EFTA00298586.pdf

re)Quest Diagnostics- PATIENT IN FORMATION EPSTEIN,JEFFREY RP.PORT STATUS PARTIAL WEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT' SERVICE 866.697.8378 DOB: 01/20/1953 AGE: 63 KLINE, MITCHELL A GENDER: M SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: RE232401 ID: 101513 T92816 .40203925 REQUISITION: T928160000752 PHONE: 212.750.9895 MITCHELL KLINE, III. LAB REF ID: 00000008430 700 PARK AVE NEW YORK, NY 10021 COLLECTED: 07/27/2016 11:24 RECEIVED: 07/27/2016 14:10 REPORTED: 07/29/2016 09:16 Hit- 7/vile Teat Name In Range Out of Range Reference Range CHEM-SCREEN PANEL GLUCOSE 103 65-139 mg/dL The glucose reference range is based on a non-fasting state. SODIUM 139 135-146 mmol/L POTASSIUM 4.7 3.5-5.3 mmol/L CHLORIDE 100 98-110 mm01/L CARBON DIOXIDE 26 19-30 mmol/L UREA NITROGEN 21 7-25 mg/dL CREATININE 1.11 0.70-1.25 mg/dL The upper reference limit for Creatinine is approximately 13t higher for people identified as African-American. BUN/CREATININE RATIO NOTE 6-22 (talc) Bun/Creatinine ratio is not reported when the Bun and Creatinine values are within normal limits. URIC ACID 6.6 4.0-8.0 mg/dL Therapeutic target for gout patients: <6.0 mg/dL PHOSPHATE (AS PHOSPHORUS) 3.7 2.5-4.5 mg/dL CALCIUM 8 6-10 3 mg/dL k VtiOtata0(4 0.:. traq=a1.1314-c a raMaTafklad AatrIK-1012,51474102=1,- tilial*****00.14016MIMIMMINAMMKOWAVICiirSOMMINESERM PROTEIN, TOTAL 7.4 6.1-8.1 g/dL ALBUMIN 4.8 3.6-5.1 g/dL GLOBULIN 2.6 1.9-3.7 g/dL (talc) ALBUMIN/GLOBULIN RATIO 1.8 1.0-2.5 (talc) BILIRUBIN,TOTAL 0.8 0.2-1.2 mg/dL BILIRUBIN,DIRECT 0.1 < = 0.2 mg/dL ALKALINE PHOSPHATASE 69 40-115 U/L GGT 21 3-70 U/L AST 17 10-35 U/L ALT 24 9-46 U/L LD 185 120-250 U/L IRON,TOTAL 88 50-180 mcg/dL EGFR NON APR AMERICAN 70 >=60 mL/min/1.73m2 EGFR AFRICAN AMERICAN 81 >=60 mL/min/1.73m2 EPSTEIN,JEFFREY - RE232401 Page 1 - Continued on Page 2 On*Dw!D or,g.s.om aria assoma(Lai timinti., rails au tit ussniAs Glity :arfru‘s C Cant Di n.c.c.I.C4rpyr-t.) Ai rye,rAin-nd citcrn hit ilmnstin.“24 wen EFTA00298586 ro,Quest Diagnostics QUEST DIAGNOSTICS INCORPORATED PATIENT INFORMATION EPSTEIN,JEFFREY REPORT STAINS ORDERING PHYSICIAN PARTIAL DOB: 01/20/1953 AGE: 63 KLINE,MITCHELL A GENDER: M SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: RE232401 T92816 COLLECTED: 07/27/2016 11:24 REPORTED: 07/29/2016 09:16 Test Name In Range Out of Range Reference Range CBC (INCLUDES DIFP/PLT) WBC 6.7 3.8-10.8 Thous/mcL REC 5.34 4.20-5.80 Mi11/mcL HEMOGLOBIN 15.2 13.2-17.1 g/dL HEMATOCRIT 45.7 38.5-50.0 V MCV 85.6 80.0-100.0 fL MCH 28.4 27.0-33.0 pg MCHC 33.2 32.0-36.0 