The Swiss Medicine & Pharmaceuticals,
Consultation In Applied Research Using Ai & ML @ Institute Of Bio Medical Engineering, Applied Research Using BigData in Public Health
- Atellica Siemens Automated Analyzer
- Vitros ECI /Advia Centaur XP/Architect I 1000 SR/Liaison Random Access
- Checked Manually
- Vitors 5600/Advia Centaur Xpt/Immulite 2000 XPi/Liaison / Maglumi 2000 Plus Random Access Immunoassay Analyzer,
- Urised 3 and Labumat Urine Analyzer
Non Prejudicial Disclosure, Intellectual Property: Solution Design Using Ai in Bio Medical Engineering,
Date: Jun 6 , 2022
Thretre: Development Country Applied Research: Ai in Public Health Care
Contagious and Infectious Disease
Laboratory Medical Science & Engineering - Blood Diseases Research and Infections,
Released: Date Jun 24, 2022
Case 27: Rare Blood Disease, Toxic Anemia, Liver Disease, Kidney Disease
Blood Disease analysis:Patient is a 78 yr old woman, who has high ESR. Test analysis for jau 2021-jun 2022 a year reading. Diagnosed with anemia,
Biochemical report:
S.Phosphorus (PO4) within normal range 3.9 mg/dl normal 2.7-45
S.Iron 51 uq/dl for male within normal range.(F_ 37-145)
S. Urea 24 mg/dl (10-40)
SGPT (ALT) 17 U/L upto 42
Plasma Glucose Random 6.1 mmol/L ,over normal range of <7.8
S.Albumin 27 g/L (35-50 normal)
HbA1C 6.6 % where reference range is less than 6.0
S.Creatinine 1.2 mg/dl which is over female -range 05-1.2
S.Uric acid 5.1 mg/dl normal range for Female 2.4-5.7
S.Calcium 6.8 mg/dl normal range 8.8-10.6
Testosterone 0.4 nmol/L (over) 50 yrs 6.20-26.0
S.Vti B12 562.0 pg/ml within normal range 239-931 pg/ml
S.Triglyrecide 205 mg/dl higher than normal level of 150;
S. Na+ 142 mmol/L with in range of 135-148 mmol/L
S. K+ 4.4 mmol/L 3.5 - 5.3 mmol/L
S. CL- 107 mmol/L within limit of 107 mmol/L
C-Reactive Protein <6.0 mq/l at normal range.
Ferritin 538.666 ng/ml irn excess limit over 400
TOTAL COUNT:
Total WBC cunt 8100, within Audit range (4000-15000)
TIBC 190 uq/dl which is below normal range 274-494(M) , (F) 250-450
Reticulocyte 3.8 % outside normal state for (F) 0.5-2.5
STOOL : Occult Blood Test Negative.
A Hematology report states:
Hemoglobin results 10. 4 g/dl lower than Female range 11.5-16.5 g/dl
ESR( Westergen) 57 mm/ist hr way over than (0-20mm/ ist hr) range demonstrating blood infection.
Total RBC count 13600 over (4000-11000c/mm) range.
Differential count:
Neutrophils 70% over (40-75%)
Lymphocytes 25% below (20-50%)
Monocytes 02(02-08%)
Eosinophils 03( in normal range (01-06)%
Basophil 00(00-01)% normal range
Other tests:
Platelet count 179000 /cumm within normal (150000-450000 /cumm
RBC count 3.69 m/ul close to female normal range 3.8-5.8
HCT/PCV 30.5 % below female normal range 37-47%
MCV 82.7fl normal range 76-94 fl
MCH 28.2 pg below normal range 27-32 pg
MCHC 34.1 g/dl within normal range 29-34g/dl
BLOOD FILM: reveals neutrophilic Leukocytosis with High ESR: specimen within normal platelet
RBC mild Anisocytosis & Anisochromia
WBC Mature and shows above and distribution
Platelet within normal range
URINE EXAMINATION:
Microscopic examination:
Epithelial cells 1-2 /HPF
Pus Cells 0-2 /HPF
RBC - Nil
Calcium Oxalate Nil
Amorphous phosphate Crvas nil
Triple Phosphate Crystals
Uric Acis Crystal Nil
Granular Cast Nil
Candida Nil
Havaline Cast Nil
Cysteine Cast Nil
Chemical Examination :
ph Acidic
Albumin Nil
Glucose Nil
Ketone Bodies Not Done
Physical Exam:
Sediment Nil
Specific Gravity Not done
Appearance : clear
Application of ML, Ai Research Bio Medical Engineering, Case Study Analysis:
Research & Development - Liver , kidney, blood Cancer, TF, Blood Cell count and Activation Status for B , T, NK -Lymphocyte
Damage Analysis:
SUMMARY: High ESR with non specific findings. Patients Reticulocyte Count, shows if bone marrow produces RBC. If the count is high then disorder of kidney, shows symptoms of mild anemia. Low S.iron reading shows, ferritin (which takes iron and vit c), its iron take-in, (not release) is less, resulting in anemia in this patient. We tried to determine is ferritin is too high, to check closely so we performed another test Ferritin test, together. The TIBC , total iron binding count is lower than the normal range, lower iron binding protein in the blood. Patient suffers form hemolytic anemia, RBC destroys too quickly.
S. Phosphorous, (PO4), shows normal in range, if it were too high we could have assumed diabetes , kidney disorder. If low, muscle weakness, respiratory disorder, heart disease, seizure, coma. But the patient is free from the above. Testosterone lower reading show patient has low bone mass. Serum Vit B12 shows in normal range and not low, proving patient is free from mount ulcer, lack of energy, tiredness, ; red sol, tongue, muscle weakness, disturbed vision. OBT test shows no colon cancer or polyp(no growth of tissue muscle in rectum, or ear.
PCV/HCT low result shows, blood disorder (with high ESR) or kidney failure or related issue. Nutritional Deficiencies of iron or vitamins, inflammatory or kidney-related conditions like rheumatoid arthritis or kidney failure could take place also.
S.Calcium (ca+2) low reading show parathyroid glad infection, kidney disease. S.triglyrecide high reading shows cholesterol or heart issue.
S.Chlorine reading over the range demonstrate vulnerability to kidney, metabolic disorder dehydration or vomiting issue.
Ferrin reading show excessive iron ,which means the protein release iron in blood.
C-Reactive Protein, (hs-CRT test not available ) test indicates the patient has a normal heath condition., protected tissues and heals from an injury, infection, or other disease. no Inflammation.
Microscopic Urine physical examination shows, normal range of pus and epithelial cell. Pus cells are activate in response to infection.no infection is found in urinary tract.
Granular casts are nil ,no sign of any types of kidney diseases.
Candida albicans reading is nil,( or Candida normally lives on skin and inside the body, i.e the mouth, throat, gut, and vagina)
Havaline cast or Cysteine cast ,nil proves the patient does not have any urinary stones.
Patient suffers from bone pain, tirdiness, weakness.