Laboratory Report

Laboratory: Cedarline Medical Center Clinical Laboratory — CLIA #05D0668421

Patient: Donnelly, Margaret R.

DOB / Age / Sex: 09/12/1954 / 71 / F

MRN: CLH-3358104

Account #: CMCS-202604-073318

Member ID:

Insurance: Anthem Blue Cross PPO (Group SPP-PPO-2208)

Ordering Providers: Priya Natarajan, MD (ED), David Okafor, MD (Hospitalist), Stephen Halvorsen, MD (Critical Care)

Hematology — CBC with Differential

Collected: 04/14/2026 19:50 | Resulted: 04/14/2026 20:10 | Specimen: Whole blood, EDTA

Analyte	Value	Units	Reference Range	Flag
WBC	18.5	K/uL	4.5 - 11.0	H
Neutrophils %	80	%	40 - 70	H
Bands %	14	%	0 - 5	H*
Lymphocytes %	6	%	20 - 45	L
Hemoglobin	11.8	g/dL	12.0 - 16.0	L
Hematocrit	35.4	%	36 - 46	L
Platelets	198	K/uL	150 - 400
MCV	87.6	fL	80 - 100
WBC (discharge, 04/19)	9.8	K/uL	4.5 - 11.0

Chemistry — Comprehensive Metabolic Panel (admission)

Collected: 04/14/2026 19:50 | Resulted: 04/14/2026 20:18 | Specimen: Serum

Analyte	Value	Units	Reference Range	Flag
Sodium	133	mmol/L	136 - 145	L
Potassium	4.7	mmol/L	3.5 - 5.1
Chloride	100	mmol/L	98 - 107
Bicarbonate (CO2)	18	mmol/L	22 - 29	L
BUN	44	mg/dL	7 - 20	H
Creatinine (admission)	2.4	mg/dL	0.6 - 1.1	H
Glucose	238	mg/dL	70 - 99	H
Calcium	8.3	mg/dL	8.6 - 10.2	L
AST	34	U/L	10 - 40
ALT	29	U/L	7 - 56
Total Bilirubin	0.8	mg/dL	0.1 - 1.2
Albumin	3.1	g/dL	3.5 - 5.0	L
eGFR (CKD-EPI)	21	mL/min/1.73m^2	>60	L

Chemistry — Creatinine Trend (serial)

Analyte	Value	Units	Reference Range	Flag
Creatinine — baseline (prior outpatient) resulted Prior to admission (per outpatient records)	1.3	mg/dL	0.6 - 1.1	H
Creatinine — admission (04/14) Collected 04/14/2026 19:50	2.4	mg/dL	0.6 - 1.1	H
Creatinine — hospital day 2 PEAK (04/16) Collected 04/16/2026 06:00	2.8	mg/dL	0.6 - 1.1	H*
Creatinine — discharge (04/19) Collected 04/19/2026 06:00	1.5	mg/dL	0.6 - 1.1	H

Sepsis Panel

Analyte	Value	Units	Reference Range	Flag
Lactate (initial, venous) Collected 04/14/2026 19:50; resulted 04/14/2026 20:06	3.8	mmol/L	0.5 - 2.2	H*
Lactate (repeat, 3 hours — post 30 mL/kg) Collected 04/14/2026 22:50; resulted 04/14/2026 23:08	2.4	mmol/L	0.5 - 2.2	H
Lactate (next day) Collected 04/15/2026 06:00; resulted 04/15/2026 06:22	1.6	mmol/L	0.5 - 2.2
Procalcitonin Collected 04/14/2026 20:05; resulted 04/14/2026 23:40	8.2	ng/mL	<0.5	H*
C-Reactive Protein (CRP) Collected 04/14/2026 20:05; resulted 04/14/2026 21:30	201	mg/L	<5	H*

Urinalysis with Microscopy

Collected: 04/14/2026 19:55 (straight catheter specimen) | Resulted: 04/14/2026 20:30

Analyte	Value	Reference Range	Flag
Color	Dark amber	Yellow, clear
Clarity	Cloudy	Clear	*
Specific gravity	1.024	1.005 - 1.030
pH	6.0	5.0 - 8.0
Leukocyte esterase	Large	Negative	H*
Nitrite	Positive	Negative	*
Protein	Trace	Negative
Glucose	2+	Negative	H
WBC (microscopy)	>100 / HPF	0 - 5	H*
RBC (microscopy)	10 - 20 / HPF	0 - 3	H
Bacteria	Many	None - few	*

Urine Culture

Collected: 04/14/2026 19:55 (straight catheter specimen)

Analyte	Value	Units	Reference Range	Flag
Urine culture resulted Final 04/16/2026 10:20	Escherichia coli >100,000 CFU/mL (pan-susceptible)			*

Blood Cultures (x 2 sets, peripheral)

Collected: 04/14/2026 20:05 (prior to antibiotics)

Analyte	Value	Flag
Set 1 — Aerobic bottle resulted Preliminary gram stain 04/15/2026 12:10; final speciation 04/16/2026 09:30	Escherichia coli — positive at ~16 hours	*
Set 1 — Anaerobic bottle	No growth after 5 days
Set 2 — Aerobic bottle	Escherichia coli — positive at ~16 hours	*
Set 2 — Anaerobic bottle	No growth after 5 days

Antimicrobial Susceptibilities — Escherichia coli (pan-susceptible) — 2 of 2 sets positive (bacteremia)

Agent	MIC	Interpretation
Ampicillin	<=8	Susceptible
Ampicillin/Sulbactam	<=8/4	Susceptible
Ceftriaxone	<=1	Susceptible
Ciprofloxacin	<=0.25	Susceptible
Gentamicin	<=1	Susceptible
Nitrofurantoin	<=16	Susceptible
Trimethoprim/Sulfamethoxazole	<=0.5/9.5	Susceptible

ESBL screen: Negative | Reported: 04/16/2026 09:30

Venous Blood Gas (ED)

Collected: 04/14/2026 19:52

Analyte	Value	Units	Reference Range	Flag
pH	7.31		7.32 - 7.42	L
pCO2	31	mmHg	38 - 50	L
HCO3	17	mmol/L	22 - 26	L
Base excess	-7	mmol/L	-2 - +2	L*

Flag Legend: H = High; L = Low; * = Critical / notable abnormal

Released by: Cedarline Medical Center Clinical Laboratory — electronic signature on file

____________________________

Attending: David Okafor, MD — Internal Medicine/Hospitalist — NPI 1538220017

Signed electronically: 04/16/2026 07:55 (results reviewed)

CONFIDENTIAL: This document contains protected health information. Unauthorized disclosure is prohibited by federal law (HIPAA).