Case No.

9
Test Patient’s value Normal values Units
Hgb 12.6 11.5 – 15.5 g/dl
WBC/Leucocite 6,200 4,000 – 10,000/ mm³
Platelets/trombocite 170,000 150,000 – 400,000/ mm³
Total serum proteins/proteine 7.9 6.5 - 8 g/dl
serice totale
Serum proteins
electrophoresis/electroforeza
proteinelor serice
Albumin 58% 60%
α1 - globulins 4% 4 – 6%
α2 - globulins 6% 6 – 9%
1
β - globulins 12% 9 – 12%
γ - globulins 20% 12 – 20%
Fibrinogen 220 200 - 400 mg/dl
APTT 52.7 27 - 35 seconds
Prothrombin Time/TQ 18.2 13 – 15.5 seconds
ALT 2262 7 - 40 U/l
AST 3017 10 - 35 U/l
ALP 128 35 - 96 U/l
Total bilirubin 24.7 0.3 – 1.2 mg/dl
Direct bilirubin 13.7 0 – 0.2 mg/dl
Glucose 70 70 - 120 mg/dl
Creatinine 0.8 0,6 – 1,2 mg/dl
Urea 16 10 - 48 mg/dl

Case No. 10
Test Patient’s value Normal values Units
Hgb 11.8 11.5 – 15.5 g/dl
MCV/VEM 91 80 - 100 fl
WBC/Leucocite 7,000 4,000 – 10,000/ mm³
Platelets/trombocite 236,000 150,000 – 400,000/ mm³
Total serum proteins/proteine 6.3 6.5 - 8 g/dl
serice totale
Serum proteins
electrophoresis/electroforeza
proteinelor serice
Albumin 43% 60%
α1 - globulins 4% 4 – 6%
α2 - globulins 6.5% 6 – 9%
β - globulins 12.5% 9 – 12%
γ - globulins 34% 12 – 20%
Fibrinogen 237 200 - 400 mg/dl
Prothrombin Time/TQ 13 13 – 15.5 seconds
ALT 111 7 - 40 U/l
AST 47 10 - 35 U/l
LDH 304 115 - 220 U/l
ALP 177 35 - 96 U/l
Direct bilirubin 0.6 0 – 0.2 mg/dl
Glucose 134 70 - 120 mg/dl
Creatinine 1.1 0.6 – 1.2 mg/dl
Urea 43 10 - 48 mg/dl
Anti HVC antibodies (+)/Ac anti VHC (+)
Case No. 11
46 ys. Old, male/46 ani sex masculine
History: end-stage liver disease secondary to hepatitis C and alcohol; insulin-dependent diabetes mellitus/ istoric
hepatopatie severa secundara infectiei cronice cu VHC si consumului cronic de alcool; diabet zaharat insulin-
dependent
Presentation for abdominal pain in right upper and lower quadrant, nausea, decreased apetite, watery diarrhea,
chills, fever/ se prezinta pt. dureri in hemiabdomenul drept, greata, scaune diareice apoase, frison, febra
Test Patient’s value Normal values Units
Hgb 10 11.5 – 15.5 g/dl
Hct 31.8% 41 – 47%
WBC/Leucocite 6,000 4,000 – 10,000/ mm³
Platelets/trombocite 49,000 150,000 – 400,000/ mm³
Serum albumin/albumina serica 2.6 3.5 - 5 mg/dl
2
γ - globulins 31% (polyclonal) 12 – 20%
Fibrinogen 181 200 - 400 mg/dl
APTT 49 27 - 35 seconds
Prothrombin Time/TQ 19 13 – 15.5 seconds
D-dimer 2.1 <0.5 μg/ml
ALT 36 7 - 40 U/l
AST 207 10 - 35 U/l
GGT 121 10 - 55 U/l
LDH 290 115 - 220 U/l
ALP 143 35 - 96 U/l
Direct bilirubin 6.1 0 – 0.2 mg/dl
Glucose 227 70 - 120 mg/dl
Creatinine 1.4 0.6 – 1.2 mg/dl
BUN 33 6 - 20 mg/dl
WBC differential count/formula leucocitara: Ne =60%, Lf = 18%
Rectal exam : heme-positive brown stool (gastro-intestinal bleeding)/ tuseu rectal: fecale cu reactie pozitiva pt. hem
(sangerare digestive)
Gram negative rod septicemia/septicemia cu bacili Gram(-)