g/dL RDW 14.4 11.0-15.0 % PLATELET COUNT 303 140-400 Thous/mcL MPV 7.7 7.5-11.5 fL TOTAL NEUTROPHILS,% 57.7 38-80 % TOTAL LYMPHOCYTES,t 31.4 15-49 t MONOCYTES,% 6.4 0-13 t EOSINOPHILS,t 3.9 0-8 % BASOPHILS,t 0.6 0-2 t NEUTROPHILS,ABSOLUTE 3866 1500-7800 Cells/mcL LYMPHOCYTES,ABSOLUTE 2104 850-3900 Cells/mcL MONOCYTES,ABSOLUTE 429 200-950 Cells/mcL EOSINOPHILLABSOLUTE 261 15-500 Cells/mcL BASOPHILS,ABSOLUTE 40 0-200 Cells/mcL DIFFERENTIAL An instrument differential was performed. ANA IFA SCR W/REFL TITER PENDING EPSTEIN,JEFFREY - RE232401 Page 2 - Continued on Page 3 Olost OsiDevosit.iht aemAtnbtometallaismots004•004Molt. Wit anII • Iffillmaraid iN Nyman. CONNDatimIcs l'alOata Anght.1. WX0:0 kit RD.., VILITn' l"r1 EFTA00298587 re)Quest Diagnostics PATIENT INFORMATION EPSTEIN,JEFFREY REPORT EVAT11$ PARTIAL QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 63 KLINE,MITCHELL A GENDER: M SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: RE232401 T92816 COLLECTED: 07/27/2016 11:24 REPORTED: 07/29/2016 09:16 Test Name In Range Out of Range Reference Range LYME DISEASE,EIA W/RFL WE LYME DISEASE SCREEN 0.90 0.00-0.90 Index Value Index Interpretation c or . 0.90 Negative 0.91-1.09 Equivocal > or = 1.10 Positive IN,YNINt The use of purified VlsE-1 and PepC10 antigens in this assay provides improved specificity compared to assays that utilize whole cell lysates of B. burgdorferi, the causative agent of Lyme disease, and slightly better sensitivity compared to the C6 antibody assay. As recommended by the Food and Drug Administration (FDA), all samples with positive or equivocal results on the Borrelia burgdorferi antibody screen will be tested by Western Blot/Immunoblot. Positive or equivocal screening test results should not be interpreted as truly positive until verified as such using a supplemental assay (e.g., B. burgdorferi blot). The screening test and/or blot for B. burgdorferi antibodies may be falsely negative in early stages of Lyme disease, including the period when erythema migrans is apparent. BABESIA M/CROTI (IGG,IGM) PENDING A.PHAGOCY+E.CHAFFEE AB PL PENDING EPSTEIN,JEFFREY - RE232401 Page 3 - Continued on Page 4 04. IIALIN..)36.10,the era° oral Op ad aissc Ind Neat INapestcs rat,a an to iffaihrturint Oa ner...