EFTA00304862.pdf

88/12/16 14:47:12 0806979382 -) Quest Diagnostics - Page 082 Quest 8/12/16 02:41:03 Page 2of6 Diagnostics PATI INFORMAT ION rumwszaws PARTIAL EPSTEIN,JEFFREY REPRINT VEST DIAGNOSTICS MiCOMPCPATED OODSRZAG KAIWICIAN CLUOIT SERVICE 866 .69 7. R37. DOB: 01/20/1953 AGE: 63 MOSKOWITZ,BRVCE GENDER: N FASTING: SPEC:XSK INDIGNATION COUNT INFORMATION SPECIMEN: R8289077 ID: 101513 T16719 1000 REQUISITION: T167190012026 PHONE:,212.750.9895 PSC/NYC-EAST 76TH ST LAB REF ID: 00000009430 QUEST DIAGNOSTICS INCORPORATED 65 EAST 76TH STREET COLLECTED: 08/08/2016 09:42 NEW YORK. NY 10021-1844 RECEIVED: 08/09/2016 01:23 REPORTED: 09/12/2016 14:39 COMMENTS: FASTING The original copy of this report was printed on: 08/11/2016 at 10:33PM Patient results contained in a facsimile or electronic medical report are provided only upon the request of the physician or authorized person. Facsimile or electronic medical reports that are created before the final results are reported are considered to be INTERIM RESULTS ONLY and are subject to change by the laboratory. Test Nave In Range Out of Range Reference Range Lab COMP METAB PANEL TBR GLUCOSE,FAST/NG 90 65-99 mg/dL SODIUM 140 135-146 mmol/L POTASSIUM 4.4 3.5-5.3 mmol/L CHLORIDE 102 98-110 mmol/L CARBON DIOXIDE 30 19-30 mmol/L UREA NITROGEN 22 7-25 mg/dL CREATININE 1.03 0.70-1.25 mg/dL The upper reference limit for Creatinine is approximately 134 higher for people identified as African-American. BUN/CREATININE RATIO NOTE 6-22 (calc) Bun/Creatinine ratio is not reported when the Bun and Creatinine values are within normal limits. CALCIUM 9.7 0.6-10.3 mg/dL PROTEIN, TOTAL 7.3 6.1-8.1 g/dL ALBUMIN 4.5 3.6-5.1 g/dL GLOBULIN 2.8 1.9-3.7 g/dL (calm) ALBUMIN/GLOBULIN RATIO 1.6 1.0-2.5 (calc) BILIRUBIN,TOTAL 0.8 0.2-1.2 mg/dL ALKALINE PHOSPHATASE 63 40-115 U/L AST 23 10-35 U/L ALT 27 9-46 U/L EGFR NON APR AMERICAN 77 >s60 mL/min/1.73m2 EGPR AFRICAN AMERICAN 89 >a60 mL/min/1.73m2 EPSTEIN,JEFFREY - RE289077 Page 1 - Continued on Page 2 Oust Owed Dragnetlathe aasodaterd logo and ell associated Cbmisl MagnaWas marks ere the tredemarks of Owed Diagnostics Incorporated. All rights roamed. EFTA00304862  08/12/16 14:47:28 8086979382 -> Quest Diagnostics - Page 01:13 Quest. 8/12/16 02:41:03 Page 3 of 6 Diagnostics PATIWT WTORNAT EON IMPORT STATUS PARTIAL EPSTEIN,JEFFREY REPRINT QUEST DIAGNOSTICS INCORPORATED WANG= AZYS I CIAO? DOB: 01/20/1953 AGE: 63 MOSKOWITZ,BRUCE GENDER: M FASTING: Y SPICINTE INFORMATION GMT' DOMINATION SPECIMEN: RE289077 T16719 1000 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 Test Name In Range Out of Range Reference Range Lab LIPID PANEL TER CHOLESTEROL,TOTAL 197 125-200 mg/dL HDL CHOLESTEROL 30 L >.40 CHOLESTEROL/HDL RATIO 6.6 H c . 