Lab parameters

Patient

Reference value

Hemoglobin

10.9 gm/dl

11-12 gm/dl

WBCs

16000/mL

< 12000/mL

Platelets

1.9 lacs/mL

1.5-4.5 lacs/mL

Erythrocyte sedimentation rate

3 mm in 1^st hour

< 20 mm in 1^st hour

HsCRP

38.20 mg/dL

< 6 mg/dL

Serum sodium

141 mEq/L

135-145 mEq/L

Serum potassium

1.74 mEq/L

3.5-5.1 mEq/L

TSH

Free T3

Free T4

1.09 mIU/L

0.57 pg/ml

0.615 ng/dl

TSH - 0.3-4.0 mIU/L

Free T3 - 2.2-4.2 pg/ml

Free T4 - 0.80-1.70 ng/dl

ABG

pH-7.13,

pCO₂- 23 mmHg,

HCO₃-6.8 mmol/L,

Na-140 mmol/L,

K-1.74 mmol/L,

Chloride-122 mmol/L,

Serum Osmolality-305 mosm/kg

Urinalysis

pH-7,

urinary Na-68 mmol/L,

urinary K-37 mmol/l,

urinary Chloride-97 mmol/L,

urine osmolality-327 mosm/kg

Serum anion gap

10.8 mmol/L

Normal range 8-12 mmol/L

Urinary anion gap

8 mmol/L (positive)

Positive - in favor of renal potassium loss

TTKG

18.45

TTKG > 4 - suggestive of renal loss

Fractional bicarbonate excretion

4.10%

< 5% - in favor of distal RTA

KFT

Urea-83 mg/dl,

Creatinine-1.97 mg/dl

Urea - 17-43 mg/dl

Creatinine 0.6-1.1 mg/dl

eGFR

26.8 mg/min/m²

< 60 mg/min/m² - renal dysfunction

Viral markers

HIV-negative

HBsAg-negative

Anti HCV-negative

Negative

Autoimmune profile

ANA-Positive,

Anti SS-A-positive,

Anti SS-B-positive,

Negative

Schrimmers Test

3 mm in both eyes

< 10 mm - suggestive of dry eye

CECT brain

No abnormalities detected

Ultrasound abdomen

No evidence of nephrocalcinosis

Buccal mucosa punch biopsy

Mild lymphocytic inflammation and unremarkable minor salivary glands.