Investigations Hemoglobin: Low (6–8 g/dL) Renal: Elevated creatinine, nephrotic-range proteinuria (UPCR 4.6), active urinary sediments Autoimmune markers: ANA positive, anti-dsDNA elevated,Ro60, Ro52, histones, nucleosomes positive, low C3 and C4 Cardiac: Elevated troponin, markedly raised NT Pro-BNP (ranging between 40,000 & 1,00,000) Echo: Preserved ejection fraction, pericardial effusion CT chest: Ground-glass opacities, pleural effusion BAL: GeneXpert positive for tuberculosis CRP elevated Give this investigations also in that format that is more presentable
Reading Document
Investigations (Presentable Format)
1) Hematology
| Test | Finding | Interpretation |
|---|---|---|
| Hemoglobin | Low (6 to 8 g/dL) | Severe anemia |
2) Renal Evaluation
| Test | Finding | Interpretation |
|---|---|---|
| Serum creatinine | Elevated | Renal dysfunction |
| Urine protein/creatinine ratio (UPCR) | 4.6 (nephrotic-range proteinuria) | Significant glomerular protein loss |
| Urine microscopy | Active urinary sediments | Active nephritic process |
3) Autoimmune / Immunology Profile
| Marker | Finding | Interpretation |
|---|---|---|
| ANA | Positive | Autoimmune activity |
| Anti-dsDNA | Elevated | Active lupus disease activity |
| Ro60 / Ro52 | Positive | Autoimmune antibody positivity |
| Anti-histone | Positive | Autoimmune serology positivity |
| Anti-nucleosome | Positive | Supports lupus activity |
| Complement C3, C4 | Low | Immune-complex consumption, active disease |
4) Cardiac Workup
| Test | Finding | Interpretation |
|---|---|---|
| Troponin | Elevated | Myocardial injury |
| NT-proBNP | Markedly raised (40,000 to 100,000) | Severe cardiac strain / volume overload |
| Echocardiography | Preserved ejection fraction, pericardial effusion | HFpEF pattern with serosal involvement |
5) Pulmonary / Thoracic Evaluation
| Test | Finding | Interpretation |
|---|---|---|
| CT chest | Ground-glass opacities, pleural effusion | Pulmonary inflammatory/infective involvement with pleural disease |
| BAL GeneXpert | Positive for tuberculosis | Microbiological evidence of pulmonary TB |
6) Inflammatory Marker
| Test | Finding | Interpretation |
|---|---|---|
| CRP | Elevated | Ongoing systemic inflammation |
One-line Clinical Summary
Investigations suggest active systemic lupus flare (including lupus nephritis and serositis), severe anemia, major cardiorenal involvement, and concomitant pulmonary tuberculosis.
If you want, I can also convert this into a timeline-style “Investigations Timeline” graphic text layout matching your treatment timeline format (year/month blocks).
This is a shared conversation. Sign in to Orris to start your own chat.