}aill 4PlImstDin,,wcs•utporinei AllrywasInad USA) Mt Rwmal,15 SO( in.:0 EFTA00298588 4 1) Quest Diagnostics PATIENT INFORMATION EPSTEIN,JEFFREY REPORT STATUS ORDERING PHYSICIAN PARTIAL rirr„ QUEST DIAGNOSTICS INCORPORATED t.eke DOB: 01/20/1953 AGE: 63 KLINE,MITCHELL A GENDER: M SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: RE232401 T92816 tA010,1c4 COLLECTED: 07/27/2016 11:24 st.be • . -,6tria 4 REPORTED: 07/29/2016 09:16 Test Name Allergen kti/L Class D. PTERONYSSINUS (D1) IGE <0.1C 0 3710.Bfi gr1, (D2) IGE <0.10 0 TBR f5tatifiaR CAT EPITH/DANDER(E1) IGE CAT DANDER taiimilvL 7.61 H 1WiliNt:24Pitrz 1.14 H iione-00-* 0407041-7:470249151.1 - 0.53 H 1BR ••TIMOTE)C-VMS W 6))49‘taignira4late i ntal 0.36 H TES COCKROACH (I6) IGE <0.10 THE (M1) IGE <0.10 C. HERBARUM (M2) IGE <0.10 A. FUMIGATUS (M3) IGE <0.10 ALLERGEN,A.ALTERNATA A.ALTERNATA (M6) IGE <0.10 MAPLE (BOCZBDER) (T1)-1O2. • 3014ti;•. 0.56 H BIROHASTALIGE - 0.50 H i;.=NtA*itdEDAE 2.09 H 0.55 H Madtt/144.0- 0.37 H 0.72 H P1044005110gtaleiliWalf#P NtIRE :, t 0.51 H EPSTEIN,JEFFREY - RE232401 Page 4 - Continued on Page 5 awe. fh•ItKv.W4 Opp onel 01 orco.04:mill D., ..b valetarls✓Zakst3sionnks. a. U u Duren:l, IN tonal AS iris COSMO lilt at.m.12,15 SOK MVP EFTA00298589 (0) Quest Diagnostics PATIENT INFORMATION EPSTEIN, JEFFREY REPORT STATES ORDERING' PHYSICIAN PARTIAL QUEST DIAGNOSTICS INCORPORATED DOB: 01/20/1953 AGE: 63 KLINE , MITCHELL A GENDER: M SPECIMEN INFORMATION CLIENT INFORMATION Ott SPECIMEN: RE232401 T92816 Zti010,.92 COLLECTED: 07/27/2016 11:24 Or itt REPORTED: 07/29/2016 09:16 Teat Name Allergen kU/L Claus MCOnVITY10011::121141£X#A0M iaga54FfilEIMIIIMMlitarglhTasmraa1 Oil t killgITWASn“TIS)Plet4tlaWYggitaraggigaiggingeing#03:1*NWL2,H .24841018MM saajtv: WHITE MULBERRY (T70) IGE <0.10 0 iii:00040.0004040.AggaOkaaralit " 4LINIMItt rtnnt -4MagitiaRtMiar 41a H TEL EigifttiartiftlititaaftiMattitglitingfinaMiliVaWi*. 0/1 H stattalINSPAil MOUSE UR PROT (E72) IGE <0.10 C TBR In Range Out of Range Reference Range 11314:11iittittitinlitr- 4AMINgraliliatirtrallE IC 2 Allergen ALLERGY,ANIMAL PROFILE gtagal.k*WW44.00a a l M t 1,7 7.6.1 H ragtidigt.00 44. :49}1172 7 . 0.23 H ".•SikarEVatlataltr),ZSZINIMEirr §:11.1Mtiao 1.14 H LT0400.1CSIStMage7dEalf 0.27 H EPSTEIN,JEFFREY - RE232401 Page 5 - Continued on Page 6 Oat Outs,Joimact.We solo Pe4 Op alel amm.iltd 04.4 Popoititi rift,in is O.MnW 10th ['Kogan° Wan IliNmstc LP, cal Agree.lesinel COMM tat Pew-4 L1V EFTA00298590 40)Quest Diagnostics PATIENT INFORMATION EPSTEIN,JEFFREY REPORT STATUS PARTIAL QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN DOB: 01/20/1953 AGE: 63 KLINE,MITCHELL A GENDER: M SPECIMEN INFORMATION CLIENT INFORMATION SPECIMEN: RE232401 292616 "110103925 COLLECTED: 07/27/2016 11:24 REPORTED: 07/29/2016 09:16 Test Name ALLERGEN SPECIFIC REF. RANGE Specific IgE Level of Allergen Class kU/L Specific IgE Antibody 0 < 