EFTA00304862.pdf

88/12/16 14:47:12 0806979382 -) Quest Diagnostics - Page 082 Quest 8/12/16 02:41:03 Page 2 of 6 Diagnostics PATI INFORMAT ION rumwszaws PARTIAL EPSTEIN,JEFFREY REPRINT VEST DIAGNOSTICS MiCOMPCPATED CLUOIT SERVICE 866 .69 7. R37. SPEC:XSK INDIGNATION SPECIMEN: R8289077 REQUISITION: T167190012026 LAB REF ID: 00000009430 COLLECTED: RECEIVED: REPORTED: DOB: 01/20/1953 AGE: 63 GENDER: N FASTING: ID: 101513 PHONE:, 212.750.9895 OODSRZAG KAIWICIAN MOSKOWITZ,BRVCE COUNT INFORMATION T16719 PSC/NYC-EAST 76TH ST QUEST DIAGNOSTICS INCORPORATED 65 EAST 76TH STREET 08/08/2016 09:42 NEW YORK. NY 10021-1844 08/09/2016 01:23 09/12/2016 14:39 1000 COMMENTS: FASTING The original copy of this report was printed on: 08/11/2016 at 10:33PM Patient results contained in a facsimile or electronic medical report are provided only upon the request of the physician or authorized person. Facsimile or electronic medical reports that are created before the final results are reported are considered to be INTERIM RESULTS ONLY and are subject to change by the laboratory. Test Nave COMP METAB PANEL GLUCOSE,FAST/NG SODIUM POTASSIUM CHLORIDE CARBON DIOXIDE UREA NITROGEN CREATININE In Range Out of Range Reference Range Lab 90 65-99 mg/dL 140 135-146 mmol/L 4.4 3.5-5.3 mmol/L 102 98-110 mmol/L 30 19-30 mmol/L 22 7-25 mg/dL 1.03 0.70-1.25 mg/dL The upper reference limit for Creatinine is approximately 134 higher for people identified as African-American. BUN/CREATININE RATIO NOTE 6-22 (calc) Bun/Creatinine ratio is not reported when the Bun and Creatinine values are within normal limits. CALCIUM PROTEIN, TOTAL ALBUMIN GLOBULIN ALBUMIN/GLOBULIN RATIO BILIRUBIN, TOTAL ALKALINE PHOSPHATASE AST ALT EGFR NON APR AMERICAN EGPR AFRICAN AMERICAN EPSTEIN,JEFFREY - RE289077 9.7 0.6-10.3 mg/dL 7.3 6.1-8.1 g/dL 4.5 3.6-5.1 g/dL 2.8 1.9-3.7 g/dL (calm) 1.6 1.0-2.5 (calc) 0.8 0.2-1.2 mg/dL 63 40-115 U/L 23 10-35 U/L 27 9-46 U/L 77 >s60 mL/min/1.73m2 89 >a60 mL/min/1.73m2 Page 1 - Continued on Page 2 TBR Oust Owed Dragnetlathe aasodaterd logo and ell associated Cbmisl MagnaWas marks ere the tredemarks of Owed Diagnostics Incorporated. All rights roamed. EFTA00304862 08/12/16 14:47:28 8086979382 Quest. Diagnostics QUEST DIAGNOSTICS INCORPORATED SPICINTE INFORMATION - > 8/12/16 PATIWT WTORNAT EON EPSTEIN,JEFFREY DOB: 01/20/1953 AGE: 63 GENDER: M FASTING: Y Quest Diagnostics - Page 02:41:03 Page 3 of 6 01:13 IMPORT STATUS PARTIAL REPRINT WANG= AZYS I CIAO? MOSKOWITZ,BRUCE GMT' DOMINATION SPECIMEN: RE289077 T16719 1000 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 Test Name In Range Out of Range Reference Range Lab LIPID PANEL TER CHOLESTEROL, TOTAL 197 125-200 mg/dL HDL CHOLESTEROL CHOLESTEROL/HDL RATIO 30 L 6.6 H >.40 c . 