EFTA00304878.pdf

rajQuest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Specimen: MR495703L Requisition: 0006136 Gender: M Collected: 08/30/2018 Phone: Received: 08/31/2018 115:51 EDT Patient ID: 19530120MJE Reported: 08/31/2018 123:33 EDT Health ID: 8573003290851249 Teat Name LIPID PANEL, STANDARD CHOLESTEROL, TOTAL HDL CHOLESTEROL TRIGLYCERIDES LDL-CHOLESTEROL Chentheonnation In Range Out Of Range 219 H 29 L 475 H LDL cholesterol not calculated. Triglyceride levels greater than 400 mg/dL invalidate calculated LDL results. Reference range: <100 Desirable range <100 mg/dL for primary prevention; <70 mg/dL for patients with CHD or diabetic patients with > or = 2 CHD risk factors. LDL-C is now calculated using the Martin-Hopkins calculation, which is a validated novel method providing better accuracy than the Friedewald equation in the estimation of LDL-C. Martin SS et al. JAMA. 2013;310(19): 2061-2068 (http://education.QuestDiagnostics.com/faq/FAQ164) CHOL/HDLC RATIO 7.6 H NON HDL CHOLESTEROL 190 H For patients with diabetes plus 1 major ASCVD risk factor, treating to a non-HDL-C goal of <100 mg/dL (LDL-C of <70 mg/dL) is considered a therapeutic option. HS CRP 0.9 Lower relative cardiovascular risk according to AHA/CDC guidelines. For ages >17 hs-CRP mg/L <1.0 1.0-3.0 3.1-10.0 >10.0 Years: Risk According to AHA/CDC Guidelines Lower relative cardiovascular risk. Average relative cardiovascular risk. Higher relative cardiovascular risk. Consider retesting in 1 to 2 weeks to exclude a benign transient elevation in the baseline CRP value secondary to infection or inflammation. Persistent elevation, upon retesting, may be associated with infection and inflammation. Client #: 78300020 56W5265 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, MD Attn: NATIONWIDE ACCOUNT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401.3418 Reference Range <200 mg/dL >40 mg/dL <150 mg/dL mg/dL (talc) <5.0 (talc) <130 mg/dL (talc) mg/L HOMOCYSTEINE 11.6 H <11.4 Homocysteine is increased by functional deficiency of folate or vitamin B12. Testing for methylmalonic acid differentiates between these deficiencies. Other causes of increased homocysteine include renal failure, folate antagonists such as methotrexate and phenytoin, and exposure to nitrous oxide. Lab MI MI MI MI MI MI TP umol/L MI CLIENT SERVICES: 866.697.8378 SPECIMEN: MR495703L Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGEI0F5 EFTA00304878 Quest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR495703L Collected: 08/30/2018 Received: 08/31/2018 / 15:51 EDT Reported: 08/31/2018 /23:33 EDT Client #: 78300020 MOSKOWITZ. BRUCE W Test Name COMPREHENSIVE METABOLIC PANEL GLUCOSE In Range Out Of Range Reference Range 105 R 65-99 mg/dL Fasting reference interval For someone without known diabetes, a glucose value between 100 and 125 mg/dL is consistent with prediabetes and should be confirmed with a follow-up test. UREA NITROGEN (BUN) 19 CREATININE 0.98 For patients >49 years of age, the reference limit for Creatinine is approximately 13₹ higher for people identified as African-American. eGFR NON-AFR. AMERICAN eGFR AFRICAN AMERICAN BUN/CREATININE RATIO SODIUM POTASSIUM CHLORIDE CARBON DIOXIDE CALCIUM PROTEIN, TOTAL ALBUMIN GLOBULIN ALBUMIN/GLOBULIN RATIO BILIRUBIN, TOTAL ALKALINE PHOSPHATASE AST ALT HEMOGLOBIN Alc See Endnote 1 81 93 NOT APPLICABLE 141 4.5 108 23 9.4 7.0 4.1 2.9 1.4 0.8 59 25 36 PHOSPHATE (AS PHOSPHORUS) 3.4 URIC ACID 8.1 H Therapeutic target for gout patients: <6.0 mg/dL TSH T4 (THYROXINE), TOTAL FREE T4 INDEX (T7) T3 UPTAKE SED RATE BY MODIFIED WESTERGREN CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT RED BLOOD CELL COUNT HEMOGLOBIN HEMATOCRIT MCV MCH MCHC RDW PLATELET COUNT 2.03 8.0 2.4 30 9 7-25 mg/dL 0.70-1.25 mg/dL > OR = 60 mL/min/1.73m2 > OR = 60 mL/min/1.73m2 6-22 (calc) 135-146 mmol/L 3.5-5.3 mmol/L 98-110 mmol/L 20-32 mmol/L 8.6-10.3 mg/dL 6.1-8.1 g/dL 3.6-5.1 g/dL 1.9-3.7 g/dL (calc) 1.0-2.5 (calc) 0.2-1.2 mg/dL 40-115 U/L 10-35 U/L 9-46 U/L 2.1-4.3 mg/dL 4.0-8.0 mg/dL 0.40-4.50 mIU/L 4.9-10.5 mcg/dL 1.4-3.8 22-35 % < OR = 20 mm/h 5.7 3.8-10.8 Thousand/uL 5.11 