Table 3 Summary of physical examination and laboratory test results at admission
First case | Second case | |
|---|---|---|
Physical examination | General: Alert and oriented, no acute distress Respiratory: Lungs are clear to auscultation, respirations are nonlabored, breath sounds are equal, symmetrical chest wall expansion Cardiovascular: Normal rate, regular rhythm, no murmur, no gallop, good pulses equal in all extremities Breast: No mass, no tenderness, no discharge Gastrointestinal: Soft, nontender, nondistended, normal bowel sounds Genitourinary: Bimanual exam, speculum exam, and external genitalia all WNL Musculoskeletal Normal range of motion Normal strength No tenderness No swelling Integumentary: Warm, dry, pink Neurologic: Alert, oriented, no focal deficits Psychiatric: Cooperative, appropriate mood and affect, normal judgment | General examination: No acute distress Eye: Extraocular movements are intact, normal conjunctiva HENT: Normocephalic, normal hearing Respiratory: Lungs are clear to auscultation, respirations are nonlabored Cardiovascular: Normal rate, normal rhythm Gastrointestinal: Soft, nondistended Musculoskeletal: Normal range of motion, normal strength Integumentary: Warm, dry, no rash Neurologic: Alert, oriented Psychiatric: Cooperative, appropriate mood and affect Abdominal exam: large midline incision, several small laparoscopic incisions Pelvic exam: External genitalia WNL Speculum exam: WNL, small pyknotic external os Bimanual exam: WNL |
Hematology | WBC 7.0 × 103/mm3 | WBC 5.0 × 103/mm3 |
RBC 4.73 × 106/mm3 | RBC 4.37 × 106/mm3 | |
Hgb 14.1 g/dl | Hgb 12.5 g/dl | |
Hct 42.3% | Hct 37.4% | |
MCV 89.4 fl | MCV 85.7 fl | |
MCH 29.7 pg | MCH 28.5 pg | |
MCHC 33.3 g/dl | MCHC 33.3 g/dl | |
RDW 12.7% | RDW 13.8% | |
Platelets 224 × 103/mm3 | Platelets 166 × 103/mm3 | |
MPV 9.4 fl | MPV 10.0 fl | |
Prothrombin time 10.9 seconds | Prothrombin time 12.0 seconds | |
INR 0.9 | INR 1.0 | |
APTT 35.2 seconds | APTT 29.8 seconds | |
Urine pregnancy test negative | Urine pregnancy test negative |