5.0 LDL CHOL, CALCULATED 94 4130 mg/dL See footnote 1 ITIGLICERIDES NON HDL CHOLESTEROL 364 H 167 H .150 mg/dL mg/cm See footnote 2 CBC (INCLUDES DIFF/PLT) NBC RBC HEMOGLOBIN HEMATOCRIT MCV MCH MCHC RDW PLATELET COUNT 1'WV TOTAL NEUTROPHILS,W TOTAL LYMPHOCYTES,W MCNOCYTESA ECSINOPHILS,W BASOPHILS,W NEUTROPHILS,ABSOLDTE LYMPHOCYTES,ABSOLUTE MONOCYTES.ABSOLUTE EOSINOPHILS,ABSOLUTE 506 BASOPHILS.ABSOLUTE 35 DIFFERENTIAL An instrument differential was performed. ESR,WESTERGREN PROLACTIN EPSTEIN.CEFFREY - RE289077 5.8 5.18 14.4 44.1 85.3 27.9 32.7 14.3 258 7.6 46.7 35.6 9.4 8.7 0.6 2709 2065 487 12 3.3 3.8-10.8 Thous/mcL 4.20-5.80 Mill/mcL 13.2-17.1 g/dL 38.5-50.0 W 80.0-100.0 fL 27.0-33.0 pg 32.0-36.0 g/dL 11.0-15.0 4 140-400 Thous/mcL 7.5-11.5 fL 38-80 W 15-49 W 0-11 0-8 it 0-2 t 1500-7800 Cells/mcL 850-3900 Cells/mcL 200-950 Cells/mcL H 15-500 Cells/mcL 0-200 Cells/mcL 0-20 um/hr 2.0-19.0 ng/mL Page 2 - Continued on Page 3 TBR TER THR Omit. Quest Diagnostios, the .nodded logo and all sandaled Guest Otagnosgas masks am the trademarks of Quest Diagnoses:. Incorporated Al tights rammed. DH-RPAP EFTA00304863 08/12/16 14:47:42 DB06979302 atak Quest 7 Diagnostics QUEST DIAGNOSTICS INCORPCP.ST.Th SMOKER THFIZMUION SPECIMEN: RE289077 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 -> Quest Diagnostics - Page 004 8/12116 02:41:03 Page4c16 PATIENT INTORIDT IOR RPSTEIN,JEFFREY OADRENO ;am ICiAN DOB: 01/20/1953 AGE: 63 MOSKOWITZ , BRUCE GENDER: 14 FASTING: Y upwcsmems PARTIAL REPRINT CLAW: IRTIMMTION T16719 1000 Test Name ANA IPA SCR N/REFL TITER ANA SCREENOTA In Range Out of Range Reference Range Positive Negative Lab TER ANA TITER and PATTERN TSR ANTI-NUCLEAR AB TITER 1:80 E <1:40 Titer ANA PATTERN Homogeneous Reference Range: <1:40 Negative 1:40-1:80 Low Antibody Level >1:80 Elevated Antibody Level RHEUMATOID FACTOR 4 <14 IU/mL TER CCP IGG <16 <20 Units TER Reference Range Units Negative: <20 Weak Positive: 20-39 Moderate Positive: 40-59 Strong Positive: >59 C-REACTIVE PROTEIN 0.1 <0.9 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. TESTOSTERONE PR(DIAL)TOT PENDING BPSTEIN,OEFFREY - RE289077 Page 3 - Continued on Page 4 T13R Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnosed, marks are the trademarks of Cuest Clagnostios &too/lactated. Ail rights naserved. al.RPAP EFTA00304864 HB/12/16 14:17:53 BRO6979112 - > (Thiest Diagnostics Qu DIAGNOSTICS INCORPORATED SPECIMEN INEORMATION SPECIMEN: RE289077 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 8/12/16 PATIENT DIFORAUtTION EPSTEIN,JMFFREY DOH: 01/20/1953 AGE: 63 GENDER: M FASTING: Y quest Diagnostics - Page 685 02A1:03 Page5cAS mops sums PARTIAL REPRINT ORDERING Erzaxciax MOSROWITZ,BRUCE CLIENT LATORMATIOX T14719 1000 Teat Name In Range Out of Range Reference Range LUPUS ANTICOAG EVAL W/RFL LUPUS ANTICOAGULANT see note A Lupus Anticoagulant is not detected. Cannon causes for a prolonged screen and negative confirmatory test include factor deficiencies or anticoagulant therapy. Reference Range: Not Detected This interpretation is based on the following test results. PTT LA SCREEN DRVVT MIX INTERPRETATION: DRVVT SCREEN LUPUS ANTIMAG.HEXAGONAL HEXAGONAL PHASE CONFIRM DRVVT CONFIRM 14-3-3 ETA PROTEIN 45 H <-40 sec Not Indicated 49 H <-45 sec Negative Negative <0.2 Negative Negative <0.2 ng/mL This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute San Juan Capistrano. It has not been cleared or approved by the O.