EFTA00304364.pdf

18/420168:06:MPM FROM: LABCORP LCLS BULK TO: 2125173303 LABCORP Pagel of 12 r TO: Sebastian Lighvani MD LabCorp Raritan izakCov Specimen Sumba PetientID 69 First Aver= Raritan NJ 08869-1800 Omni Number Acoauog Nut Phoor.800-63 -5250 Amnia tot Number Route 292-401-3880-0 10416405675 31981645 212-517-3300 68 Paw Lam Name Account Addres: Epstein Sebastian Lighvani MD It PIM Nan Puma, MAU Huse Jeffrey Mat Us I Tall Wine 261 E 78th St 4th Fl Arown vie Ruda NEW YORK NY 10075 i 63/08/28 01/20/53 M Yes PafestAtkegs AdthworMabrimaan 9 E 71ST ST NEW YORK NY 10021 UPINI 1432269 DeemdTbaColimed Dam Patti Dee atTime Repined PhysicimName , 104 Italca4W 10/18/16 17:56 10/18/16 10/24/16 20:06ET LIGHVANT , S 1407879885 TtiaOrdaul CBC/D188 Ambiguous Default; Fneumccoccal Ab (23 Serotype); Immunoglobulins A/G/M On: Ser; Tetanus/Diphtheria Ab; Complement C4, Serum; TSH; Tryptase; Vitamin D, 25-Hydroxy; Cl Esterase Inhibitor, Func; Histamine, Plasma; TSH Rix on Abnormal to Free T4; Antinuclear Antibodies Direct; sedimentation Rate-Nestergren; Thyroid Antibodies; Vitamin 812; C-Reactive Protein, Quart; Venipuncture TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAS CBC/Diff Ambiguous Default WBC 6.5 xl0E3/uL 3.4 - 10.8 31 RBC 4.96 xl0E6/uL 4.14 - 5.80 01 Macrocytes present. Marked anisocytosis. Hemoglobin 14.6 g/dL 12.6 17.7 01 Hematocrit 41.3 37.5 51.0 01 MCV 83 fL 79 97 01 MCH 29.4 Pg 26.6 33.0 01 MCHC 35.4 g/dL 31.5 35.7 01 RDW 14.1 :2.3 15.4 01 Platelets 247 xl0E3/uL 150 379 01 Neutrophils 47 01 Lymphs 39 01 Monocytes 8 01 Eos 5 01 Basos 1 01 Neutrophils (Absolute) 3.1 x10E3/uL 1.4 7.0 01 Lymphs (Absolute) 2.5 x1083/uL 0.7 3.1 01 Monocytes(Absolute) 0.5 xl0E3/uL 0.1 0.9 01 Eos (Absolute) 0.4 x10E3/uL 0.0 0.4 01 Base (Absolute) 0.0 x10E3/uL 0.0 0.2 01 Immature Granulocytes 0 01 Immature Grans (Abs) 0.0 x10E3/uL 0.0 0.1 01 Hematology Comments: Note: 01 Verified by microscopic examination. A hand-written panel/profile was received from your office. In accordance with the LabCorp Ambiguous Test Code Policy dated July 2003, we have assigned CBC with Differential/Platelet, Test Code #005009 to this request. If this is not the testing you wished to receive on this specimen, please contact the LabCorp Client Inquiry/ Epstein, Jeffrey 292-401-3680-0 Ste 4 0393 10/24/16 20:06 ET FINAL REPORT Page 1 of 4 MmdommentamulsoWmftandcmfldmdalbaIdluarommumprwatedbystewsndUedaenw. 02004-16 Wysstory CapotMica of America a lialdLop If yoa lave received this docmneut m am. please call BOO-631-5250 All Riau Resound DOC I Va: I.49 EFTA00304364 . 