📄 Extracted Text (4,078 words)
APR-04-2001 20:13 RCM P.001
• Tcahn School of Medicine at
Mount Sinai
Department of Clinical linnhnology, 5 East se SSreet, 11th Floor. New York, NY 10029
Shradha Aganval.M.D.; Pavia Susse,M.D.; Beth Eve Com.M.D.; Charlotte CtmnInaharn
-Rundles,M.D.Ph.D.: Elena Resnic:k,M.D.
From: Cynthia Medina, RMA
Phon Gate: ‘;'!
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12/30/2013 11:11AM (GMT-05:00)
EFTA01104649
APR-04-2001 20:13 HCM P.002
JAMUL 1- ..7/ 41/1.)
Jeffrey Epstein poscription. 60 year old male
izisi2013 4:03 PM Telephone Pregicisc Paula J Busse, MD
MRN: 7206913 Oepa'Inent: Clinical Immunology
Patient Information
Patient Information
Patent Name Sex DOB SSN
Epstein, Jeffrey Male 1/20/1953
Patient Demographics
(Home)
(Mobile)
Telephone Contact Summary
Call Information
Date S Time Provider Deportment Cenutr
12/19/2013 4:03 PM Paula J auSse. MD Fpa Clinical Immunology None
Reason for Call
Test results
Call Documentation
Paula J Busse, MD 12/19/2013 4:09 PM Signed
Spoke with Dr. Shimony (917-922-7391).
1) I explained that the patient had mildly elevated IgE to peanut (0.44) and sesame seed
(0.36), but he tolerates these foods so I would not recommend avoidance. If there is a
concern, he can RTC for skin prick testing to these foods.
2) We also discussed that his TSH, CBC, CMP, C4 WNL (therefore not likely HAE-also
since responded to corticosteroid treatment).
3) Patient was given Epipen Rx and Rx for prednisone to take for emergency use
4) That I recommended to the patient to resume his lipid medications
Other notes for chart:
1)IgE detectable to some environmental allergens—cat dog, tree, grass, ragweed—not
likely to be etiology of swelling
2) SPEP WNL
I LEFT A MESSAGE ON THE PATIENTS CELL PHONE WHICH WAS PROVIDED IN
EPIC THAT LAB RESULTS WERE BACK, BUT NO CONCERNING VALUES--DID NOT
LEAVE SPECIFIC INFORMATION.
Tryptase, ANA pending
Allergies as of 12/19/2013 Reviewed C. 12/18/2013 By Paula J
Busse, MD
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d••• JU• ay./' ..... ••••“' _ _m.
Results: ASTHMA PROFILE Status. Final result
Abnormal 12/1912013 11:54 AM
Component Value RangoilUnits s7xus
CL HERBARUM IGE <0.35 c035klUil Fna
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 k/O/L Antibody level low
0.71 to 3.5 kIO/L Antibody level moderate
3.51 to 17.5 kIO/L Antibody level high
kIV/L Antibody level very high
ASP,FUNMGATUSIGE <0.35 <0.35kalk F:nal
ALLERGEN SPECIFIC REFERENCE RANGE
0.35 k/U/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
MUCOR RACEMOSUS IGE <0.35 <0.35 ktU'L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectabla level
0.35 to 0.70 kItt/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kIV/L Antibody level high
>17.5 kIU/L Antibody level very high
C. ABLICANA ICE 40.35 <0.35 kIU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIO/L Antibody absent or at undetectable level
0.35 to 0.70 k/U/L Antibody level low
0.71 to 3.5 kItI/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIV/L Antibody level very high
ALT.TENUMIGE <0.35 <0.351dU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kI0/1. Antibody level high
>17.5 kIV/L Antibody level very high
DeR.PTERONYSSINUSIGE <0.35 <0.361dUA. Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIV/L Antibody absent o: at undetectable level
0.25 to 0.70 kIU/L Antibody level low