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the MIA regulations and is used for clinical purposes. FOOTNOTE(S): 1 2 Desirable range <100 mg/dL for patients with CND or diabetes and <70 mg/dL for diabetic patients with known heart disease. Target for non-HDL cholesterol is 30 mg/dL higher than Lab AND EPSTEIN,JEFFREY - RE209077 Page 4 - Continued on Page 5 Cued, Clued Criergnositet the associated logo and aa aesodated OUebt Magnates marts are the trademarks of Clued Diagnostics Incorporated. Al rights reserved. DHAPAP EFTA00304865 88/12/16 14:48:88 8886979302 -> in e Quest Diagnostics Qua"; D:A=PICS INCORP3PATZD SPZCl/C01 nuewarnm SPEC MEN. RE289077 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 Quest Diagnostics - Page 886 8112/16 02:41:03 Page 6 of 6 PAT: Ih70ANATIIN EPSTEIN,JEFPREY DOB: 01/20/1953 AGE: 63 GENDER: N FASTING: Y REPORT saus PARTIAL REPRINT ORDUtrICO PRI6:CILN MOSKOWITZ,BRUCE CUIDr: IWOMATiON T16719 1000 POOTNOTE(8): LDL cholesterol target. PERFORMING LABORATORY INFORMATION: AND Quest Diagnotticia Niotols Ctiantilly 142» ICOdbrOok Driv Chantilly VA 20131 laboratory Dinutor: Patrick K. »SON, M.D., P12.D. CPA NO: 49D0221901 Quest DiagnoSt101, Nicnols institute 33409 Ortega Nigro:ay San Plan Capistrano CA 92675 LabOrattpry Director: Dr. Poo N. NabolOtO CZ» No: 0311360252 TBR Quest DisocoatiCS One MitICOLOI Avenue Taterbcoo NJ 07609 ZabOratOly Director: :avruste re», N.D. CIA MO: )1D0696246 EMPLICATE REPORT WILL BE SENT TO: 1116/C1 matiVitl= IC fl u X.PLAGtrik DR, LIT 710C WCST PALM »ACM, FL 1240L EPSTEIN,JEFFREY - RE209077 Page 5 - End of Report Cuo«. Ount Diasnodics, the associated tor and all associaiod Oast Coen:adds molts an: the trademarks of Quest Diagnostics Incorporated. All «Islas roamed. DI SRPAP EFTA00304866 86/12/16 14:47:110 BOH6979302 et Quest r gli) Diagnostics -> Quest Diagnostics - Page Efai 8112/16 02:41:03 Page 1 of 6 *WW***W********* ******** * ****** ********************* ***** W*********** ***** **It*** * * FACSIMILE MESSAGE * * ************************************%********n********************************* * * * FROM: D23H * * * * * TO: PSC/NYC-EAST 76TH ST FAX: 15618336351 * * * * * * SUBJ: RE289077 EPSTEIN,JEFFREY * SENT: 08/12/2016 14:39:55 st w *********** *************** ***** ****************** ***** ***** ***** ** ****** ***Mk*** The medical information in this FAX message is confidential medical information, protected by both State and Federal Law. It is unlawful for unauthorized persons to review, copy, disclose, or disseminate confidential medical information. If the reader of this warning is not the intended FAX recipient or the intended recipient's agent. you are hereby notified that you have received this FAX message in error and that review or further disclosure of the information contained in this PAX is strictly prohibited. If you have received this FAX in error, please notify us immediately by calling 1-866 MYQUEST (1 866 697 8378) and either destroy these documents or return the originals to us by mail. Thank you. COCA Ouet Diagnostic* the assodated logo and ad antedated Oued Diagnostics minis are the trademarks of Ount Diagnostics Incorporated. Al dates reserved. CHAPAP EFTA00304867