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python3 -c " import pdfplumber with pdfplumber.open('/tmp/workspace/attachments/d0d14f5f-ddec-4236-9501-e14c9cf3e76d/PIYUSH.pdf') as pdf: print(f'Total pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): print(f'\n--- PAGE {i+1} ---') text = page.extract_text() print(text) tables = page.extract_tables() if tables: print(f' [Tables on page {i+1}]: {len(tables)}') for j, table in enumerate(tables): print(f' Table {j+1}:') for row in table: print(' ', row) "
I have all the data. Here is a complete analysis of Mr. Piyush Yadav's lab report:
🩺 Lab Report Analysis — Mr. Piyush Yadav
Age/Sex: 40 years / Male | Date: 16 July 2026 | Package: AROGYAM (₹2200)
⚠️ Abnormal / Out-of-Range Results
| Test | Result | Reference Range | Status | Concern |
|---|---|---|---|---|
| Platelet Count | 1.17 lakh/cumm | 1.50 – 4.50 lakh | 🔴 LOW | Thrombocytopenia (mild) |
| Total/HDL Cholesterol Ratio | 5.86 | 0.00 – 5.00 | 🔴 HIGH | Elevated cardiovascular risk |
| Hs-CRP | 0.45 mg/dL | 0.00 – 0.30 | 🔴 HIGH | High cardiovascular risk category |
| HbA1c | 5.70% | ≤ 5.6% (non-diabetic) | 🟡 BORDERLINE | Pre-diabetic range |
| LDL/HDL Ratio | 2.17 | 2.5 – 3.5 | 🟢 LOW-NORMAL | Below reference — generally favorable |
| HDL Cholesterol | 35.0 mg/dL | 30 – 70 | 🟡 LOW-NORMAL | At the lower end; low HDL is a risk factor |
✅ Normal Results Summary
Hematology (CBC)
| Test | Result | Range | Status |
|---|---|---|---|
| Haemoglobin | 13.1 g/dL | 13–18 | ✅ Normal (lower boundary) |
| TLC (WBC) | 4800/cumm | 4000–11000 | ✅ Normal |
| Neutrophils | 55% | 40–75% | ✅ Normal |
| Lymphocytes | 38% | 20–40% | ✅ Normal |
| Eosinophils | 3% | 2–6% | ✅ Normal |
| Monocytes | 4% | 0–10% | ✅ Normal |
| Basophils | 0% | 0–1% | ✅ Normal |
| Total RBC | 4.77 million/cumm | 4.20–5.20 | ✅ Normal |
| ESR | 5 mm/hr | 0–20 | ✅ Normal |
Biochemistry
| Test | Result | Range | Status |
|---|---|---|---|
| Fasting Glucose | 84.0 mg/dL | 70–110 | ✅ Normal |
| Urea | 23.0 mg/dL | 15–45 | ✅ Normal |
| Creatinine | 0.80 mg/dL | 0.4–1.4 | ✅ Normal |
| Calcium | 9.70 mg/dL | 8.5–10.5 | ✅ Normal |
| Uric Acid | 5.10 mg/dL | 3.4–7.5 | ✅ Normal |
| Phosphorous | 3.60 mg/dL | 2.5–5.5 | ✅ Normal |
| Sodium | 142.2 mEq/L | 136–145 | ✅ Normal |
| Potassium | 3.69 mEq/L | 3.5–5.2 | ✅ Normal |
| eGFR | 118.2 mL/min/1.73m² | >90 | ✅ Normal (excellent kidney function) |
Liver Function (LFT)
| Test | Result | Range | Status |
|---|---|---|---|
| GGT | 22.0 IU/L | 5–40 | ✅ Normal |
| Bilirubin Total | 0.30 mg/dL | 0.3–1.0 | ✅ Normal |
| SGOT (AST) | 27.0 IU/L | 0–40 | ✅ Normal |
| SGPT (ALT) | 36.0 IU/L | 0–40 | ✅ Normal |
| Alkaline Phosphatase | 89.0 IU/L | 30–120 | ✅ Normal |
| Total Protein | 6.60 g/dL | 6.5–8.5 | ✅ Normal |
| Albumin | 3.70 g/dL | 3.5–5.5 | ✅ Normal |
🔍 Key Clinical Interpretation
1. 🩸 Mild Thrombocytopenia (Low Platelets — 1.17 lakh)
Platelet count is below the lower limit of normal (1.50 lakh). This is mild but warrants attention. Possible causes include viral infections, nutritional deficiencies (B12/folate), or early immune thrombocytopenia. A repeat CBC and clinical correlation is recommended.
2. ❤️ Cardiovascular Risk Profile — Needs Attention
Three overlapping signals indicate elevated cardiovascular risk:
- High Hs-CRP (0.45 mg/dL) - Falls in the "High Risk" category per CDC/AHA guidelines (>0.3 mg/dL). This is a marker of systemic inflammation and cardiovascular disease risk.
- Elevated Total/HDL Ratio (5.86) - Above the 5.0 threshold, a well-recognized predictor of coronary artery disease risk.
- Low-normal HDL (35 mg/dL) - HDL ("good cholesterol") is at the lower end. Low HDL is an independent risk factor for heart disease.
LDL (76 mg/dL) and triglycerides (80 mg/dL) are well within normal range, which is reassuring.
3. 🍬 Pre-Diabetic HbA1c (5.70%)
HbA1c of 5.7% falls exactly in the pre-diabetic range (5.7–6.4%) per ADA guidelines. Fasting glucose is normal (84 mg/dL), which is reassuring. However, this signals early impairment in long-term glucose regulation. Lifestyle intervention (diet + exercise) at this stage can prevent progression to diabetes.
4. ✅ Organ Function is Good
- Kidneys: eGFR of 118.2 is excellent - no impairment.
- Liver: All LFT values are normal - no hepatic stress.
- Electrolytes: Perfectly balanced.
📋 Recommendations
| Priority | Action |
|---|---|
| 🔴 Urgent | Recheck platelet count in 2–4 weeks; consult physician if it falls further |
| 🔴 Important | Consult a physician/cardiologist regarding elevated Hs-CRP and Total/HDL ratio |
| 🟡 Advisory | Begin lifestyle changes to address pre-diabetic HbA1c - reduce refined carbs, increase physical activity |
| 🟡 Advisory | Increase HDL through aerobic exercise, reduce trans fats |
| 🟢 Maintenance | Continue current habits maintaining good kidney and liver health |
Note: This analysis is for informational purposes only and is not a substitute for clinical consultation. The report itself states: "This report is for the perusal of doctor only. Clinical correlation is essential." Please consult Dr. M.K. Gupta (Consultant Pathologist) or your treating physician for medical advice.
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