13.71 to 3.5 kIll/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
DER.FEMME IGE <0.35 <0.35 kitEL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kitt/L Antibody absent or at undetectable level
0.35 to 0.70 kIV/L Antibody level low
0.71 to 3.5 kItI/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
Epstein, Jeffrey (MR # 7206913) Printed by Cynthia Medina (107I4] at 12;30/13 10:47 A. Page 1 of 11
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vti.. ;v. [uIJ.a IU,'Von w catur.::.; r....i4t/l3
>17.5 kIU/L Antibody level very high
CATDANDERKNE 0.70 (H) <35 kILI/L Fnal
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 klU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 klU/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
DOG DANDER me 1.06 (H) <0.35kitfiL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kI0/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kItili Antibody level high
517.5 kIU/L Antibody level very high
BLATELLAGERMANICAIGE <0.35 <0.35O1EL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 RIU/L Antibody level high
>17.5 kiii/L Antibody level very high
0/11(0AMITE)IGE 0.96 (H) <0.35kIWL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIVI, Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level LOW
0.71 to 3.5 MIA Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
TIMOTHY IGE 0.78(H) <025kKHL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.11 to 3.5 kiU/1. Antibody level moderate
3.51 to 17.5 KIU/L Antibody level high
>17.5 kIU/L Antibody level very high
COM.RADANEEIME 3.93(H) <0.35 k1UlL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 ki0/1, Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIV/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kiU/L Antibody level very high
IG E QUANT 45800 Final
Lab Inquiry View Compete Results
Results: CBC+PLT+DIFF Status: Final result
12118/2013 6:01 PM
Compeiont Value Range & Units S 3tus
WHITE BLOOD CELL 8.7 4.5 -11.0 x10 3/uL Final
RED BLOOD CELL 4.91 4.50 - 6.00 x10 Slut. Final
HEMOGLOBIN 14.5 13.9 - 16.3 GA31 Final
Epstein, Jeffrey (MR # 7206913) Primed by Cynthia Medina :1C714) at 12130/13 10:47 A... Page 2 of 11
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APR-04-2001 20:15 RCM P.005
HEMATOCRIT 42.4 42.0 - 52.0 % Final
MEAN CORP. VOLUME 86.3 80.0 - 98.0 FL Final
MEAN CORP. HGB 29.5 27.0 - 32.0 PG Final
MEAN CORP. HGB CONC. 34.2 32.0 35.0 G/DL Final
RED DISTRIB. WIDTH 13.5 11.5 - 15.0% Final
PLATELET 285 150 -450 x10 3/uL Final
MEAN PLT VOLUME 7.8 7.4 - 12.0 FL Final
NEUTROPHIL % 64.2 40.0 - 78.0 % Final
LYMPHOCYTE % 26.5 15,0 - 50.0 % Final
MONOCYTE % 4.5 2.0 -11.0 % Final
EOSINOPHIL % 4.2 0.0 - 5.0 % Final
BASOPHIL % 0.6 0.0 - 1.0 % Final
NEUTROPHIL 5.6 1.9 - 8.0 x10 3/uL Final
LYMPHOCYTE it 2.3 1.0 - 4.5 x10 3/uL Final
MONOCYTEN 0.4 0.2 - 1.0 x10 3/uL Final
EOSINOPHIL # 0.4 0.0 - 0.6 x10 3/uL Final
BASOPHIL 0.1 0.0 - 0.2 x10 3/uL Final
Lab Inquiry yiew_Comalete Results
Results: COMPREHENSIVE METABOLIC PANEL Stags: Final result
12118/2013 8:38 PM
Component value Range&Units S,atus
ALBUMIN 4.3 3.5.4.9 G/DL Final
BILIRUBIN TOTAL 0.5 0.1 - 1.2 MG/DL Fuel
CALCIUM 9.6 8.5 -10.5 MG/DL Final
CHLORIDE 103 96 - 108 MEO/L Final
CREATININE 1.01 0.70 -1.40 MG/OL Final
GLUCOSE 113 65 -139 MG/DL Final
MN-MST:NG 65-139 mg/dt
FASTING 55 - 99 mg/d1.
