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libj Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 64 Gender: M Specimen: MR624132A Requisition: 0002759 Collected: 08/09/2017 Phone: 561.366.0084 Received: 08/14/2017 108:51 EDT Patient ID: 19530120MJE Reported: 08/14/2017 108:51 EDT Health ID: 8573003290851249 Specimen Information Client Information Teat Name LIPID PANEL CHOLESTEROL, TOTAL HDL CHOLESTEROL TRIGLYCERIDES LDL-CHOLESTEROL In Range Out Of 211 H 25 L 532 H Range LDL cholesterol not calculated. Triglyceride levels greater than 400 mg/dL invalidate calculated LDL results. Desirable range <100 mg/dL for patients with CHD or diabetes and <70 mg/dL for diabetic patients with known heart disease. CHOL/HDLC RATIO 8.4 H NON HDL CHOLESTEROL 186 H Target for non-HDL cholesterol is 30 mg/dL higher than LDL cholesterol target. HS CRP 0.8 Lower relative cardiovascular risk according to AHA/CDC guidelines. For ages >17 hs-CRP mg/L <1.0 1.0-3.0 3.1-10.0 >10.0 Years: Risk According to AHA/CDC Guidelines Lower relative cardiovascular risk. Average relative cardiovascular risk. 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. Persistent elevation, upon retesting, may be associated with infection and inflammation. Client #: 78300020 56W5265 MOSKOWITZ, BRUCE W BRUCE MOSKOWITZ, MD Attn: NATIONWIDE ACCOUNT 1411 N FLAGLER DR STE 7100 WEST PALM BEACH, FL 33401-3418 Reference Range 125-200 mg/dL > OR = 40 mg/dL <150 mg/dL <130 mg/dL (talc) < OR = 5.0 (talc) mg/dL (talc) mg/L HONOCYSTEINE 15.4 B <11.4 umol/L 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. COMPREHENSIVE METABOLIC PANEL GLUCOSE 94 65-99 mg/dL Fasting reference UREA NITROGEN (BUN) 19 CREATININE 1.06 For patients >49 years of age, the reference limit interval 7-25 mg/dL 0.70-1.25 mg/dL Lab MI MI MI MI MI MI TP MI MI CLIENT SERVICES: 866.697.8378 SPECIMEN: MR624132A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE I OF 5 EFTA00316587 Quest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 64 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR624132A Collected: 08/09/2017 Received: 08/14/2017 /08:51 EDT Reported: 08/14/2017 / 08:51 EDT Client #: 78300020 MOSKOWITZ. BRUCE W Test Name In Range Out Of Range for Creatinine is approximately 13% higher for people Reference Range Lab identified as African-American. eGFR NON-AFR. AMERICAN 74 eGFR AFRICAN AMERICAN 86 > OR = 60 mL/min/1.73m2 > OR = 60 mL/min/1.73m2 BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc) SODIUM 138 135-146 mmol/L POTASSIUM 4.3 3.5-5.3 mmol/L CHLORIDE 107 98-110 mmol/L CARBON DIOXIDE 23 20-31 mmol/L CALCIUM 9.5 8.6-10.3 mg/dL PROTEIN, TOTAL 6.7 6.1-8.1 g/dL ALBUMIN 4.2 3.6-5.1 g/dL GLOBULIN 2.5 1.9-3.7 g/dL (calc) ALBUMIN/GLOBULIN RATIO 1.7 1.0-2.5 (calc) BILIRUBIN, TOTAL 0.8 0.2-1.2 mg/dL ALKALINE PHOSPHATASE 57 40-115 U/L AST 22 10-35 U/L ALT 33 9-46 U/L HEMOGLOBIN Ale 5.7 B <5.7 % of total Hgb MI For someone without known diabetes, a hemoglobin Ale value between 5.7% and 6.4% is consistent with prediabetes and should be confirmed with a follow-up test. For someone with known diabetes, a value <7% indicates that their diabetes is well controlled. Ale targets should be individualized based on duration of diabetes, age, comorbid conditions, and other considerations. This assay result is consistent with an increased risk of diabetes. Currently, no consensus exists regarding use of hemoglobin Ale for diagnosis of diabetes for children. URIC ACID Therapeutic target TSH T4 (THYROXINE), TOTAL FREE T4 INDEX (T7) 6.9 for gout patients: <6.0 mg/dL 4.17 7.1 2.1 T3 UPTAKE 30 SED RATE BY MODIFIED WESTERGREN 9 CBC (INCLUDES DIFF/PLT) WHITE BLOOD CELL COUNT 6.0 RED BLOOD CELL