5.0 LDL CHOL, CALCULATED 94 4130 mg/dL See footnote 1 ITIGLICERIDES 364 H .150 mg/dL NON HDL CHOLESTEROL 167 H mg/cm See footnote 2 CBC (INCLUDES DIFF/PLT) TBR NBC 5.8 3.8-10.8 Thous/mcL RBC 5.18 4.20-5.80 Mill/mcL HEMOGLOBIN 14.4 13.2-17.1 g/dL HEMATOCRIT 44.1 38.5-50.0 W MCV 85.3 80.0-100.0 fL MCH 27.9 27.0-33.0 pg MCHC 32.7 32.0-36.0 g/dL RDW 14.3 11.0-15.0 4 PLATELET COUNT 258 140-400 Thous/mcL 1'WV 7.6 7.5-11.5 fL TOTAL NEUTROPHILS,W 46.7 38-80 W TOTAL LYMPHOCYTES,W 35.6 15-49 W MCNOCYTESA 9.4 0-11 ECSINOPHILS,W 8.7 0-8 it BASOPHILS,W 0.6 0-2 t NEUTROPHILS,ABSOLDTE 2709 1500-7800 Cells/mcL LYMPHOCYTES,ABSOLUTE 2065 850-3900 Cells/mcL MONOCYTES.ABSOLUTE 487 200-950 Cells/mcL EOSINOPHILS,ABSOLUTE 506 H 15-500 Cells/mcL BASOPHILS.ABSOLUTE 35 0-200 Cells/mcL DIFFERENTIAL An instrument differential was performed. ESR,WESTERGREN 12 0-20 um/hr TER PROLACTIN 3.3 2.0-19.0 ng/mL THR EPSTEIN.CEFFREY - RE289077 Page 2 - Continued on Page 3 Omit. Quest Diagnostios, the .nodded logo and all sandaled Guest Otagnosgas masks am the trademarks of Quest Diagnoses:. Incorporated Al tights rammed. DH-RPAP EFTA00304863  08/12/16 14:47:42 DB06979302 -> Quest Diagnostics - Page 004 atak Quest 8/12116 02:41:03 Page4c16 7 Diagnostics PATIENT INTORIDT IOR upwcsmems PARTIAL RPSTEIN,JEFFREY REPRINT QUEST DIAGNOSTICS INCORPCP.ST.Th OADRENO ;am ICiAN DOB: 01/20/1953 AGE: 63 MOSKOWITZ, BRUCE GENDER: 14 FASTING: Y SMOKER THFIZMUION CLAW: IRTIMMTION SPECIMEN: RE289077 T16719 1000 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 Test Name In Range Out of Range Reference Range Lab ANA IPA SCR N/REFL TITER TER ANA SCREENOTA Positive Negative ANA TITER and PATTERN TSR ANTI-NUCLEAR AB TITER 1:80 E <1:40 Titer ANA PATTERN Homogeneous Reference Range: <1:40 Negative 1:40-1:80 Low Antibody Level >1:80 Elevated Antibody Level RHEUMATOID FACTOR 4 <14 IU/mL TER CCP IGG <16 <20 Units TER Reference Range Units Negative: <20 Weak Positive: 20-39 Moderate Positive: 40-59 Strong Positive: >59 C-REACTIVE PROTEIN 0.1 <0.9 mg/dL T13R Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. TESTOSTERONE PR(DIAL)TOT PENDING BPSTEIN,OEFFREY - RE289077 Page 3 - Continued on Page 4 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnosed, marks are the trademarks of Cuest Clagnostios &too/lactated. Ail rights naserved. al.RPAP EFTA00304864  HB/12/16 14:17:53 BRO6979112 -> quest Diagnostics - Page 685 (Thiest 8/12/16 02A1:03 Page5cAS Diagnostics PATIENT DIFORAUtTION mops sums PARTIAL EPSTEIN,JMFFREY REPRINT Qu DIAGNOSTICS INCORPORATED ORDERING Erzaxciax DOH: 01/20/1953 AGE: 63 MOSROWITZ,BRUCE GENDER: M FASTING: Y SPECIMEN INEORMATION CLIENT LATORMATIOX SPECIMEN: RE289077 T14719 1000 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 Teat Name In Range Out of Range Reference Range Lab LUPUS ANTICOAG EVAL W/RFL AND LUPUS ANTICOAGULANT see note A Lupus Anticoagulant is not detected. Cannon causes for a prolonged screen and negative confirmatory test include factor deficiencies or anticoagulant therapy. Reference Range: Not Detected This interpretation is based on the following test results. PTT LA SCREEN 45 H <-40 sec DRVVT MIX INTERPRETATION: Not Indicated DRVVT SCREEN 49 H <-45 sec LUPUS ANTIMAG.HEXAGONAL HEXAGONAL PHASE CONFIRM Negative Negative DRVVT CONFIRM Negative Negative 14-3-3 ETA PROTEIN <0.2 <0.2 ng/mL This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics Nichols Institute San Juan Capistrano. It has not been cleared or approved by the O.