ALK.PHOSPHATASE 58 30 -110 U/l. Final
POTASSIUM 4.0 3.5 • 5.0 MEO/L Final
PROTEIN TOTAL 7.0 6.0 - 8.3 G/DL Final
SODIUM 142 135. 145 MEO/L Final
MT (SOOT) 18 1 -60 UR_ Final
UREA NITROGEN 21 10 -30 MG/DL Final
CO2 TOTAL 23.4 22.0 - 32.0 MEO/L Final
ALT(SGPT) 19 1 .53 LPL Final
EGFR AFRICAN AM >60.00 rnItmin/1.73m Final
The National Kidney Diseaso Education Program encourages laboratories to
automatically report estimated GFR when serum creatinine is ordered. Thi9
Glomarular Filtration. Rate (GFR) estimate has been calculated for African
Americans using ICMS traceable MORO equation. This equation is not
applicable in pediatric patients less than 18 years of age. MORD is not
recommended for determining drug dosing. Use Cockcroft-Gault equation to
determine drug doses.
EGFR NON-AFR AM >60.00 ml/min/1.73m Final
This Glomerular Filtration Rate (GFR) estimate has been calculated for
Non-African Americans using IOt4S traceable MORD equation. :his equation is
not applicable in pediatric patients less than 19 years of
age.
Staging of Chronic Kidney Disease (CKD)
GFR 30-59 -CX0 Stage 3 (Moderate)
GFR 15-29 4CKD Stage 4 (Severe)
GFR <15 4CKD Stage 5 (Kidney Failure)
Epstein, Jeffrey (MR # 7206913) Printed by Cynthia Medina [107141 at 12/30/13 10:47 A... Page 3
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.." RCM P.006
1.411.1
/
411 __.c. ZVI
NORD is not recommended for determining drug dosing. Use Coolccroft-Gault
equation to determine drug doses.
Lab Inquiry View Complete Results
Results: ANA SCREEN Status: Final result
Abnormal 12/20/2013 1:43 AM
Component VaJs Range t.l2nils Status
ANA SCREEN (1:40) Positive (A) Negative Final
Lab inouiry View Complete Result/
Results: ANTI-DNA, DOUBLE-STRANDED, QUALITATIVE, Status: Final result
SERUM 12/19/2013 3:01
PM
Component value Range & Units Status
ANTI DNA DS• QUAL NEGATIVE NEGATIVE Final
1_Omi:wiry View Complete IReSultS
Results: TSH WI FREE T4 REFLEX Status: Final result
12/18/2013 7:11 PM
Component Value Range & Units Status
TSH W/FREE T4 RELEY 1.90 0.34 - 5.60 ulU/MI Final
Reference Ranges:
Age: Female: Male;
1-25 Cays 1.5-6.5 0.1-9.8
1-24 months 1.6-5.7 0.7-5.9
9-10 years 0.9-4.0 1.0-3.7
11-14 years 0.7-3.4 0.8-3.9
15-17 years 0.6-3.7 0.7 - 2.8
18-99 years 0.34-5.60 0.34-5.60
Lab Inquiry View Complete Rol)*
Results: TRYPTASE Status: Final result
12/21/2013 3:34 AM
Component Valuo Range & Units Status
TRYPTASE 4.6 0.4 -10.9 ug/L Final
Performed by AAUP Laboratories,
500 Chipeta Way, SLC,UT 84108 800-522-2787
www.aruplab.coN, Jerry W. Russ0(19. MD - Lab. Director
PLEASE NOTE: TEST NOW BEING PERFORMED AT AR0P LABS.
REFERENCE RANGES MAY HAVE CHANGED.
