1. Alisha Sarr
Patient:BAAS18052008
Lab Ref: LEBA1805200802
Technician: M Johnson
Name: Alisha Sarr
DOB: 18/05/2008
Age: 4 years
Symptoms: Headaches, Fatigue, Pain of the joints, Swelling of hands and feet
Signs: Jaundice, Swelling to the left hand, Weak response
Past medical History: None available
Past Surgical History: None available
Medications: Calpol (5ml twice a day)
Allergies: None known
Family History: Not available
Social History: Patient is of Angolan origin, immigrated to UK September 2012. No
previous interactions with medical service.
Vitals: BP- 100/70 Resting heart rate – 120 Weight- 28lbs Height 36inches
Physical Exam – Taken by GP: Patient presented pale with visible swelling of the left hand,
cold to the touch. Lungs open and clear, no chest pain. Abdominal abnormalities included
swelling of upper left region and limited digestive sounds.
Testing – By GP: Urine – raised leukocytes
Previous testing: CBC - Showed Anemia and possible UTI
Testing – Nurse: Sickle cell Testing – Purple top tube – 3ml
Blood taken: 23/09/2012
Sample: Acceptable for testing – received 26/09/2012
Technician Signature:

2. HEALTH SERVICES HEALTH SERVICES
SCOTLAND SCOTLAND
BRANCH A LABORATORY EAST
PATIENT ADMIN PATIENT ADMIN
CLINICIAN REPORT CLINICIAN REPORT
FAO: DR A SMITH PATIENT: BAAS18052008
03/09/2012 LAB REF: LEBA1805200801
REPORT GENERATED: 03/09/2012
Results:
SICKLE CELL: SAMPLE: 1805200897
HPLC
Phenotypes AA AS ASH SS SC Patients Results
58.81 ±
Hb A 96.47 ± 0.77 56.57 ± 2.73 3.75 - - -
(93.8-98.2) (51.7-67.7) (52.1-68.0) - - -
Hb A2 2.81 ± 0.31 4.30 ± 0.44 4.18 ± 0.42 3.90 ± 1.14 4.39 ± 0.35
(2.0-3.5) (2.9-5.2) (2.8-5.2) (0.8-5.6) (3.8-5.7) 2.4
Hb F 0.37 ± 0.35 0.50 ± 0.34 0.53 ± 0.36 15.75 ± 5.27 1.70 ± 1.72
(0.0-1.3) (0.0-1.3) (0.0-1.3) (7.2-23.1) (0.4-5.5) 15.6
Hb S - 38.54 ± 3.01 36.54 ± 3.76 75.13 ± 4.73 45.65 ± 1.05
- (27.2-43.4) (26.6-43.0) (69.3-84.8) (43.8-47.1) 70.5
Hb C - - - - 46.71 ± 1.35
- - - - (44.01-49.41) -
normal Hb (AA)
sickle cell trait without alpha-thalassemia (AS)
sickle cell trait with alpha-thalassemia (ASH)
sickle cell anemia (SS)
Hb SC disease (SC)
 Patient (+) sickle cell anemia
o HbA – No presence
 Patient (+) for homozygous SS trait.