EFTA00582641.pdf

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NV 10021 Time Collected: 08:52 Acct 4' C1720-1) Si P: P Date Received: 07/20/2016 0 L Time Received: 23:20 P: R 2 E ott at No-th America Eastern Tine 'r$ `.r C_INIIC,AL RE -)OR— Clinical Abnormalities Summary: Maynci3OlawallebnortremSullSmeaffirta.AsmiynNaMe$08M41188flabUenewelnempon) Creatinine 0.6210 EON/Great Ratio 33.9 HI ALT 42 NI Cholesterol 210 HI Triglycerides 950 NI HDL CHOL., DIRECT 28 LO HDL as % of 13 Chol/HDL Kati) 7.5 Cholesterol MCHC 35.2 HI Hemoglobin Alc 5.9 HI NON FASTINS .171.. ' -e ,. l'I ql.'t,t '<"? Total Protein 7.0 5.9-H.4 g/d1 6.7 01/27/2016 Albumin 4.7 3 5 5.2 g/dL 4.2 01/27/2016 Globulin 2.3 1.7-3.7 g/dL 2.5 01/27/2016 A/G Ratio 2.0 1.1-2.9 1.7 01/27/2016 Glucose 93 78-99 mg/dL 99 01/27/2016 Sodium 140 135-147 mtol/L 141 01/27/2016 Potassium 4.6 3.5-5.5 meol/L 4.2 01/27/2016 Chloride 97 96-108 meol/L 102 01/27/2016 CO2 24 22-29 miol/L 26 01/27/2016 BUN 21 8-23 mg/di. 22 01/27/2016 Creatinine 0.62 tO 0.80-1.30 mg/dL 1.11 01/27/2816 e-GFR 106 >or 60 mL/min 70 01/27/2016 e-GFR, African American 123 >or-60 mL/min 81 01/27/2016 OUN/Creat Ratio 33.9 HI 10.0-28.0 19.8 01/27/2816 Calcium 9.8 8.6.10.4 mg/dL 9.8 01/27/1016 Uric Acid 7.4 3.4-8.5 mg/dL 7.5 01/27/2016 Iron 96 45-160 ug/dL 75 01/27/2016 8111rubin, Total 0.6 <1.2 mg/dL 0.5 81/27/2818 LD 206 135-225 U/L 171 01/27/2016 Alk Phos 79 40-156 U/L 43 01/27/2016 13T 32 <40 U/L 29 01/27/2016 Phosphorus 3.8 2.7.4.5 mg/dL 3.4 01/27/2016 ALT 42 HI <41 U/L 29 81/27/2816 GGTP 19 10-71 U/L 18 01/27/2016 li- Cholestero 210 Al <200 •L 143 01/27/2016 Triglycerides 950 HI <150 mg/dL 459 HI 01/27/2016 NOTE: The result for Triglycerides has been confirmed by repeat analysis. NEIL COL., DIRECT 28 LO >40 mg/dL 24 LO 01/27/2016 HDL as % of Cholesterol 13 >14 X 17 01/27/2016 Evaluation: ABOVE AV6.(MODERATE RISK) Chol/HDL Ratio 7.5 <7.4 6.0 01/27/2016 BioReference Laboratories, Inc. lames 4eisberger, Clinical Page 1 of 6 481 Edward H. Ross Dr Elmwood Park, N7 07407 I (800) 2 9-5227 Laboratory Director Printed 07/25/2016 07:01 p gad b£91.886ZLZ1. ipsu LueH itILE:CO 91.12 60 6nV EFTA00582644  FINAL IC t PUN I BioReference I . ABORATORIES D FISCH, HARRY • Of.- EPSTEIN, JEFFREY Specimen ID: 105819158 .0 HARRY EISCF, M.D. .1",.:It:D06:01/20/1953 Age:63 V Sex:M Date Of Report: 07/23/2016 q44 PARK AVCNU: %i, ,IAddress:) E 71ST STREET Date Collected: 07/20/2016 C fie4 York NY 10028 .NEW YORK, NY 10221 Time Collected: 08:52 T Acct t: C1720-1) 51 Date Received: 07/20/2016 0 ). •,' I'ite Time Received: 23:70 R north America Eastern Time i CLINICAL REPORT (F.P.A —r: _ ..:& `7.43-frAtroWIteci; Itoi;e ,:-. ... i Evaluation: ABOVE AVG.