Lab lnouiry View Complete Resuitq
Results: SMITH ANTIBODY Stetus: Final result
12/20/2013 2:44 PM
Component Value Range. & Units Status
SMITH ANTIBODY 1 0.40AlMnL Final
INTERPRETIVE INFORMATION; SMITH (ENA) Ab, IgG
29 All/mL or Less Negative
30 - 40 AC/mL Equivocal
41 AU/mL or Greater Positive
Smith antibody is very specific for systemic lupus
erythematosus (SLE) but only occurs in 30-35t of SLE cases.
The presence of antibodies to Smith is often associated
Epstein, Jeffrey(MR # 7206913)Printed by Cynthia Medina [107141 at 12/30/13 I0:47 A... Page 4 of 11
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APR-04-2001 20:15 HCM P.007
IJeC- LU r r: • itrinr iLVV71J)
with renal disease.
Performed by ARUP Laboratories,
500 Chipeta Way, SLC,UT 84108 800-522-2787
www.aruplab.com, Jerry W. HuSS0ng, MD - Lab. Director
PLEASE NOTE: TEST NOW BEING PERFORMED AT ARUP LABS,
REFERENCE RANGES MAY HAVE CHANGED.
Lab Inouiry View Complete Results
Results: RNP ANTIBODY Status: Final result
12/20/2013 2:42 PM
Component Value & Units Status
RNP ANTIBODY 0 0 - 40 AllimL Final
INTERPRETIVE INFORMATION: Ribonucleic Protein. (EIA) Antibody, :qG
29 AU/ml, or Less Negative
30 - 40 AU/ml, EquivocaL
41 AU/mL or Greater Positive
RNP antibody is seen in 95-100 percent of mixed connective
tissue disease and is considered specific for this syndrome
if other antibodies are negative; RNP is also present in
20-30 percent of systemic lupus erythematosus and 15-25
percent of progressive systemic sclerosis. RNP antigens
also contain epitopes that are immunologically identical to
free Smith antigens, therefore, the Smith antibody response
must be considered when interpreting RN? results.
Performed by ARUP Laboratories,
500 Chipeta Way, SLC,UT 84108 800-522-2787
www.aruplab.com, Jerry W. Hussong, MD - Lab. Director
PLEASE NOTE: TEST NOW BEING PERFORMED AT ARUP LABS,
REFERENCE RANGES MAY HAVE CHANGED.
Lab Inpuiry View Complete Results
Results: NORTH EAST URD PROFILE Siat.is: Final result
Abnormal 12119/2013 11:54AM
Component Valoo Rime & Units Status
ELM IGE 0.93 (H) <0.35 klU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 klU/L Antibody level moderate
3.51 to 17.5 kIu/L Antibody level high
>17.5 kIU/L Antibody level very high
MAPLE IGE 0.93 (H) <0.35 MU& Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIV/I. Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level .ow
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
BERMUDA GRASS IGE 1.11 (H) <0.35 klU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
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APR-04-2001 20:16 RCM P.008
<0.35 k/U/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody 1eve. moderate
3.51 to 17.5 klU/L Antibody level high
>17.5 kIU/L Antibody level very high
GOCISEFCH3TIGE 0.84(H) <0.35 kIU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent o: at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 k/U/L Antibody level moderate
3.5: to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
) ab Inquiry View Complete Results
Results: ALMOND-F20 Status: Final result
12/19/201311:54 AM
Component Value Rarge & Units Statt.s
• ALMOND IGE <0.35 <0.35 klU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<C.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 k/U/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 klU/L Antibody level high
>17.5 kIU/L Antibody level very high
Lab inquiry View CompLete Results
Results: BRAZIL NUT Status: Final result
12,t19/2013 11:54AM
Component Value Range & Units Status
BRAZIL NUT IGE <0.35 <0.35 klU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 k/U/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody /eve: low
0.71 to 3.5 kI0/1, Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
Lab Inquiry View Complete Results
Results: CASHEW NUT Status: Final result
12/1912013 11:54 AM
Component Value Range &Unit: Status
CASHEW NUT IGE <0.35 <0.35 kIU/L Final
ALLERGEN SPECIFIC REFERENCE RANGF.
