-AugSodium (Na)134.1143.1140.1139.3135.9136.3137136.3137.2140136.7134.2Bicarbonate32.921.7171621.813.117.81618.4Calcium*7.98.888.267.98.387.877.597.487.476.997.69S.G.P.T.6101215106181192721 Creatinine0.890.770.690.690.770.710.630.80.90.890.750.770.760.90.91Creatine kinase73478937Serum Albumin*1.431.861.761.871.951.591.521.41.481.8Urinary Albumin1931401891.61.44419.222161211411460Urinary creatinine26.824.916.714.513.814.3198.524.827.3Urinary Albumin / Urinary Creatinine Ratio720.15562.251131.74303.4139.13153.8584.21141.1846.0353.48Total Cholesterol*480659340391422377 Potassium6.244.884.924.14.043.753.645.35.35.374.43.234.845.13.563.55