(MOCIERATE RISK) LDL/HOL Ratio Can't Calc <3.56 Can't Calc 01/27/2016 LOL Cholesterol Can't Calc <100 mg/di Can't Calc 01/27/2016 NOTE: Unable to calculate LOL due to a Triglyceride 'evel of greater than 400 mg/d1. VLDL, CALCULATED Can't Celt 7-32 mg/dL I Can't talc 01/27/2016 Can't Calc: One or more components was outside the measurable range. We are unable to calculate. I ICL i ;', 7.79 3.66-11.99 x10 3 /LA 7.12 01/27/2016 R8C 5.18 4.20-5.90 x10(6)/uL 4.96 01/27/2016 HUT 15.4 22.3-17.0 ge/di. 14.3 01/27/2016 HCT 43.8 39.3-52.5 % 41.3 01/27/2016 MCV 84.6 80.0-100.0 fL 83.3 01/27/2016 NCH 29.7 25.0-34.1 pg 28.8 01/27/2016 MCHC 35.2 HI 29.0-35.0 ge/dL 34.6 01/27/2016 ROW 14.8 10.9-16.9 % 13.9 01/27/2016 POLYS 45.8 36.0-78.0 % 49.2 01/27/2016 LYMPHS 39.0 12.0-48.0 % 36.2 01/27/2016 MONOS 6.9 0.0-13.0 % 7.6 01/27/2016 EOS 5.4 0.0-8.0 % 6.5 01/27/2016 BASOS 0.6 0.0-2.0 % 0.4 01/27/2016 IMMATURE GRANULOCYTES 0.0 0.0.1.6 % 0.1 01/27/2016 PLATELET COUNT 281 144-400 x10(3)/UL 222 01/27/2016 MPV 8.9 8.2-11.9 fL 9.5 01/27/2016 NOTE: New reference ranges for WIC and Absolute coun:s are effective 4/25/2016. PT TNP 9.1-11.9 sec 10.1 01/27/2016 Test Not Performed: Specimen REJECTED for testing du! to GROSS LIPEMIA. INTR.KORN.RATIO(INR) TNP 2.08-3.00 0.97 LO 01/27/2016 PTT TNP 23.6-31.6 sec 26.5 01/27/2016 I P.IN,H.S1-IS .S.1_ ... .., .' .. _.,, „.,4gaiebit.=5)tagglitCum...-;.:‘,4•C;;4.; "-<"":—. ""i7" en Ci.• , Co or YELLOW YELLOW, STRAW, AMBER Character CLEAR CLEAR Specific Gravity Ur 1.025 1.003 - 1.030 pH urine 6.5 5.0 - 8.0 Protein, Urine NEGATIVE NEGATIVE Glucose, Urine NEGATIVE NEGATIVE Ketone, Urine NEGATIVE NEGATIVE Urobilinogen Urine 0.2 0.2 - 1.0 eg/dL BioReference Laboratories, Inc. lames Weisberger, ill. Clinical Page 2 of 6 481 Edward H. Rcss Dr I Elredood Park, m1 07407 I (Bee) 2 -5227 Laboratory Director Printed 07/25/2016 07:01 g abed VE9L886Z2L ipsu GBH 14:18E:50 9102 60 find EFTA00582645 BioReference FINAL REPORT LABORATORIES a.;:;,,:. D FISCH, HARRY ,FAIqk EPSTEIN, JEFFREY Specimen ID: 1050191S:I 0 HARRY FISCH, H.D. )1000:01/28/1953 Age:63 Y Sex:M Date Of Report:07/23/2016 C 944 PARK AVENuL ':: • '' Address:] E 71ST STREET Date Collected: 07/20/2016 Neo York, NY 10028 NEW YORK NY 1x021 Time Collected: 08:52 Acct e: C1720-1) SI P: Date Received: 07/20/2016 0 P: % Time Received: 23:20 R ;,.gg : • .i„ North America Eastern Time ../ ' "c .." CLINICAL REPORT ."- . ,t,; sfa :41 R , Bilirubin, Urine NEGATIVE NEGATIVE Blood, Urine NEGATIVE NEGATIVE Nitrites Urine NEGATIVE NEGATIVE Leukocyte Esterase NEGATIVE NEGATIVE Crystals Urine NONE NONE Crystal Mt. Urine NONE NONE WIC, Urine 0-4 0-4 PER HPF R2C, Urine NONE SEEN NONE SEEN PER HPF Epithelial Cells, Ur NONE FEW Cast, Hyaline, Urine 0-4 0-4 PER LPF Cast, Granular, Ur NONE SEEN 0-1 PER LPF Cast, RBC, Urine NONE SEEN 0-1 PER LPF Bacteria, Urine NONE FEW .I " ( OGY i ..... ... CULTURE, URINE NO GROWTH NO GROWTH SITE: URINE M1SCILLANLOUS ri:71:4:0:i:(41414fiditrei*.