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Here is a complete breakdown of this pathology report dated 23-Jul-2026 for a female patient from Mardan, Pakistan.

Patient Information

Gender: Female
Location: Mardan, Pakistan
Date of Report: 23-Jul-2026
Contact: 0316-3460080

CHEMICAL PATHOLOGY

S.No	Parameter	Result	Normal Range	Unit	Status
1	Sodium (Na)	135.5	135-148	mmol/L	Normal
2	Potassium (K)	4.51	3.6-5.2	mmol/L	Normal
3	Chloride (Cl)	104.6	98-108	mmol/L	Normal
4	Creatinine	1.23	0.7-1.2	mg/dl	⚠️ Slightly HIGH
5	Blood Urea	67	10-50	mg/dl	⚠️ HIGH
6	D-Dimer (HC06)	8510	140-198	ng/mL	🔴 CRITICALLY HIGH

HEMATOLOGY

S.No	Parameter	Result	Normal Range	Unit	Status
1	WBC	13.4	4-11 ×10³/ul	×10³/ul	⚠️ HIGH
2	NEU%	55.1	40-70	%	Normal
3	LYM%	25.4	20-40	%	Normal
4	Mon%	6.8	4-12	%	Normal
5	EOS%	2.3	2-6	%	Normal
6	BASO%	0.4	0-1.7	%	Normal
7	Abs.Neo	8.7	2.7 ×10³/ul	×10³/ul	⚠️ HIGH
8	Abs.Lym	3.4	1.3-2.7 ×10³/ul	×10³/ul	⚠️ HIGH
9	Abs.Mono	0.9	0.24-0.70 ×10³/ul	×10³/ul	⚠️ HIGH
10	Abs.Eos	0.1	0.03-0.44 ×10³/ul	×10³/ul	Normal
11	Abs.Baso	0.1	0-0.80 ×10³/ul	×10³/ul	Normal
12	RBC	4.1	04.5-5.3 ×10⁶/ul	×10⁶/ul	⚠️ LOW
13	HB	9.9	14-17 g/dl	g/dl	🔴 LOW (Anemia)
14	MCV	76.7	76-90 fl	fl	Normal (low-normal)
15	HCT (PCV)	31.4	33-43	%	⚠️ LOW
16	MCH	24.1	25-31 pg	pg	⚠️ Slightly LOW
17	MCHC	31.4	30-35 g/dl	g/dl	Normal
18	RDW	19.4	11.5-12.5 g/dl	g/dl	🔴 HIGH
19	PLT	217.0	150-400 ×10³/ul	×10³/ul	Normal
20	MPV	7.8	07-11 fl	fl	Normal

Key Findings Summary

🔴 Critical / Significant Abnormalities:

D-Dimer = 8510 ng/mL (Normal: 140-198 ng/mL) - Extremely elevated. D-dimer is a fibrin degradation product; this level is very alarming and strongly suggests an active thromboembolic process such as deep vein thrombosis (DVT), pulmonary embolism (PE), or disseminated intravascular coagulation (DIC). Immediate clinical evaluation is needed.
Hemoglobin = 9.9 g/dl (Normal: 14-17 g/dl) - Significantly low, indicating moderate anemia. Combined with low MCV, low MCH, low HCT, and high RDW, this pattern is consistent with iron-deficiency anemia or a related microcytic/hypochromic anemia.
RDW = 19.4% (Normal: 11.5-12.5%) - Very high RDW suggests significant variation in red blood cell sizes (anisocytosis), typical of iron deficiency anemia or mixed deficiency.

⚠️ Elevated:

Blood Urea = 67 mg/dl (Normal: 10-50 mg/dl) - Mildly elevated. May indicate early renal impairment, dehydration, or increased protein catabolism.
Creatinine = 1.23 mg/dl (Normal: 0.7-1.2 mg/dl) - Marginally elevated, possibly suggesting early or mild kidney stress.
WBC = 13.4 ×10³/ul (Normal: 4-11) - Mildly elevated white cell count (leukocytosis), suggesting an inflammatory or infectious process.
Absolute Neutrophils, Lymphocytes, and Monocytes are all above reference range, contributing to the leukocytosis.

Clinical Impression

This patient's results paint a picture of:

Active thromboembolic or inflammatory event (very high D-dimer + leukocytosis)
Moderate iron-deficiency anemia (low Hb, low MCH, normal-low MCV, high RDW)
Mild renal impairment (elevated urea and creatinine)

⚠️ Important: This is an informational interpretation only and does not replace clinical judgment. The patient should be urgently evaluated by a physician - especially for the critically elevated D-dimer, which may require imaging (e.g., CT pulmonary angiography or Doppler ultrasound) and possible anticoagulation therapy.

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