10/24/2016 8:06:55 PM FROM: LABCORP LCLS BULK TO: 2125173303 LABCORP Page 2 of 12 r TO: Sebastian Lighvani MD LabCorp Raritan ITA..1aCcap 69 First Avenue Raritan, Pius Mace 9-1 SpenunNumbes Epstein, Jeffrey 292-401-3880-0 Aucco, !:amber Petra ID C ol Net Dace sod Tine Collected Date Reputed Srx Ate(Yre0D) Due of Berth 31981645 10416405675 10/18/16 17:56 10/24/16 M 63/08/28 01/20/53 TESTS RESULT FLAG UNITS REFERENCE 'INTERVAL LAS Technical Services Department to clarify the test order. We appreciate your business. PUOUMOCOCCdi Ab (23 Serotype) Pneumo Ab Type 1* 0.8 ) Low ug/mL >1.3 02 Pneumo At Type 3* CLE: ug/mL >1.3 02 Pneumo Ab Type 4* 0.6 Low ug/mL >1.3 02 Pneumo Ab Type 8* 0.8 Low ug/mL >1.3 02 Pneumo Ab Type 9 (9N),, 0.5 Low ug/mL >1.3 02 Pneumo Ab Type 12 (12F)* Of t ug/mL >1.3 02 Pneumo Ab Type 14. ug/mL >1.3 02 Pneumo Ab Type 17 (17F)* Low ug/mL >1.3 02 Pneumo Ab Type 19 (19F)* ug/mL >1.3 02 Pneumo Ab Type 2. Low -u >1.3 02 Pneumo At Type 20* /mL >1.3 02 Pneumo Ab Type 22 (22F)le <0.1 Low ug/r1. >1.3 02 Pneumo Ab Type 23 (23F)* 0.2 Low ug/mL >1.3 02 Pneumo Ab Type 26 (6B)* 0.9 Low ug/mL >1.3 02 Pneumo Ab Type 34 (10A)* (1TX) ug/mL >1.3 02 Pneumo Ab Type 43 (11A)* 0.7 Low ug/mL >1.3 02 Pneumo Ab Type 5' ug/mL >1.3 02 Pneumo Ab Type 51 (7F)* cr Low ug/mL >1.3 02 Pneumo Ab Type 54 (158)' ug/mL >1.3 02 Pneumo Ab Type 56 (18C). ug/mL >1.3 02 Pneumo Ab Type 57 (19A)' ug/mL >1.3 02 Pneumo Ab Type 68 (9V)* Low ug/mL >1.3 02 Pneumo Ab Type 70 (33F)' ug/mL >1.3 02 'This test was developed and performance characteristics determined by Viracor-/BT Laboratories. It has not been cleared or approved by the U.S. Food and Drug Administration. Immunoglobulins A/G/M, Qn, Ser Immunoglobulin G, Qn, Serum 996L,/ mg/dL 700 - 1600 01 Immunoglobulin A, Qn, Serum 2164/ mg/dL 61 - 437 01 Immunoglobulin H, Qn, Serum 411/ mg/dL 20 - 172 01 Tetanus/Diphtheria Ab Tetanus Antitoxoid IgG Ab 1.01 IU/mL <0.10 03 Interpretation: Non-Protective <0.10 Protective >c.0.10 Results for this test are for research purposes only by the assay's manufacturer. The performance characteristics of this product have not been established. Results should not be used as a diagnostic procedure without confirmation of the Epstein, Jeffrey 292-401-3880-0 Scq # 0393 10/24/16 20:06 ET FINAL REPORT Page 2 of 4 The &canna cantina punk: and cadidend al health utfo=ttion protected by slate and federal law 01004 -16 La boraway Cozpootlec of AMOTICI HoldLop if you have received this doctunent In ena. please call 900-631-5250 All Rights Reamed DOC1 Vel: 1A9 EFTA00304365 10124/20188:06:55PM FROM: LABCORP LCLS BULK TO: 2125173303 LABCORP Page 3 of 12 r TO: Sebastian Ughvani MD LabCorp Raritan 69 First Avenue iUn,NJ08869-1800 Phone, 800-6 I- 2 Wm Name Spedram Nat Epstein, Jeffrey 292-401-3880-0 MOW m >knee Meat 0 Cmaol Nwmm I Date,STInteOlmts Due Riveted Su togerYMUM L Doe of Binh 31981645 10416405675 10/18/16 17:56 10/24/16 H 63/08/28 01/20/53 TESTS RESULT FLAG UNITS REFERENCE INTERVAL LAS diagnosis by another medically established diagnostic product or procedure.. Diphtheria Antitoxoid Ab 0.15 it IU/mle <0.10 03 Interpretation: Non-Protective <0.10 Protective >=0.10 For research use only. Complement C4, Serum 26 mg/d1. 