Invoice from Saint Luc Clinic 

First blood test:

Another blood test:

In total am facut 6 analize de profil lipidic.

Iesire din spital:

O descriere a cazului facuta de doamna dr. Cristina Rusu:

SIRBU DARIA dob 15.07.2007

• Family history: negative;

• Pregnancy: uneventful;

• Birth: cesarean section; 40 weeks gestation; Wt 3650 g; Ht 50 cm; Apgar score 9;

• Postnatal development: normal growth and psycho-motor development;

• Personal history: the parents have noticed retromaleolar orange lines in the flexion creases (see pictures attached) → blood investigations → huge hypercholesterolemia (see investigations); parents have checked their cholesterol and lipid fractions and they are normal;

• Investigations:

o Hematology:
 HGB 10.2 g/dl (↓);
 RBC normal;
 HCT 31.1 % (↓);
 MCV 67 fL (↓);
 MCH 22.1 pg (↓);
 MCHC normal;
 WBC 9,800/ml (normal), but PN 34% and LY 60%;

o Biochemistry: done after 6 hours of fasting
 HDL cholesterol 46.8 mg/dl (normal);
 Total cholesterol 855 mg/dl (↑↑↑);
 Triglicerides 83 mg/dl (normal);
 VLDL cholesterol 17 mg/dl (normal);
 LDL cholesterol 791.2 mg/dl (↑↑↑);
 Total proteins 80,6 (normal); albumin, α1 and ß fractions normal; α2 ↑; γ ↓;
 GPT, GOT – normal;
 Urea – normal;
 Blood sugar 0.65 g%o;

o Abdominal ultrasound scan: normal (no fat liver!);

o ECG: normal;

o Echocardiography: heart and blood vessels – normal;

o EEG: normal

• Physical examination:

o Measurements: Ht, Wt, HC – normal;

o Examination: normal except the orange retromaleolar lines.