COUNT 5.37 HEMOGLOBIN 15.0 HEMATOCRIT 45.2 MCV 84.2 MCH 27.9 MCHC 33.2 RDW 14.3 PLATELET COUNT 281 CLIENT SERVICES: 866.697.8378 SPECIMEN: MR624132A 4.0-8.0 mg/dL 0.40-4.50 mIU/L 4.5-12.0 mcg/dL 1.4-3.8 22-35 % < OR = 20 mm/h 3.8-10.8 Thousand/uL 4.20-5.80 Million/uL 13.2-17.1 g/dL 38.5-50.0 % 80.0-100.0 fL 27.0-33.0 pg 32.0-36.0 g/dL 11.0-15.0 % 140-400 Thousand/uL MI MI MI MI MI MI PAGE 2 OF 5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00316588 rajQuest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 64 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR624132A Collected: 08/09/2017 Received: 08/14/2017 /08:51 EDT Reported: 08/14/2017 /08:51 EDT Client #: 78300020 MOSKOWITZ. BRUCE W Test Name MPV ABSOLUTE NEUTROPHILS ABSOLUTE LYMPHOCYTES ABSOLUTE MONOCYTES ABSOLUTE EOSINOPHILS ABSOLUTE BASOPHILS NEUTROPHILS LYMPHOCYTES MONOCYTES EOSINOPHILS BASOPHILS URINALYSIS, COMPLETE See Endnote 2 In Range 9.7 2664 2304 510 450 72 44.4 38.4 8.5 7.5 1.2 Out Of Range Reference Range 7.5-12.5 fL 1500-7800 cells/uL 850-3900 cells/uL 200-950 cells/uL 15-500 cells/uL 0-200 cells/uL VITAMIN B12 439 200-1100 pg/mL C-REACTIVE PROTEIN 0.12 <0.80 mg/dL Please be advised that patients taking Carboxypenicillins may exhibit falsely decreased C-Reactive Protein levels due to an analytical interference in this assay. CORTISOL, TOTAL 20.2 mcg/dL Reference Range: For 8 a.m.(7-9 a.m.) Specimen: 4.0-22.0 Reference Range: For 4 p.m.(3-5 p.m.) Specimen: 3.0-17.0 * Please interpret above results accordingly * TESTOSTERONE, TOTAL MALES (ADULT), IA TESTOSTERONE, TOTAL, MALES (ADULT), IA 197 L Men with clinically significant hypogonadal symptoms and testosterone values repeatedly less than approximately 300 ng/dL may benefit from testosterone treatment after adequate risk and benefits counseling. 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. Two morning (8-10 a.m.) specimens obtained on different days are recommended by The Endocrine Society for screening for hypogonadism. PSA, TOTAL 0.5 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. 250-827 ng/dL < OR = 4.0 ng/mL Lab MI MI MI MI MI MI CLIENT SERVICES: 866.697.8378 SPECIMEN: MR624132A Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. PAGE30F5 EFTA00316589 rajQuest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 64 Gender: M Patient ID: 19530120MJE Health ID: 8573003290851249 Specimen: MR624132A Collected: 08/09/2017 Received: 08/14/2017 / 08:51 EDT Reported: 08/14/2017 108:51 EDT Client #: 78300020 MOSKOWITZ. BRUCE W * No urine received. * CLIENT SERVICES: 866.697.8378 SPECIMEN: MR624132A PAGE 4 OF 5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00316590 rajQuest Diagnostics Report Status: Final EPSTEIN, JEFFREY Patient Information Specimen Information Client Information EPSTEIN, JEFFREY DOB: 01/20/1953 AGE: 64 Gender: M Patient ID: 19530120NUE Health ID: 8573003290851249 Specimen: MR624132A Collected: 08/09/2017 Received: 08/14/2017 / 08:51 EDT Reported: 08/14/2017 / 08:51 EDT Client #: 78300020 MOSKOWITZ, BRUCE W Endocrinology Test Name VITAMIN D,25.OH,TOTAL,IA Result 35 Reference Range 30-100 ng/mL Lab MI Vitamin D Status Deficiency: Insufficiency: Optimal: 25-OH Vitamin D: <20 ng/mL 20 - 29 ng/mL > 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: PERFORMING SITE: MI QUEST DIAGNOSTICS.MIANII. I0200COMMERCE PARKWAY. MIRAMAR. FL 33015.3938 Labormory Director GLEN L. HORTIN MD PHD. GLIA. 10D0277334 TP QUEST DIAGNOSTICS.TAMPA. 4225 F. FOWLER AVE TAMPA. 11. 33617.2026 Laboratoly Director GLEN L HORTIN.MD.PIID.CLIA 101)0291120 CLIENTSERVICES:866.697.8378 SPECIMEN: MR624132A PAGE 5 OF 5 Quest. Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. EFTA00316591