=4.-kar ‘" W.r.4,11:::::=ViiiiirLaarigaTZ2=C7.31, illiat,W4 24: Hemoglobin Alc 5.9 HI <5.7 6.0 HI lin/27/2016 HEMOGLOBIN A1c AND eAG REFERENCE RANGES A1c(%) DIABETES CATEGORY* <5.7 Normal (nom-diabetic) 5.7-6.4 Increased risk of diabetes .>6.5 Consistent with diabetes AIC(X) eAG(ESTIMATED AVERAGE PLASMA GLUCOSE)(mg/dL) 6 126 7 154 8 183 9 212 10 240 11 269 12 298 *recommended ranges-American Diabetes Association(2010) NOTE: Hemolysis, rare hemoglobin variants and thalassemia major may affect glycemic results. TSH TNP 0.178-4.530 uIU/s0. I 1.790 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. Thyroxine(T4) TNP 4.9.12.9 ug/dE I 6.3 181/27/2016 Test Not Performed: Specimen rejected for testing duo to moderate or marked BloRefe-ence Laboratories, Inc. Tares Weisoerger, III. Clinical Page 3 of 6 481 Edward H. Ross Dr I Eltmood Park, N7 07407 I (800) 2 -5227 Laboratory Director Printed 07/25/2016 07:01 g abed 17£91286Z121, I-PsH fLueH 14:16E:SO 9102 60 6ny EFTA00582646  FINAL REPORT ttf ence ..., LABORATORIES 0, FISCH, HARRY \ EPSTEIN, JEFFREY Specimen ID: 105819158 0 HARRY FISCH, M.D. D08:01/20/1953 Age:63 Y Sex:Pt Date Of Report: 07/23/2016 ( 944 PARK AVENUE Address:9 E 71ST STREET Date Collected: 87/20/2016 New York, NY 10028 s 'OM YORK NY 10021 Time Collected: 08:52 Acct P: (C1720-1) Si IP: gliNS Date Received: 07/20/2816 C P: Time Received: 23:20 R North America Eastern Time ,/ CLINICAL REPORT . hemolysis. T3 Uptake(T3U) TNP 24.3.39.0 % 29.3 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. THYROXINE, FREE(FT4) TNP 0.80-1.73 ng/dL 0.93 101/27/2016 lest Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. FREE T4 INDEX TNP 1.5-3.8 1.8 01/27/2016 113(THYRONINE), TOTAL TNP 72-180 ng/dL 127 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or narked hemolysis. PSA Total TNP <4.00 ng/mL 0.70 101/27/2816 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. NOTE: The PSA assay should not be the only test used for diagnostic purposes. Additional evaluation using DRE, ultrasound, T R or similar procedures may be used for this purpose. Predictions of disease recurrence should not be based solely upon values obtained from serial PSA values obtained on the Patient. NOTE: Values obtained with different assay methods or kits cannot be used interchangeably. NOTE: Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. ASSAY INFORMATION: Method Electrochemiluminescence Immunoassay (Roche Diagnostics) PSA, FREE TNP Not Estab. ng/mi. 1 0.33 101/27/2016 Test Not Performed: Specimen rejected for testing du► to moderate or marked hemolysis. NOTE: Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. Values obtained with different assay methods or kits cannot be used interchangeably. ASSAY INFORMATION: Method Electrocheedluninescence Immunoassay (Roche Diagnostics). % FREE