NAME : XXXXXXXXXXXXX

AGE\SEX: XX\XXXXXX

DOCTOR :

FINAL IMPRESSION

Dr.XXXXXX

Mr. XXXXXX, aged XX years underwent an Care health check on 14^th may 2004. He is physically active. He is not known Diabetic or hypertensive. Physical examination was normal.

On investigation, his haemogram and urine analysis was normal. Blood chemistry was normal. Chest X-ray was normal. Ultrasound abdomen showed Gall bladder wall polyp.

He is advised:

1. Hearty healthy diet
2. Regular exercise program.

X-RAY CHEST PA VIEW

Radiologist: DR.XXXXXXXX

FINDINGS

• Cardia size and contour are within normal limits.

• Hilae are normal.

• Pulmonary vasculature is normal.

• Both lungs are clear.

• Both CP angles are clear.

• Both domes of diaphragm are normal.

• Soft tissue and rib cage are normal.

IMPRESSION: NORMAL STUDY

ULTRA SOUND (WHOLE ABDOMEN)

Radiologist: DR. XXXXX

FINDINGS:

• LIVER: Normal in size, shape and echotexture. No I.H.B.D \ Focallesions. Hepatic veins and IVC are normal.
• GALL BLADDER: Well distende with normal walls. Evidence of hypercehoic non mobile mass lesion of approximately size 3mm seen attached to wall. Suggestion of polyp. No pericholecystic collection.
• COMMON BILE DUCT AND PORTAL VEIN: CBD-3mm and PV-9mm. Normal in diameter.
• PANCREAS: Not visualized.
• SPLEEN: 93mm. Normal in size and echotexture.
• KIDNEYS: Right Kidney: 100mm and Left Kidney: 106mm. Normal in size, shape and echotexture. No evidence of calculi\ hydronephrosis.
• ORDINARY BLADDER: Within Normal Limits.
• OTHERS: Midline structures not visualized due to poor window. No evidence of free fluid in abdomen.

IMPRESSION: Gall bladder wall polyp.

PSA(PROSTATIC SPECIFIC ANTIGE)

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMALVALUE	RESULT
1	PSA(PROSTATIC SPECIFIC ANTIGE)	ELISA\Chemiluminiscence	Less than 4.0 ng\ml	0.6 ng\ml

LIPID PROFILE (FASTING)

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMAL VALUE	RESULT
1	SERUM CHOLESTEROL	CHOD-PAP	Desirable:70-199 mg\dl Boderline:200-239mg\dl Desirable for patient: < or equal to 150 mg\dl	183 mg\dl
2	HDL CHOLESTROL	Precipitation & CHOD-PAP	> or equal to 40 mg\dl	40 mg\dl
3	LDL CHOLESTEROL	Calculated\Detergent technology	Desirable: <130 mg\dl	125 mg\dl
4	SERUM TRIGLYCERIDES	GPO	Desirable: <150 mg\dl	106 mg\dl

SERUM GGT (GAMMA-GT)

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMAL VALUE	RESULT
1	SERUMGGT (GAMMA-GT)	Kinetic,SZASZ	Male: 11-5- U\L Female: 7-32 U\L	16 U\L

BLOOD SUGAR FASTING & POST-LUNCH

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMAL VALUE	RESULT
1	FASTING PLASMA GLUCOSE	GOD-POD	70-100 mg\dl	91 mg\dl
2	FASTING URINE GLUCOSE			NIL

BLOOD UREA

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMAL VALUE	RESULT
1	BLOOD UREA	GLDH-UV	13-43 mg\dl	25 mg\dl

SERUM CREATININE

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMAL VALUE	RESULT
1	SERUM CREATININE	Kinetic\Jaffe	Male: 0.7-1.3 mg\dl Female: 0.6-1.1 mg\dl Child: 0.3-0.7 mg\dl	1.1 mg\dl

LFT (LIVER FUNCTION TEST)

BIO-CHEMIST:

S.NO	INVESTIGATIONS	NORMAL VALUE	RESULT
1.	TOTAL BILIRUBIN	0.3-1.2 mg%	0.7 mg%
2.	ALKALINE PHOSPHATASE	Male:80-306 U\L Female:64-306 U\L Child: 64-510 U\L	185 U\L
3.	SGPT	Male:13-40 IU\L Female: 10-28 IU\L	42 IU\L
4.	SGOT	UPTO 40 IU\L	27 IU\L
5.	TOTAL PROTEINS	86.0-8.0 gms\dl	8.0 gms\dl
6.	SERUM ALBUMIN	3.7-5.2 gms\dl	4.5 gms\dl
7.	GLOBULIN		3.5 gms\dl

SERUM URIC ACID

BIO-CHEMIST:

S.NO	INVESTIGATIONS	METHOD	NORMAL VALUE	RESULT
1.	SERUM URIC ACID	Uricase-POD	Male: 3.5-7.2 mg\dl Female: 2.6-6.0 mg\dl	5.2 mg\dl

STOOL ROUTINE EXAMINATION

Pathologist

MACROSCOPIC EXAMINATION

S.NO	INVESTIGATIONS	RESULT
1.	COLOUR	BROWN
2.	CONSISTENCY	SEMI SOLID
3.	BLOOD MUCUS	ABSENT
4.	REACTION	ALKALINE

MICROSCOPIC EXAMINATION

S.NO	INVESTIGATIONS	RESULT
1.	OVA	ABSENT
2.	CYSTS	ABSENT
3.	RBC	NIL
4.	PUS CELLS	OCCASIONAL\HPF
5.	OTHERS	NIL

COMPLETE URINE STUDY

Pathologist:

PHYSICAL EXAMINATION

S.NO	INVESTIGATIONS	RESULT
1.	QUANTITY	30 ML
2.	COLOUR	PALE YELLOW
3.	APPEARANCE	CLEAR
4.	REACTION	ACIDIC
5.	SPECIFIC GRAVITY	1.025

CHEMICAL EXAMINATION

S.NO	INVESTIGATIONS	RESULT
1.	ALBUMIN	NIL
2.	SUGAR	NIL
3.	BILE SALTS	ABSENT
4.	BILE PIGMENTS	NEGATIVE
5.	KETONE BODIES	NEGATIVE

MICROSCOPIC EXAMINATION

S.NO	INVESTIGATIONS	RESULT
1.	PUS CELLS	OCCASIONAL\HPF
2.	EPITHELIAL CELLS	1-2 \HPF
3.	R.B.C	NIL
4.	CRYSTALS	ABSENT
5	CAST	ABSENT
6.	MUCUS	ABSENT
7.	BACTERIA	ABSENT
8.	OTHERS	NIL

BLOOD GROUPING AND RH TYPING

Pathologist:

S.NO	INVESTIGATIONS	RESULT
1.	BLOOD GROUPING	“O”
2.	RH TYPING	POSITIVE

SEROLOGY REPORT

Microbiologist

S.NO	INVESTIGATIONS	METHOD	RESULT
1.	VDRL	RAPID PLASMA REAGIN	NON-REACTIVE