EFTA01126522.pdf

FINAL Patient Information el =a2 Account Information Epsteln,Jeffrey City MD Brooklyn Naiy Yard. Building 292 SSN: 63 Flushing Alcune. Brooklyn. New York 11205 336 E. 86th St. 718-552-1000 Fax 718452-1022 DOB: 01/20/1953 New York. NY 10028 Patient Id: 1371344 Nkatkal Director Phone: 212-750-9895 Pautcot R Romano. NI D Mazer.Gary Sperimm Lab DmcConcocd Daucticcrived Date Reported Sex Age 10/09/2011 10/09/2011 10/12/2011 71383160F 137115 M 58 09:53PM TESTS RESULTS REFERENCE VALUES Chemistry Glucose H In 65 - 99 mg/dL Criteria for the diagnosis of diabetes: [Fasting Glucose] <100 mg/dL: Normal fasting glucose 100-125 mg/dL: Impaired fasting glucose >125 mg/dL: Indicative of diabetes Ref: Diabetes Care 29:543-548, 2006 Urea Nitrogen. 23 7 - 25 mg/dL Creatinine H 1.55 0.5 - 1.3 mg/dL EGFR L 46 >60 - For African-Americans, multiply EGFR result x 1.2 BUN/Crest Ratio 14.8 5.3 - 50.0 Sodium 140 135 - 146 mEq/L Potassium 4.1 3.5 - 5.5 mmol/L Chloride 103 98 - 110 mEq/L Carbon Dioxide 27 21 - 33 mEq/L Calcium 9.5 8.6 10.4 mg/dL Protein, Total 7.1 6.2 8.3 g/dL Albumin 4.5 3.6 - 5.3 g/dL Globulin 2.6 2.1 3.7 g/dL A/G Ratio 1.7 Ratio Alkaline Phosphatase 60 40 - 115 IU/L AST (SOOT] 38 10 - 40 IU/L ALT (San] 49 9 - 60 IU/L Bilirubin, Total 0.6 0.2 - 1.2 mg/dL Hematology White Blood Count 7.4 4.0 - 11.0 x10"3/uL Red Blood Count 4.82 4.2 - 6.0 x10"6/1.11, Continued on Next Page Page 1 of 3 EFTA01126522  FINAL Pia Patient Information i e1 =lima= Account Information Epstein,Jeffrey City MD Brook!, n \MN Inrd. Building 292 SSN: 03 Flushing As cone. Brooklyn. Nen York 11205 336 E. 86th St. 718-552-1000 Fax 718-552-1022 DOB: 01/20/1953 New York, NY 10028 Patient Id: 1371344 Medical Director Phone: 212-750-9895 Priem R ROT:1110.M I) Mazer,Gary Ls, ,AS I Spetthien4 Dwi:ColkaW Daly Recrixed I Bate Reported Sex Ate 171383160F 137115 1 10/09/2011 1ommo1 1 1om 2/2011 M 58 I 09:53PM TESTS RESULTS REFERENCE VALUES Hemoglobin 14.4 12.5 - 16.1 g/dL Hematocrit 40.8 38 52 MCV 85 78 102 fL MCH 29.9 27 - 31 pg MCHC 35.3 31 - 37 g/dL Neutrophils% 53.8 40 - 70 Lymphocytes% 33.2 20 - 40 Monocytes% 7.5 2 - 10 Eosinophils% H 4.8 1 - 4 Easophils% 0.6 0 - 1 Neutrophils, Abs 4.0 1.6 - 7.8 x10"3/uL Lymphocytes, Abs 2.5 1.0 - 4.5 x10"3/uL Monocytes, Abs 0.6 <1.0 xl0 A 3/uL Eosinophils, Absolute 0.4 <0.7 xl0 A 3/uL Basophils, Abs. 0.1 <0.3 xl0 A 3/uL RDW-CV 13.5 11 - 16 Platelets 333 150 - 450 x10"3/uL NPV L 7.7 8.0 - 13 fL ESR-Westergren 15 0 - 20 mm/hr Special Chemistry Calcium, Ionized 5.2 4.8 - 5.6 mg/dL <8 months: No Reference Range Established 8 months-10 years: 4.9-5.4 mg/dL 11-17 years: 4.8-5.3 mg/dL Endocrinology Thyroxine [T41 9.0 4.5 - 10.9 ug/dL T3 -Uptake 33.1 22.5 - 37.0 TSH 3rd Generation 2.18 0.545 - 4.784 uIU/mL T3, Total 102 60 - 181 ng/dL Continued on Next Page Page 2 of 3 EFTA01126523  FINAL Patient Information iel Account Information Epsteln,Jeffrey Rrookhn Nary Yard. Building 292 City MD SSN: (3 Hushing A‘ cone. Brooklyn. Nen York 11205 336 E. 86th St. 718.552-1000 Fax 7IS452-I022 DOS: 01/20/1953 New York, NY 10028 Patient Id: 1371344 Medical Director Phone: 212-750-9895 PilfiC13 R Romano. M Mazer,Gary 0 tato.:a. If /tune ht Specimen # Lab # Dale Collected Dale Received Date Reported Sex Aft 10/09/2011 10/09/2011 10/12/2011 T1383160F 137115 M 58 09:53PM TESTS RESULTS REFERENCE VALUES T4, Free 1.32 0.8 - 1.8 ng/dL PTH-/ntact H 107 14 - 72 pg/aL *Performed By Nichols Institute End of Final Report Page 3 of 3 EFTA01126524