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the MIA regulations and is used for clinical purposes. FOOTNOTE(S): 1 Desirable range <100 mg/dL for patients with CND or diabetes and <70 mg/dL for diabetic patients with known heart disease. 2 Target for non-HDL cholesterol is 30 mg/dL higher than EPSTEIN,JEFFREY - RE209077 Page 4 - Continued on Page 5 Cued, Clued Criergnositet the associated logo and aa aesodated OUebt Magnates marts are the trademarks of Clued Diagnostics Incorporated. Al rights reserved. DHAPAP EFTA00304865  88/12/16 14:48:88 8886979302 -> Quest Diagnostics - Page 886 Quest e in Diagnostics PAT: Ih70ANATIIN EPSTEIN,JEFPREY 8112/16 02:41:03 REPORT saus REPRINT Page 6 of 6 PARTIAL Qua"; D:A=PICS INCORP3PATZD ORDUtrICO PRI6:CILN DOB: 01/20/1953 AGE: 63 MOSKOWITZ,BRUCE GENDER: N FASTING: Y SPZCl/C01 nuewarnm CUIDr: IWOMATiON SPEC MEN. RE289077 T16719 1000 COLLECTED: 08/08/2016 09:42 REPORTED: 08/12/2016 14:39 POOTNOTE(8): LDL cholesterol target. PERFORMING LABORATORY INFORMATION: AND Quest Diagnotticia Niotols Ctiantilly 142» ICOdbrOok Driv Chantilly VA 20131 laboratory Dinutor: Patrick K. »SON, M.D., P12.D. CPA NO: 49D0221901 Quest DiagnoSt101, Nicnols institute 33409 Ortega Nigro:ay San Plan Capistrano CA 92675 LabOrattpry Director: Dr. Poo N. NabolOtO CZ» No: 0311360252 TBR Quest DisocoatiCS One MitICOLOI Avenue Taterbcoo NJ 07609 ZabOratOly Director: :avruste re», N.D. CIA MO: )1D0696246 EMPLICATE REPORT WILL BE SENT TO: 1116/C1 matiVitl= IC fl u X.PLAGtrik DR, LIT 710C WCST PALM »ACM, FL 1240L EPSTEIN,JEFFREY - RE209077 Page 5 - End of Report Cuo«. Ount Diasnodics, the associated tor and all associaiod Oast Coen:adds molts an: the trademarks of Quest Diagnostics Incorporated. All «Islas roamed. DI SRPAP EFTA00304866  86/12/16 14:47:110 BOH6979302 -> Quest Diagnostics - Page Efai Quest 8112/16 02:41:03 Page 1of 6 et gli)r Diagnostics *WW***W********* ******** * ****** ********************* ***** W*********** ***** **It*** * * FACSIMILE MESSAGE * * ************************************%********n********************************* * * * FROM: D23H * * * * * TO: PSC/NYC-EAST 76TH ST FAX: 15618336351 * * * * * * SUBJ: RE289077 EPSTEIN,JEFFREY * SENT: 08/12/2016 14:39:55 st w *********** *************** ***** ****************** ***** ***** ***** ** ****** ***Mk*** The medical information in this FAX message is confidential medical information, protected by both State and Federal Law. It is unlawful for unauthorized persons to review, copy, disclose, or disseminate confidential medical information. If the reader of this warning is not the intended FAX recipient or the intended recipient's agent. you are hereby notified that you have received this FAX message in error and that review or further disclosure of the information contained in this PAX is strictly prohibited. If you have received this FAX in error, please notify us immediately by calling 1-866 MYQUEST (1 866 697 8378) and either destroy these documents or return the originals to us by mail. Thank you. COCA Ouet Diagnostic* the assodated logo and ad antedated Oued Diagnostics minis are the trademarks of Ount Diagnostics Incorporated. Al dates reserved. CHAPAP EFTA00304867