<0.35 kI0/1 Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 ;am Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 ki0/1. Antibody level very high
Lab inouLry View Complete Results
Results: CRAB Status: Final result
12/19/2013 11:54 AM
Component Vero Range & Units Staves
CRAB IGE <0.35 <0.35 kW/ final
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A ...C. L.- [-V 1 J
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 klv/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 k/U/L Antibody level high
>17.5 klu/L Antibody level very high
Lab Inquiry View Complete Results
Results: EGG WHITE F.1 Status: Final result
12/19/2013 11:54 AM
Component Value RengeAllnits Status
EGGNMEIGE <025 <0.35 kIU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/l Antibody level moderate
3.51 to 17.5 kltlL Antibody level high
>17.5 kIU/L Antibody level very high
jabIns:wiry View Complete Results
Results: WALNUT, BLACK FOOD-FM Status: Final result
12/19/2013 11:54AM
Component Value Range & Units Scotus
WALNUT IGE <0.35 <0.35 MU/1 Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at Undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody love: very high
Lab Inquiry View Complete Results
Results: TUNA Statist Final result
12/19/2013 11:54AM
Component Value Renpa&Unfts Status
TUNA IGE <0.35 <0.35 kW& Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/7.. Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
Lab [MON view Complete Results
Results: SUNFLOWER SEED Status: Final result
12119/2013 11:54 AM
Compontmt value Range a Units Status
SUNFLOWER SEED IGE <0.35 <0.35 KUL Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 k/U/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 k/U/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
Epstein, Jeffrey (MR it 7206913) Printed by Cynthia Medina [10714] at 12/30/13 10:47 A... Page 7 of 11
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EFTA01104657
APR-04-2001 20:17 HCM P.010
IVIJII4.)JnAM ILVV7SJJ cricou - - „
ab Inquiry View Complete Results
Results: SHRIMP Status: Final result
12/19/2013 11:54 AM
Component Value Range 8 Units Status
SHRIMP IGE <0.35 <0.35 MU/ Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.3$ kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kiU/L Antibody level low
0.71 to 3.5 kIe/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
Lab Inquiry View Comolete Resulta
Results: SESAME SEED Ststus: Final result
Abnormal 12119/2013 11;54 AM
Component Value Range & Units Status
SESAME SEED IGE 0.36 (H) <0.35 klU/L Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kill/1. Antibody absent or at undetectable level
0.3$ to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 ktu/L Antibody level high
>17.5 kIU/1 Antibody. level very high
lab Inquiry View Complete Results
Results: PISTACHIO NUT Slalus: Final result
12/19/2013 11:54 AM
Component Value Remo & Units Status
PISTACHIO NUT IGE <0.35 <0.35 klU/L Final
ALLERGEN SPECIFIC REFERENCE: RANGE
<0.35 kIUFL Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 kIU/L Antibody level high
>17.5 kIU/L Antibody level very high
Labinaufry View Complete Resuiti
Results: PINE (PINON) NUT 5tna:s• Final result
12/21/2013 4:24 PM
Component Velum Range& Units Status
PINE (PINON) NUT <0.10 <=0.34 WA. Final
INTERPRETIVE INFORMATION: Allergen, Food, Pine (Pinon) Nut
Test developed and characteristics determined by ARC?
Laboratories. See Compliance Statement A: aruplab.com/CS
Performed by ARUP Laboratories,
500 Chipeta Way, SLC,OT 84108 800-522-2787
www.aruplab.com, Jerry W. HwaSOng, MD - Lab. Director
PLEASE NOTE: TEST NOW BEING FERFORmED AT ARUP LABS,
REFERENCE RANGES MAY HAVE CHANGEC.
