Registered ✅ — Excellent! Full 40-page cumulative lab report from SVP Hospital now processed. Here's the complete, organised lab summary: --- ## 🧪 COMPLETE LAB INVESTIGATIONS — SERIAL SUMMARY ### 🔴 CBC (Serial Trend — Key Parameters) | Parameter | 21/03 | 22/03 | 25/03 | 27/03 | 29/03 | Post-Rx | |---|---|---|---|---|---|---| | **Hb (g/dL)** | **9.9 🔴** | 10.3 | 9.6 | 9.5 | **8.8 🔴** | 11.3 | | **WBC (×10³)** | **12.24 🔴** | 17.46 | 14.08 | 15.45 | **14.71 🔴** | 12.15 | | **Neutrophils (%)** | **82 🔴** | 87 | 86 | 84 | 87 | 79 | | **Lymphocytes (%)** | **9 🔴** | 6 | 7 | 12 | 7 | 16 | | **Platelets (×10³)** | **684 🔴** | 795 | 858 | 675 | **640 🔴** | 776 | | **ESR (mm/hr)** | **85 🔴** | — | — | — | **85 🔴** | 38 | | Hematocrit (%) | 32.9 | 34.3 | 32.1 | 31.6 | 29.9 | 40.7 | | MCV | 92.7 | 92.3 | 91.9 | 90.7 | 93.4 | 98.0 | | MCHC | 30.0 🔴 | 30.1 | 30.0 | 30.0 | 29.5 | 27.9 | > 🔑 **Normocytic normochromic anaemia + leukocytosis + marked thrombocytosis + elevated ESR** — consistent with active systemic vasculitis / inflammatory state --- ### 🟡 LFT (Serial Trend) | Parameter | 21/03 | 25/03 | 29/03 | |---|---|---|---| | SGOT/AST | **83 🔴** | 52 | 40 | | SGPT/ALT | **103 🔴** | **140 🔴** | **88 🔴** | | ALP | **214 🔴** | **147 🔴** | **233 🔴** | | T. Bilirubin | 1.2 | 0.5 | **2.3 🔴** | | D. Bilirubin | **0.56 🔴** | 0.20 | **1.34 🔴** | | Albumin | 3.5 | 3.2 🔴 | 3.7 | | A/G Ratio | 1.06 | 1.14 | 1.23 | > 🔑 Significant transaminitis with elevated ALP — attributed to **HEV infection + sepsis + drug-induced** (GastroMed opinion) — resolved after treatment --- ### 🟢 RFT (Serial Trend) | Parameter | 21/03 | 25/03 | 27/03 | 29/03 | |---|---|---|---|---| | Creatinine (mg/dL) | 0.75 | 0.58 🔴 | 0.68 🔴 | 0.76 | | Urea (mg/dL) | 12.8 🔴 | — | 17.1 🔴 | 23.5 | | Na+ (mEq/L) | 131 🔴 | 137 | 132 | 132 | | K+ (mEq/L) | 4.57 | 4.41 | 3.95 | **5.64 🔴** | | Cl⁻ | 91.9 🔴 | 97.9 | 93.9 | 92.2 🔴 | > 🔑 **Creatinine consistently low-normal** — no significant renal impairment despite pulmo-renal syndrome (sub-clinical renal vasculitis) — important to highlight --- ### 🔴 Urine Routine (Serial — KEY FINDING) | Parameter | 22/03 | 23/03 | 29/03 | 30/03 | |---|---|---|---|---| | **Blood** | **PRESENT (++)** | **TRACE** | **PRESENT (++)** | **PRESENT (++)** | | **Red Cells/hpf** | **10–12 🔴** | **4–8 🔴** | **10–12 🔴** | **6–8 🔴** | |