Page 339 - tmp
P. 339

Progress Notes                                                                            Page 37 of 53



           Bloods 26/10/18
           Normal U&Es; eGFR 79; Normal bone profile and LFTs CRP 13

           BM 6.3 (normal)

           Mean Corpuscular Haemoglobin Cone 354 g/L (320 - 360) F
           Neutrophils H 10.1 x 10‘9/L (2.0 - 8.0) F
           White Blood Cell Count H 14.3 x 10*9/L (3.5 - 11.0) F
           Eosinophils 0.1 x 10‘9/L (0.0 - 0.4) F
           Haemoglobin: 156 g/L (130 - 180) F
           Haematocrit L 0.441 l/l (0.450 - 0.500) F
           Red Cell Distribution Width 13.8 % (10.0 - 15.0) F
           Monocytes H 1.2 x 10‘9/L (0.2 - 1.0) F
           Nuc. RBC count < 0.2 x 10‘9/L F
           Red Blood Cell Count 4.99 x 10*12/L (4.50 - 5.50) F
           Mean Corpuscular Haemoglobin 31.3 pg. (27.0 - 32.0) F
           Lymphocytes 2.9 x 10‘9/L (1.0 - 4.0) F
           Platelet Count 298 x 10‘9/L (130 - 450) F
           Basophils 0.1 x 10‘9/L (0.0 - 0.1) F
           Mean Corpuscular Volume 88.4 FL (78.0 - 100.0) F




           Impression
           Slighted raised WCC and Neuts with very minimal rise in CRP. Physical exam and observations do not show any signs of
           infection, however.

           Noted that patient does have history of Crohn's (will not take medications for it), which would explain results.
           Plan
           1.  Only for repeat bloods if patient becomes systemically unwell/appears to show any signs of infection
           2.  Await rest of bloods
           Originator Details: 26 Oct 2018 15:02 Maria Bruce Medical Originally Entered By Details:
           26 Oct 2018 15:03 Maria Bruce Last Amended By Details: 01 Nov 2018 16:21 Maria Bruce Validated
           By Details: 01 Nov 2018 16:21 Maria Bruce Significant: No Added to Risk History: No
           Contains Third Party Info: No Conceal From Client: Not Concealed





































         https://rio.beh-mht.cse.thirdparty.nhs.uk/rio/Reports/RiOReports.asp                         08/01/2019

                                                                  37
   334   335   336   337   338   339   340   341   342   343   344