Case No. 12
Test Patient’s value Normal values Units
Hgb 12.4 11.5 – 15.5 g/dl
WBC/Leucocite 15,200 4,000 – 10,000/ mm³
Platelets/trombocite 470,000 150,000 – 400,000/ mm³
Total serum proteins/proteine 6.8 6.5 - 8 g/dl
serice totale
Serum proteins
electrophoresis/electroforeza
proteinelor serice
Albumin 54% 60%
α1 - globulins 7.5% 4 – 6%
α2 - globulins 12.5% 6 – 9%
β - globulins 12% 9 – 12%
γ - globulins 14% 12 – 20%
CRP 21 0.3 - 3 mg/l
Fibrinogen 445 200 - 400 mg/dl
APTT 34 27 - 35 seconds
ALT 110 7 - 40 U/l
AST 95 10 - 35 U/l
GGT 100 10 - 55 U/l
 LDH 380 115 - 220 U/l
ALP 250 35 - 96 U/l
Amylase 750 20 - 96 U/l
Lipase 200 3 - 45 U/l
CK-MB 1.8 0 – 5.5 μg/l
Total bilirubin 3.5 0.3 – 1.2 mg/dl
Unconjugated (indirect) bilirubin 1 0.2 – 1 mg/dl
Direct bilirubin 2.5 0 – 0.2 mg/dl
Total cholesterol 270 120 - 200 mg/dl
Triglycerides 435 45 - 150 mg/dl
Glucose 210 70 - 120 mg/dl
Creatinine 1.5 0.6 – 1.2 mg/dl
Urea 120 10 - 48 mg/dl
WBC differential count/ formula leucocitara: 85% Ne 3
Urine: bilirubin (+)

Case No. 13
Test Patient’s value Normal values Units
Hgb 9.5 11.5 – 15.5 g/dl
Hct 30.4% 41 – 47%
RBCs/eritrocite 4 x 10⁶/ mm³ 4.1 – 4.6 x 10⁶/ mm³
MCV/VEM 76 80 - 100 fl
MCHC/CHEM 31.2 32 - 34 g/dl erythrocytes
Reticulocyte count/reticulocite 14‰ 5 - 15‰
RDW 14.55 11 – 15%
WBC/Leucocite 8,900 4,000 – 10,000/ mm³
Platelets/trombocite 358,000 150,000 – 400,000/ mm³
Total serum proteins/proteine 5.9 6.5 - 8 g/dl
serice totale
Serum albumin/albumina serica 2.8 3.5 - 5 mg/dl
Serum proteins
electrophoresis/electroforeza
proteinelor serice
Albumin 47% 60%
α1 - globulins 3% 4 – 6%
α2 - globulins 25% 6 – 9%
β - globulins 15% 9 – 12%
γ - globulins 10% 12 – 20%
Fibrinogen 524 200 - 400 mg/dl
Total cholesterol 375 120 - 200 mg/dl
HDL-cholesterol 44 >58 mg/dl
LDL-cholesterol 176 <130 mg/dl
Triglycerides 400 45 - 150 mg/dl
Glucose 106 70 - 120 mg/dl
Creatinine 0.8 0,6 – 1,2 mg/dl
Urea 39 10 - 48 mg/dl
BUN 18 6 - 20 mg/dl
Total serum iron/sideremie 34 50 – 150 μg/dl
TIBC/CTLF 205 300 - 400 μg/dl
24-hr urine protein /proteinuria pe 24 h= 11.2g
Case No. 14

Test Patient’s value Normal values Units

Hgb 14.3 11.5 – 15.5 g/dl
WBC/Leucocite 11,000 4,000 – 10,000/ mm³
Platelets/trombocite 475,000 150,000 – 400,000/ mm³
Total serum proteins/proteine 7.1 6.5 - 8 g/dl
serice totale
Serum proteins
electrophoresis/electroforeza
proteinelor serice
Albumin 52% 60%
α1 - globulins 7% 4 – 6%
α2 - globulins 14% 6 – 9%
β - globulins 10% 9 – 12% 4
γ - globulins 17% 12 – 20%
Fibrinogen 479 200 - 400 mg/dl
CRP 15.9 0.3 - 3 mg/l
APTT 61 27 - 35 seconds
Prothrombin Time/TQ 17 13 – 15.5 seconds
ALT 79 7 - 40 U/l
AST 556 10 - 35 U/l
GGT 43 10 - 55 U/l
LDH 245 115 - 220 U/l
CK-MB 18 0 – 5.5 μg/l
Direct bilirubin 0.2 0 – 0.2 mg/dl
Troponin T 14 <0.2 ng/ml
Total cholesterol 268 120 - 200 mg/dl
HDL-cholesterol 22 >58 mg/dl
LDL-cholesterol 143 <130 mg/dl
Triglycerides 320 45 - 150 mg/dl
Glucose 250 70 - 120 mg/dl
Creatinine 1.3 0.6 – 1.2 mg/dl
Urea 56 10 - 48 mg/dl
Obs. Heparin treatment