4.20-5.80 Million/uL 15.5 13.2-17.1 g/dL 44.6 38.5-50.0 % 87.3 80.0-100.0 fL 30.3 27.0-33.0 pg 34.8 32.0-36.0 g/dL 13.8 11.0-15.0 % 271 140-400 Thousand/uL Lab MI MI MI MI MI MI MI MI MI CLIENTSERIIICES:866.6971378 SPECIMEN: MR495703L Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE 2 OF 5 EFTA00304879 4) Quest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR495703L Collected: 08/30/2018 Received: 08/31/2018 / 15:51 EDT Reported: 08/31/2018 / 23:33 EDT Client #: 78300020 MOSKOWITZ. BRUCE W Test Name MPV ABSOLUTE NEUTROPHILS ABSOLUTE LYMPHOCYTES ABSOLUTE MONOCYTES ABSOLUTE EOSINOPHILS ABSOLUTE BASOPHILS NEUTROPHILS LYMPHOCYTES MONOCYTES EOSINOPHILS BASOPHILS URINALYSIS, COMPLETE See Endnote 2 VITAMIN B12 In Range 9.7 2582 2177 502 371 68 45.3 38.2 8.8 6.5 1.2 Out Of Range Reference Range 7.5-12.5 fL 1500-7800 cells/uL 850-3900 cells/uL 200-950 cells/uL 15-500 cells/uL 0-200 cells/uL 383 200-1100 pg/mL Please Note: Although the reference range for vitamin B12 is 200-1100 pg/mL, it has been reported that between 5 and 10% of patients with values between 200 and 400 pg/mL may experience neuropsychiatric and hematologic abnormalities due to occult B12 deficiency; less than 1₹ of patients with values above 400 pg/mL will have symptoms. C-REACTIVE PROTEIN 1.1 TESTOSTERONE, TOTAL MALES (ADULT), IA TESTOSTERONE, TOTAL, MALES (ADULT), IA 122 L In hypogonadal males, Testosterone, Total, LC/MS/MS, is the recommended assay due to the diminished accuracy of immunoassay at levels below 250 ng/dL. This test code (15983) must be collected in a red-top tube with no gel. PSA, TOTAL 0.6 The total PSA value from this assay system is standardized against the WHO standard. The test result will be approximately 20% lower when compared to the equimolar-standardized total PSA (Beckman Coulter). Comparison of serial PSA results should be interpreted with this fact in mind. This test was performed using the Siemens chemiluminescent method. Values obtained from different assay methods cannot be used interchangeably. PSA levels, regardless of value, should not be interpreted as absolute evidence of the presence or absence of disease. Endnote I Endnote 2 * Test not performed. * Quantity not sufficient. * * Test not performed. * No specimen received. * <8.0 mg/L 250-827 ng/dL < OR = 4.0 ng/mL Lab MI MI MI MI MI CLIENT SERVICES: 866.697.8378 SPECIMEN: MR495703L Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE30F5 EFTA00304880 rajQuest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR495703L Collected: 08/30/2018 Received: 08/31/2018 / 15:51 EDT Reported: 08/31/2018 / 23:33 EDT Client #: 78300020 MOSKOWITZ. BRUCE W CLIENT SERVICES: 866.697.8378 SPECIMEN: MR495703L PAGE 4 OF 5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304881 rajQuest Diagnostics Report Status: Partial EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 65 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR495703L Collected: 08/30/2018 Received: 08/31/2018 / 15:51 EDT Reported: 08/31/2018 / 23:33 EDT Client #: 78300020 MOSKOWITZ, BRUCE W Endocrinology Test Name VITAMIN D,25.OH,TOTAL,IA Vitamin D Status Result Reference Range 30 30-100 ng/mL Lab MI Deficiency: Insufficiency: Optimal: For 25-OH Vitamin D testing on patients on D2-supplementation and patients for whom quantitation of D2 and D3 fractions is required, the QuestAssureD(TM) 25-OH VIT D, (D2,D3), LC/MS/MS is recommended: order code 92888 (patients >2yrs). For more information on this test, go to: http://education.questdiagnostics.com/faq/FAQ163 (This link is being provided for informational/ educational purposes only.) 25-OH Vitamin D: <20 ng/mL 20 - 29 ng/mL > or = 30 ng/mL Physician Comments: PENDING TESTS: LIPOPROTEIN (a) MERCURY. BLOOD PERFORMING SITE: MI QUEST DIAGNOSTICS.MIM.H. 10330 COMMERCE PARKWAY. MIRAMAR. FL 33025.3938 Laboratory Director: GLEN L HORTIN MD PHD. CLIA: I0002773M TP QUEST DIAGNOSTICSTAMPA. 1225 E FOWLER AVE TAMPA. It 33617:2026 Laboratory Doctor GLEN L IIORTIN.MD.PIID. CLIA: 101)0291120 CLIENT SERVICES: 866.697.8378 SPECIMEN: MR495703L PAGE 5 OF 5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304882