ab Inouitv View Complete Resultt
Epstein, Jeffrey (MR # 7206913) Printed by Cynthia Medina [10714] at 12/30/13 10:47 A... Page 8 of 11
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APR-04-2001 20:17 HCM P.011
4ti.)1.% iVIXTIU./JmNff /1ObY15) encoc.../...1.:e: IL:
Results: PECAN NUT 5lait.s: Final result
12/1912013 11:54 AM
Component Value Range & Units Status
PECAN NUT IGE <0.35 <0.35 klUA. Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 k1U/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 17.5 k1U/L Antibody level high
>17.5 kIU/L Antibody level very high
Lablnouiry View Complete Result*
Results: PEANUT Status: Final result
Abnormal 12119/2013 11:54AM
Component vaile Range & Units Sates
PEANUT IGE 0.44 (H) <0.35 IdU/L Fine'
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kIU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.7: to 3.5 k13/.. Antibody level moderate
3.51 to 17.5 SIU/L Antibody level high
>17.5 kltl/L Antibody level very high
Lablnou#y View Complete Results
Results: ESTROGENS, TOTAL Stotss Final result
12/22/2013 3:32 PM
Component Vnkie Range & Units S:gId$
ESTRADIOLBYTIOS 14.9 pg/mL Final
REFERENCE INTERVAL: Estradiol by TMS
Access complete set of age- and/or gender-specific
reference intervals for this test in the ARUP Laboratory
Test Directory (aruplah.com).
Test developed and characteristics determined by AAUP
Laboratories. See Compliance Statement a: aruplab.com/CS
PLEASE NOTE: TEST NOW BEING PERFORMED AT AAUP LABS.
REFERENCE RANGES MAY HAVE CHANGED.
ESTRONE 30.2 og/mt. Final
REFERENCE INTERVAL: Estrone by EMS
Access complete set of age- and/or gender-specific
reference intervals for this test in the ARUP Laboratory
Test DireCtcry (aruplab.Com).
Test developed and characteristics determined by ARUP
Laboratories. See Compliance Statement B: aruplab.com/CS
PLEASE NOTE: TEST NOB BEING PERFORMED AT ARUP LABS,
REFERENCE RANGES MAY HAVE CHANGED.
ESTROGENS TOTAL 45.1 pg/mL Final
CALCULATION
Reference interval of estrogens in serum in adults.
Epstein, Jeffrey (MR # 7206913) Printed by Cynthia Medina [10714] at 12130/13 10:47 A... Page 9 of 11
12/30/2013 11:11AM (GMT-05:00)
EFTA01104659
APR-04-2001 20:18 HCM P.012
' '14 7206913) britou.!.— 1. .. it.113
Males: Estrone Estradiol Total Estrogens
(pg/mi) (og/m1) lin/r.1)
Men 18 yrs and older 9-36 10-42 19-69
REFERENCE INTERVAL: Estrogens Total Calculation
Access complete set of age- and/Or gendor-specific
reference intervals for this test in the ARUP Laboratory
Test Directory (aroplab.cort).
Performed by AAUP Laboratories,
500 Chipeta Way, SLC,UT 84108800-S22-2787
www.aruplab.e0m, Jerry W. Hussong, MD - Lab. Director
PLEASE NOTE: TEST NOW BEING PERFORMED AT ARUP LABS,
REFERENCE RANGES MAY HAVE CHANGED.
Lab Inquiry View Complete Results
Results: PROTEIN EP, SERUM Status: Final result
12/19/2013 11:13 AM
Component Value Range & Umts Status
PROTEIN TOTAL 6.9 6.0 - 8.3 G/DL Final
PROTEIN TOTAL 6.9 6.0 - 8 3 G/DL Final
PROTEIN ELECTRO See Comment Final
NO MONOCLONAL PROTEIN SEEN IN THE GAMMA REG:0N.