0.10 Absent/Undetectable 0/1 0.10 - 0.34 Very Low Level 1 0.35 - 0.69 Low Level 2 0.70 - 3.49 Moderate Level 3 3.50 - 17.49 High Level 4 17.5 - 49.9 Very High Level 5 50 - 100 Very High Level 6 > 100 Very High Level The clinical relevance of allergen results of 0.10-0.34 kU/L are undetermined and intended for specialist use. PERFORMING LABORATORY INFORMATION: TBR Quest Diagnostics Ono Malcolm Avenue Teterboro NJ 07608 Laboratory Director, Lawrence Tsao. III• CL1A No: 3100696246 EPSTEIN,JEFFREY - RE232401 Page 6 - End of Report Oat OsitesraNirs.•• onecom Cc* • 014.5041110 Ow OMB. aris neve.. of OnoDorm° ID lull 0•1•00€1.C•Mrstd kmMira estni.0,20:CO-n hingedWM SOX. EFTA00298591 4-,) Quest Diagnostics PATIENT INFORMATION ICURTZBERG, HOLLY B REPORT STATUS PARTIAL QUEST DIAGNOSTICS INCORPORATED ORDERING PHYSICIAN CLIENT SERVICE 866.497.8178 DOB: 04/30/1969 AGE: 47 KLINE' MITCHELL A SPECIMEN INFORMATION GENDER: F FASTING: Y CLIENT INFORMATION it SPECIMEN: RE230123 ID: 61350 T92816 I:414.4.03925 REQUISITION: T928160000751 PHONE: 212.439.0883 MITCHELL KLINE, III. 700 PARK AVE NEW YORK, NY 10021 COLLECTED: 07/27/2016 08:40 RECEIVED: 07/27/2016 14:10 REPORTED: 07/29/2016 09:16 ca COMMENTS: FASTING Test Name In Range Out of Range Reference Range CALL TEST Processing of this specimen(s) was delayed in order to ensure correct test order interpretation. CHEM-SCREEN PANEL GLUCOSE,FASTING 78 65-99 mg/dL SODIUM 140 135-146 mmol/L POTASSIUM 4.0 3.5-5.3 mmol/L CHLORIDE 107 98-110 mmol/L CARBON DIOXIDE 26 19-30 mmol/L UREA NITROGEN 11 7-25 mg/dL CREATININE 0.72 0.50-1.10 mg/dL BUN/CREATININE RATIO NOTE 6-22 (calc) Bun/Creatinine ratio is not reported when the Bun and Creatinine values are within normal limits. URIC ACID 2.6 2.5-7.0 mg/dL Therapeutic target for gout patients: <6.0 mg/dL PHOSPHATE (AS PHOSPHORUS) 2.9 2.5-4.5 mg/dL CALCIUM 9.2 8.6-10.2 mg/dL CHOLESTEROL,TOTAL 186 125-200 mg/dL TRIGLYCERIDES 56 <150 mg/dL PROTEIN, TOTAL 6.5 6.1-8.1 g/dL ALBUMIN 4.1 3.6-5.1 g/dL GLOBULIN 2.4 1.9-3.7 g/dL (calc) ALBUMIN/GLOBULIN RATIO 1.7 1.0-2.5 (calc) BILIRUBIN,TOTAL 0.5 0.2-1.2 mg/dL BILIRUBIN,DIRECT 0.1 < e 0.2 mg/dL ALKALINE PHOSPHATASE 50 33-115 U/L GGT 14 3-55 U/L AST 16 10-35 U/L ALT 15 6-29 U/L LD 134 100-200 U/L IRON,TOTAL 80 40-190 mcg/dL EGFR NON AFR AMERICAN 100 '.60 mL/min/1.73m2 EGFR AFRICAN AMERICAN 116 ›=60 mL/min/1.73m2 KURTZBERG,HOLLY B - RE230123 Page 1 - Continued on Page 2 Otwil.Oirel Darwin lioancemic bee $ neer fey auto therrien set as re e ?dens el 3.er rrt•euet :bra ra:nrsa:s ranee WI Air the envy[ C03110 %IL kerne LIS I I EFTA00298592