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This is a medical lab report for Prem, an 82-year-old female, collected today (July 29, 2026). Let me break it down clearly.
Patient Lab Report Summary - Prem (82F)
Sample collected: 29 Jul 2026, 06:49 AM | Report status: Partial
1. BIOCHEMISTRY
Electrolytes & Kidney Function (Advanced)
| Test | Value | Unit | Reference Range | Status |
|---|---|---|---|---|
| Serum Potassium | 4.25 | mmol/L | 3.5 - 5.5 | ✅ Normal |
| Serum Sodium | 123 | mmol/L | 136 - 146 | 🔴 LOW |
| Serum Chloride | 93 | mmol/L | 101 - 109 | 🔴 LOW |
| Serum Creatinine | 0.50 | mg/dL | 0.6 - 1.3 | 🟡 Low-normal |
| eGFR (CKD-EPI) | 93.58 | mL/min/1.73m² | ✅ Normal (Stage 1) | |
| Serum Uric Acid | 2.2 | mg/dL | 2.6 - 6.0 | 🟡 Slightly low |
| Serum Calcium | 8.5 | mg/dL | 8.8 - 10.6 | 🟡 Borderline low |
| Serum Phosphorus | 3.6 | mg/dL | 2.5 - 4.5 | ✅ Normal |
| Blood Urea | 20.8 | mg/dL | 17 - 43 | ✅ Normal |
| BUN | 9.7 | mg/dL | 8 - 20 | ✅ Normal |
| BUN/Creatinine Ratio | 19.44 | ✅ Normal |
Key concern - Hyponatremia (Low Sodium = 123 mmol/L):
- Normal sodium is 136-146 mmol/L. At 123, this is significant hyponatremia (below 130 is considered moderate-severe).
- Low chloride (93 vs. 101-109) is consistent with this - these often fall together.
- In an 82-year-old woman, this warrants prompt clinical evaluation. Common causes include excess fluid intake, diuretic use, SIADH, hypothyroidism, heart failure, liver disease, or adrenal insufficiency.
- Symptoms at this level can include confusion, weakness, nausea, and in severe cases, seizures.
2. COAGULATION
| Test | Value | Unit | Reference Range | Status |
|---|---|---|---|---|
| Prothrombin Time (PT) | 11.00 | Sec | 8.9 - 13.3 | ✅ Normal |
| INR | 0.99 | 0.80 - 1.16 | ✅ Normal | |
| aPTT (Patient) | 29.10 | Sec | 25.7 - 37.3 | ✅ Normal |
| aPTT Ratio | 0.92 | 0.82 - 1.18 | ✅ Normal |
Clotting function is entirely normal. The patient does not appear to be on anticoagulant therapy, and there is no evidence of a bleeding or clotting disorder from these results.
3. SEROLOGY (HIV SmartDetect Package)
| Test | Result | Status |
|---|---|---|
| HBsAg (Hepatitis B Surface Antigen) | Non-Reactive | ✅ Negative |
| Anti-HCV Antibody (Hepatitis C) | Non-Reactive | ✅ Negative |
| RPR (Syphilis screen) | Non-Reactive | ✅ Negative |
All infectious disease markers are negative.
Summary of Concerns
-
Significant Hyponatremia (Na = 123 mmol/L) - This is the most important finding. Sodium is well below normal and needs urgent medical attention. A physician should evaluate the cause and decide on management (fluid restriction, sodium correction, etc.).
-
Low Chloride (93 mmol/L) - Likely secondary to the hyponatremia; the two often move together.
-
Borderline low Calcium (8.5) - Marginally below the reference range. Worth monitoring, especially in an elderly woman (osteoporosis risk).
-
Report is "Partial" - Additional results may still be pending.
Important: This is a medical lab report for a real patient. The hyponatremia finding at Na = 123 in an 82-year-old is clinically significant and should be reviewed by a doctor as soon as possible.
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