Shawn O’leary
Age: 51 years old male
Doctor
Patient’s Data
Patient’s name: Shawn O’leary
Age: 51-year-old male
Past medical history
- Temporary registered at the practice
- No known medical conditions
Drug and Allergy history
- No drug history
- No known drug allergy
Recent consultation/Notes
1 week ago – Seen by Dr Ogechi Peters (Clinical Practitioner Access Role)
Presenting Complaints: Patient is a traveller and registered temporarily. Reports 3 months history of tiredness, increased thirst and unintentional weight gain (no baseline weight available)
Examination: Blood Pressure: 138/88 mmHg. General conditions satisfactory
Impression: Tired all the time and unintentional weight gain – underlying cause to be determined.
Plan:Blood investigations, review with results.
Blood Test Results
| Test | Result | Reference Range |
|---|---|---|
| HbA1c | 69 mmol/mol | 20 – 42 mmol/mol |
| TSH (Thyroid Stimulating Hormone) | 2.1 mU/L | 0.4 – 4.0 mU/L |
| CRP (C-Reactive Protein) | 4 mg/L | < 5 mg/L |
| ALT (Alanine Transaminase) | 28 IU/L | 10 – 50 IU/L |
| AST (Aspartate Transaminase) | 22 IU/L | 10 – 40 IU/L |
| ALP (Alkaline Phosphatase) | 85 IU/L | 30 – 130 IU/L |
| Bilirubin | 12 µmol/L | 0 – 21 µmol/L |
| Albumin | 42 g/L | 35 – 50 g/L |
| Full Blood Count | Normal | |
| Urea and Electrolytes | Normal | |
| EGFR | > 90 mL/min/1.73 m² | > 90 mL/min/1.73 m² |
| Bone Profile including Calcium | Normal | |
Note: Patient booked telephone consultation to discuss blood test results.