ALBUMIN, ELP 4.19 3.50 - 5.70 G/O1 Final
ALPHA 1 GLOB 0.28 0.10 - 0.40 G/Cil. Final
ALPHA 2 GLOB 032 0.40 - 1.10 G/D1. Final
BETA GLOB 0.81 0.50 - 1.20 G/OL Final
GAMMA GLOB 0.90 0.60 -1.60 G/DL Final
A/G RATIO 1.54 Final
M-SPIKE % 0.00 Final
PA-SPIKE G/DL 0.00 g/dl Final
hes Inquiry View Complete Result4
Results: IMMUNOFIX PANEL-SERUM Status: Final result
12/20/2013 9:28 AM
Component Value Range & Units Status
IG G QUANT 879 700 - 1600 MG/DL Fatal
IG A QUANT 219 70 - 400 MG/DL Final
IG M QUANT 48 40 - 230 MG/DL Final
IMMUNORKATION SERUM SEE BELOW Final
No abnormalities seen.
Lab Inouiry View Complete Result2
Results: COMPLEMENT C4 tita:us: Final result
12/19/2013 1:09 PM
Component Value Rang3 & Units States
COMPLEMENT C4 31 10 - 40 MG/DL Final
Lab Inquiry View Complete Results
Results: PROTEIN EP, SERUM Status: Preliminary result
12/18/2013 6:38 PM
Component Value Range & Units Status
PROTEIN TOTAL 7.0 6.0 - 8.3 G/DL Final
Lab Inquiry View_Complete Results
Results: BIRCH Status: In process
Epstein, Jeffrey (MR # 7206913) Printed by Cynthia Medina [10714] at 12/30/13 10:47... Page 10 of 11
12/30/2013 11:11AM (GMT-05:00)
EFTA01104660
APR-04-2001 20:18 HCM P.013
oc.• "1/47• C.1 • de,
..
Je Atrty tint\ n4 7206913)
12/18/2013 6:3S PM
View Complete Results
Results: BIRCH Status Final result
Abnormal 12/20/201312:13 PM
Component VarJe. Range 3 Units States
BIRCH IGE 0.78 (H) ‘0.35 Final
ALLERGEN SPECIFIC REFERENCE RANGE
<0.35 kiU/L Antibody absent or at undetectable level
0.35 to 0.70 kIU/L Antibody level low
0.71 to 3.5 kIU/L Antibody level moderate
3.51 to 1/.5 klU/L Antibody level high
>17.5 kIO/L Antibody level very high
lahlnoUirV View Complete Aesult6
Results: ALLERGEN, INTERPRETATION Status: In process
12/21/2013 4:32 PM
View Complete Results
Results: ALLERGEN, INTERPRETATION Status: Final result
12/21/2013 4:32 PM
Component
ALLERGEN, INTERPRETATION:
See Note
Comment:
REFERENCE INTERVAL: Allergen, :nterpretation
Less than 0.10 kU/L No significant level detected
0.10-0.34 kU/L Clinical relevance undetermined
0.35-0.70 kU/L Low
0.71-3.50 kU/L Moderate
3.51-17.50 kU/L High
17.51 kU/L or Greater Very High
Allergen results cf 0.10-0.34 kU/L are intended for
specialist use as the clinical relevance is undetermined.
Even though increasing ranges are reflective of increasing
concentrations of allergen-specific IgE, these
concentrations nay not Correlate with the degree of
clinical response or skin testing results when challenged
with a specific allergen. The correlation of allergy
laboratory results with clinical history and in vivo
reactivity to specific allergens is essential. A negative
test may not rule out clinical allergy or even anaphylaxis.
Performed by ARUP Laboratories,
500 chipeta Way, SLCI UT 84108 800-522-2787
www.aruplab.com, Jerry W. Hussong, MO - Lab. Director
PLEASE NOTE: TEST NOW BEING PERFORMED AT ARUP LASS.
REFERENCE RANGES MAY HAVE CHANGED.
Lasinouiry View Complete Results
Epstein, Jeffrey (MR # 7206913) Printed by Cynthia Medina [10714] at 12/30/13 10:47... Page 11 of 11
12/30/2013 11:11AM (GMT-05:00)
EFTA01104661
ℹ️ Document Details
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a6ff58579b91bb2bc9b621377f7807ce6e90a9b9ad78f8796c5b030c22ec33cb
Bates Number
EFTA01104649
Dataset
DataSet-9
Document Type
document
Pages
13
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