PSA TNP See Below % I 47 101/27/2016 FREE PSA RISK ASSESSMENT The probability of prostate cancer for men with non -suspicious DRE results, by age group, using PSA values between 4.000 and 10.00e ng/mt and percent FREE PSA values is summarized in the table below: IlioReference Laboratories, Inc. James weisberger, M.D. Clinical Page 4 of 6 481 Edward H. Ross Dr I Elmwood Park, N3 07407 I (880) 2 9-5227 Laboratory Director Printed 07/25/2016 07:01 L B6ed P€91.886ZLZI. iPsid H 14:104:SO 91O2 6O End EFTA00582647  FINAL REPORT BioReference LABORATORIES D FISCH, HARRY EPSTEIN, JEFFREY s Specimen ID: 105819158 A HARRY FISCH, H.D. D00:01/20:1953 Age:63 Y Sex:m A Date Of Report: 07/23/2016 944 PARK AVENUE Address:, E 71ST STREET v Date Collected: 07/20/2016 L T York, NY 10028 NEW YORK NY 10021 Time Collected: 08:52 P Acct a: C1720-1) S1 P: (212) 772-9c16 Date Received: 87/20/2016 Time Received: 23:20 R I North America Eastern Time CLIN:CAL REPORT • ,,s STRAKFTC4.4,0* iifkiiSii PROBABILITY OF CANCER* %free PSA (50.59 yrs) (60-69 yrs) (>or=70 yrs) corral:3 49.2% 57.5% 64.5% 11-18 26.9% 33.9% 40.8% 29-25 18.3% 23.9% 29.7% >25 9.1% 12.2% 15.8% 'probability of finding prostate cancer by need:e biopsy NOTE: Calculation of percent FREE PSA may not be post ible when the value for TOTAL PSA is in the low normal range. These guidelines are for assays performed using the Roche E602 immunoassay sys em.(0/2015;V8.0) TESTOSTERONE, TOT.,S. TOP 193.0.740.0 ng/dL 296.0 101/27/2016 Test Not Pe-formed: Specimen rejected for testing due to moderate or marked hemolysis. TESTOSTERONE, 8/0AVAIL. TOP 72.0-460.0 ng/dL I 183.8 01/27/2016 SEX HORM.BIND.GLOB. TOP 18-57 nmol/L 18 01/27/2016 Test Not Performed: Specimen rejected for testing du to moderate or narked hemolysis. FREE TESTOSTERONE TOP 30.00.150.00 pg/mL I 80.18 01/27/2016 LH TOP 1.7.8.6 mIU/Int 6.8 01/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. FSH TOP 1.5-12.4 mIU/ral. 1 6.8 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. PROLACTIN, SERUM TIP 4.0-15.2 ng/ml. 3.0 LO 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. ESTRADIOL TNP 7.02-49.06 pg/mI 48.91 101/27/2016 Test Not Performed: Specimen rejected for testing due to moderate or marked hemolysis. FIBRINOGEN TNP 176-441 i/dL 276 01/27/2016 DIHYDROTESTOSTERIONE(7) 148.0 106-719 pg/st 278.0 01/27/2016 Reference Intervals for Males age 20 years and above: 106.0-719.0 pp/mL Analysis by High Performance Liquid Chromatography/ Tandem:lass Spectrometry (LC-MS/I45) (7) Performed by: National Medical Lab 2300 Stratford Ave. Willow Grove, PA 19090 BioReference Laboratories, Inc. lames weisberger, M.D. Clinical Page S of 6 481 Edward H. Ross Dr I Elmwood Park, NJ 07407 I (800) -5227 Laboratory Director Printed 07/25/2016 07:01 8 abed 61918862I.2 1-Psij AlmH kUOV40 9102 60 End EFTA00582648