14 - 44 01 TSH :.740 is/ uIU/m14 0.450 - 4.500 01 Tryptase 5.0 Le' ug/L 2.2 - 13.2 03 Vitamin D, 2S-Hydroxy 31.0 ng/mL 30.0 - 100.0 0: Vitamin D deficiency has been defined by the Institute of Medicine and an Endocrine Society practice guideline as a level of serum 25-OH vitamin D less than 20 ng/ml. (1,2). The Endocrine Society went on to further define vitamin D insufficiency as a level between 21 and 29 ng/mL (2). 1. ION (Institute of Medicine). 2010. Dietary reference intakes for calcium and D. Washington DC: The National Academies Press. 2. Holick MF, Hinkley NC, Bischoff-Ferrari HA, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. JCEM. 2011 Jul; 96(7):1911-30. Cl Esterase Inhibitor, Fun= Cl Est.Inhib.Funct. 109 %mean normal C3 Abnormal <41 Equivocal 41 - 67 Normal >67 Histamine, Plasma High,.V <1.00 03 Results for this test are f earch p °see only by the assay's manufacturer. The performance characteristics of this product have not been established. Results should not be used as a diagnostic procedure without confirmation of the diagnosis by another medically established diagnostic product or procedure. TSH Rfx on Abnormal to Free T4 TSH 1.700 V / uI0/mL 0.450 - 4.500 01 Epstein, Jeffrey 292-401-3880-0 Seq00393 10/24/16 20:06 ET FINAL REPORT Page 3 of 4 Thb document contains private and confidential health infonnadon protected by state and federal law. 01004-161-abcaatory Corporation d ApIIMCN a Holettny if you have received des docament in cCOF. pkase call E00-631-5250 All RightsResereed DOC! Ver. 1.49 EFTA00304366 10/24(20168:06:55PM FROM: LABCORPLCLSBULK TO: 2125173303 LABCORP Page 4 of 12 r TO: Sebastian Llghvani MD LabCorp Raritan Latiggrep 69 First Avenue Raflan NI 08869-1800 PaomiNunt Phone: 800-631-5250 Speciamchtgrao Epstein, Jeffrey 292-401-3880-0 Aocccot Number Panto ID Control Nambet Dare inflict Conected Date Reported Sex Aze( MD) Date of Blab 31981645 10416405675 10/18/16 17:56 10/24/16 M 63/08/28 01/20/53 TESTS RESULT FLAG SNITS REFERENCE INTERVAL LAN Antinuclear Antibodies Direct ANA Direct Negative Negative 01 Sedimentation Rate-Westergren 20 ✓ mm/hr 0 - 30 01 Thyroid Antibodies Thyroid Peroxidase (TPO) Ab 8 IU/ra. 0 - 34 01 Thyroglobulin Antibody <1.0 ✓ IU/mL 0.0 - 0.9 01 Thyroglobulir•. Antibody measured by Beckman Coulter Methodology Vitamin 812 755 pg/mL 211 - 946 01 C-Reactive Protein, Quant 1.7 """-- mg/L 0.0 - 4.9 01 31 RN LabCorp Raritan Dir: Armeeli B Reyes, MD 69 First Avenue, Raritan, NJ 08869-1800 02 NEW504 Viracor 1ST Laboratories Inc Dir: Michelle Altrich, PhD 1001 NW Technology Drive, Lees Summit, MO 64086-5603 03 BN Labcorp Burlington Dir: William F Hancock, MD 1447 York Court, Burlington, NC 27215-3361 For inquiries, the physician may contact Branch: 800-631-5250 Lab: 800-631-5250 5 Epstein, Jeffrey 292-401-3880-0 Scq # 0393 10/24/16 20:06 ET FINAL REPORT Page 4 of 4 This doctuneal contains rya ic and confidential health :atom:anon mused by sine and Iedelal law. 02004-16 Labmtory CoryaatIon or manta m Holdings If you ban received this docwrotalia tna. please call 800-431-5250 All Rights Reserved DOC! Vu: 1.49 EFTA00304367