EFTA00304878.pdf

Report Status: Partial raj Quest Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Chentheonnation Specimen: MR495703L Client #: 78300020 56W5265 EPSTEIN, JEFFREY Requisition: 0006136 MOSKOWITZ,BRUCE W DOB: 01/20/1953 AGE: 65 BRUCE MOSKOWITZ,MD Gender: M Attn: NATIONWIDE ACCOUNT Collected: 08/30/2018 Phone: 1411 N FLAGLER DR STE 7100 Received: 08/31/2018 115:51 EDT Patient ID: 19530120MJE WEST PALM BEACH,FL 33401.3418 Reported: 08/31/2018 123:33 EDT Health ID: 8573003290851249 Teat Name In Range Out Of Range Reference Range Lab LIPID PANEL, STANDARD CHOLESTEROL, TOTAL 219 H <200 mg/dL MI HDL CHOLESTEROL 29 L >40 mg/dL MI TRIGLYCERIDES 475 H <150 mg/dL MI LDL-CHOLESTEROL mg/dL (talc) MI 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 <5.0 (talc) MI NON HDL CHOLESTEROL 190 H <130 mg/dL (talc) MI 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 mg/L TP Lower relative cardiovascular risk according to AHA/CDC guidelines. For ages >17 Years: hs-CRP mg/L Risk According to AHA/CDC Guidelines <1.0 Lower relative cardiovascular risk. 1.0-3.0 Average relative cardiovascular risk. 3.1-10.0 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. >10.0 Persistent elevation, upon retesting, may be associated with infection and inflammation. HOMOCYSTEINE 11.6 H <11.4 umol/L MI 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. CLIENT SERVICES:866.697.8378 SPECIMEN: MR495703L PAGEI0F5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304878  Report Status: Partial Quest Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Client Information Specimen: MR495703L Client #: 78300020 EPSTEIN, JEFFREY Collected: 08/30/2018 MOSKOWITZ. BRUCE W DOB: 01/20/1953 AGE: 65 Received: 08/31/2018 / 15:51 EDT Gender: M Reported: 08/31/2018 /23:33 EDT Patient ID: 19530120MJE Health ID: 8573003290851249 Test Name In Range Out Of Range Reference Range Lab COMPREHENSIVE METABOLIC MI PANEL GLUCOSE 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 7-25 mg/dL CREATININE 0.98 0.70-1.25 mg/dL 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 81 > OR = 60 mL/min/1.73m2 eGFR AFRICAN AMERICAN 93 > OR = 60 mL/min/1.73m2 BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc) SODIUM 141 135-146 mmol/L POTASSIUM 4.5 3.5-5.3 mmol/L CHLORIDE 108 98-110 mmol/L CARBON DIOXIDE 23 20-32 mmol/L CALCIUM 9.4 8.6-10.3 mg/dL PROTEIN, TOTAL 7.0 6.1-8.1 g/dL ALBUMIN 4.1 3.6-5.1 g/dL GLOBULIN 2.9 1.9-3.7 g/dL (calc) ALBUMIN/GLOBULIN RATIO 1.4 1.0-2.5 (calc) BILIRUBIN, TOTAL 0.8 0.2-1.2 mg/dL ALKALINE PHOSPHATASE 59 40-115 U/L AST 25 10-35 U/L ALT 36 9-46 U/L HEMOGLOBIN Alc MI See Endnote 1 PHOSPHATE (AS PHOSPHORUS) 3.4 2.1-4.3 mg/dL MI URIC ACID 8.1 H 4.0-8.0 mg/dL MI Therapeutic target for gout patients: <6.0 mg/dL TSH 2.03 0.40-4.50 mIU/L MI T4 (THYROXINE), TOTAL 8.0 4.9-10.5 mcg/dL MI FREE T4 INDEX (T7) 2.4 1.4-3.8 T3 UPTAKE 30 22-35 % MI SED RATE BY MODIFIED MI WESTERGREN 9 < OR = 20 mm/h CBC (INCLUDES DIFF/PLT) MI WHITE BLOOD CELL COUNT 5.7 3.8-10.8 Thousand/uL RED BLOOD CELL COUNT 5.11 4.20-5.80 Million/uL HEMOGLOBIN 15.5 13.2-17.1 g/dL HEMATOCRIT 44.6 38.5-50.0 % MCV 87.3 80.0-100.0 fL MCH 30.3 27.0-33.0 pg MCHC 34.8 32.0-36.0 g/dL RDW 13.8 11.0-15.0 % PLATELET COUNT 271 140-400 Thousand/uL CLIENTSERIIICES:866.6971378 SPECIMEN: MR495703L PAGE 2OF 5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304879  Report Status: Partial 4) Quest Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Client Information Specimen: MR495703L Client #: 78300020 EPSTEIN, JEFFREY Collected: 08/30/2018 MOSKOWITZ. BRUCE W DOB: 01/20/1953 AGE: 65 Received: 08/31/2018 / 15:51 EDT Gender: M Reported: 08/31/2018 / 23:33 EDT Patient ID: 19530120MJE Health ID: 8573003290851249 Test Name In Range Out Of Range Reference Range Lab MPV 9.7 7.5-12.5 fL ABSOLUTE NEUTROPHILS 2582 1500-7800 cells/uL ABSOLUTE LYMPHOCYTES 2177 850-3900 cells/uL ABSOLUTE MONOCYTES 502 200-950 cells/uL ABSOLUTE EOSINOPHILS 371 15-500 cells/uL ABSOLUTE BASOPHILS 68 0-200 cells/uL NEUTROPHILS 45.3 LYMPHOCYTES 38.2 MONOCYTES 8.8 EOSINOPHILS 6.5 BASOPHILS 1.2 URINALYSIS, COMPLETE MI See Endnote 2 VITAMIN B12 383 200-1100 pg/mL MI 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 <8.0 mg/L MI TESTOSTERONE, TOTAL MI MALES (ADULT), IA TESTOSTERONE, TOTAL, MALES (ADULT), IA 122 L 250-827 ng/dL 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 < OR = 4.0 ng/mL MI 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 * Test not performed. * Quantity not sufficient. * Endnote 2 * Test not performed. * No specimen received. * CLIENT SERVICES: 866.697.8378 SPECIMEN: MR495703L PAGE30F5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00304880  Report Status: Partial raj Quest Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Client Information Specimen: MR495703L Client #: 78300020 EPSTEIN, JEFFREY Collected: 08/30/2018 MOSKOWITZ. BRUCE W DOB: 01/20/1953 AGE: 65 Received: 08/31/2018 / 15:51 EDT Gender: M Reported: 08/31/2018 / 23:33 EDT Patient ID: 19530120MJE Health ID: 8573003290851249 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  Report Status: Partial raj Quest Diagnostics EPSTEIN, JEFFREY Patient Information Specimen Information Client Information Specimen: MR495703L Client #: 78300020 EPSTEIN, JEFFREY Collected: 08/30/2018 MOSKOWITZ, BRUCE W DOB: 01/20/1953 AGE: 65 Received: 08/31/2018 / 15:51 EDT Gender: M Reported: 08/31/2018 / 23:33 EDT Patient ID: 19530120MJE Health ID: 8573003290851249 Endocrinology Test Name Result Reference Range Lab VITAMIN D,25.OH,TOTAL,IA 30 30-100 ng/mL MI Vitamin D Status 25-OH Vitamin D: Deficiency: <20 ng/mL Insufficiency: 20 - 29 ng/mL Optimal: > or = 30 ng/mL 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.) 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