REFERENCES
Campbell, F. (2019, July 12). Osteoarthritis - Pathophysiology - Clinical Features. Retrieved
from https://teachmesurgery.com/orthopaedic/principles/osteoarthritis/.
Chris, J. (2018, October 31). Osteoarthritis: Causes, Risk Factors, and Treatment. Retrieved
from https://brighamhealthhub.org/spine/osteoarthritis-learn-about-the-most-common-
form-of-arthritis.
Lippincott Williams &Wilkins (2008), Visual Nursing: A guide to disease, skills and
treatment, page 227-229
Lozada, C. J. (2019, October 21). Osteoarthritis. Retrieved from
https://emedicine.medscape.com/article/330487-overview.
Mayo Clinic, Osteoarthritis, (May 8, 2019). Retrieved
from:https://www.mayoclinic.org/diseases-conditions/osteoarthritis/symptoms-
causes/syc-20351925.
Pamela L. Swearingen (2004), All in one care planning resource medical-surgical, pediatric ,
maternity and psychpsychiatric nursing care plans, page 545-550
Therapeutic Drug Monitoring. (2018, December 16). Retrieved from
https://labtestsonline.org/tests/therapeutic-drug-monitoring.
White, L., Duncan, G., & Baumle, W. (2013). Medical-Surgical Nursing (3rd ed.). New
York, USA: Delmar Cengage Learning.
William, C. Hind, G. Downie, J. Mackenzie, (2008), Pharmacology and medicines
management for nurses (4th Edition), page 448-449
Yusof, N. A., Che Muhammad, C. A., & Hassan, A. N. (2016). Anatomy of Musculoskeletal
System in the Light of the Qur’an and Hadith. “2nd World Congress on Integration
and Islamization”, 17(1), 97–103. Retrieved from
http://iiumedic.net/imjm/v1/download/volume_17_special_issue_1/Pages-from-
2WCIIv1-097-103.pdf
APPENDIX
Renal function test
Component Unit Normal Range Result Remarks
Sodium mmol/L 136-146 127 Normal
Potassium mmol/L 3.5-5.1 4.4 Normal
Chloride mmol/L 101-109 94 Normal
Urea mmol/L 2.8-7.2 5.2 Normal
Creatinine umol/L 58-96 61 Normal
eGFR - >90 80 Normal
Liver function test
Total protein(serum) g/L 66-83 76 Normal
Albumin (serum) g/L 35-52 33 Normal
Globulin(serum) g/L 23-35 43 Abnormal
AG ratio(serum) 0.8 Normal
AST GOT (serum) U/L <35 35 Normal
ALT (serum) U/L <35 25 Normal
Alkaline Phosphate(serum) U/L 30-120 85 Normal
Total bilirubin(serum) umol/L 5-21 7 Normal
D bilirubin (serum) umol/L <3.4 1.4 Normal
CRP (serum) mg/dL <=0.5 4.39 Normal
Calcium (serum) mmol/L 2.20-2.65 2.16 Normal
I bilirubin(serum) umol/L - 5.6 Normal
Phosphate (serum) mmol/L 0.81-1.45 1 Normal
Magnesium (serum) mmol/L 0.77-1.03 0.85 Normal
Complete blood count
Haemoglobin g/L 120.0-150.0 126 Normal
Haematocrit L/L 0.36-0.46 0.38 Normal
RBC 10^12/L 3.80-4.80 4.3 Normal
MCV fL 77-97 88 Normal
MCH pg 27.0-32.0 29.4 Normal
MCHC g/L 315-345 335 Normal
RDW % 11.6-14 14 Normal
WBC 10^9/L 4.0-10.0 11.9 Abnormal
Platelet 10^/L 150-400 339 Normal
Neutrophil % % 71.5
Neutrophil # 10^9/L 2.00-7.00 8.5 Abnormal
Lymphocyte % % 717
Lymphocyte # 10^9/L 1.00-3.00 2 Normal
Monocyte % % 9.8
Monocyte # 10^9/L 0.20-1.00 1.2 Abnormal
Eosinophil % % 1.4
Eosinophil # 10^9/L 0.02-0.50 0.2 Normal
Basophil % % 0.3
Basophil # 10^9/L 0.02-0.10 0 Normal
NRBc /100WBC 0
NRBC # 10^9/L 0
Urine FEME
Biochemistry
Glucose Negative
Protein Trace
Bilirubin Negative
Urobilinogen Normal
pH 5.0-7.0 5
Haemoglobin Negative
Ketone Negative
Nitrite Negative
Leukocytes Negative
Clarity Clear
Specific gravity 1.005-1.030 1.012
Colour Yellow
Ascorbic acid Negative
Microscopy
Bacteria /uL 1
Red blood cell /uL <16 4 Normal
Squamous epithelial /uL <33 2 Normal
White blood cell /uL <33 17 Normal
Blood C & S
Specimen # BC B190009535
Specimen source (blood) Blood culture (Aerobic)
Culture No growth after 5 days of incubation
Table 3: Diagnostic test of 14/10/2019
Renal function test
Component Unit Normal Range Result Remarks
Sodium mmol/L 136-146 133 Normal
Potassium mmol/L 3.5-5.1 3.3 Normal
Chloride mmol/L 101-109 98 Normal
Urea mmol/L 2.8-7.2 3.6 Normal
Creatinine umol/L 58-96 65 Normal
eGFR - >90 80 Normal
Complete blood test
Haemoglobin g/L 120.0-150.0 105 Normal
Haematocrit L/L 0.36-0.46 0.31 Normal
RBC 10^12/L 3.80-4.80 3.48 Normal
MCV fL 77-97 88 Normal
MCH pg 27.0-32.0 30.2 Normal
MCHC g/L 315-345 343 Normal
RDW % 11.6-14 13 Normal
WBC 10^9/L 4.0-10.0 9.8 Normal
Platelet 10^/L 150-400 364 Normal
Neutrophil % % 78.4
Neutrophil # 10^9/L 2.00-7.00 7.7 Abnormal
Lymphocyte % % 11.5
Lymphocyte # 10^9/L 1.00-3.00 1.1 Abnormal
Monocyte % % 5.9
Monocyte # 10^9/L 0.20-1.00 0.6 Normal
Eosinophil % % 3.9
Eosinophil # 10^9/L 0.02-0.50 0.4 Normal
Basophil % % 0.3
Basophil # 10^9/L 0.02-0.10 0 Normal
NRBc /100WBC 0
NRBC # 10^9/L 0
Table 4: Diagnostic test of 21/10/2019