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Sunday, December 1, 2024
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If you are in the medical profession and can correctly guess my age and overall medical condition based on this lab report, you can get paid $200. Family, friends, and anyone who knows me is excluded.

ONE GUESS PER PERSON !!

Post your Diagnoses and my age guess in the comments below to win the $200
------------------------- VA LABORATORY RESULTS -------------------------

Source: VA
Last Updated: 15 Nov 2024 @ 1055

Sorted By: Date Specimen Collected (Descending) then Time Specimen 
Collected 

VA test results are generally available to you 36 hours after the results 
are finalized. COVID-19 test results are available to you immediately 
after the results are finalized. When you review your test results, 
please remember that not all test results outside the reference range are 
clinically significant. You may be seeing a test result before your 
provider. Your provider will be reviewing your test results and may 
contact you with additional information. If you have questions, please 
call or message your provider or team. 

If you would like to talk to a mental health provider, please call your 
local facility for same day services (Same-Day Healthcare Services Search 
- VA Access to Care). If you are in crisis, please contact the Veterans 
Crisis Line for confidential intervention and support 24 hours a day, 
seven days a week, 365 days a year at 988 and Press 1, chat online at 
VeteransCrisisLine.net/Chat, or send a message to 838255. 
=========================================================================
Lab Test: TB Specimen~SPECIALTY LABS
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Blood (substance)
Date/Time Collected: 28 Oct 2024 @ 1052
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: QuantiFERON-TB
Result: NEGATIVE 
Units: --
Reference Range: 
Interpretation: -- 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
----------------------
Test Name: NIL
Result: 0.01 
Units: IU/mL
Reference Range: 
Interpretation: -- 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
----------------------
Test Name: TB1 Ag - NIL
Result: 0.00 
Units: IU/mL
Reference Range: 
Interpretation: -- 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
----------------------
Test Name: Mitogen-NIL
Result: 7.11 
Units: IU/mL
Reference Range: 
Interpretation: -- 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
----------------------
Test Name: TB2 Ag - NIL
Result: 0.01 
Units: IU/mL
Reference Range: 
Interpretation: -- 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
-------------------------------------------------------------------------

Comments: Negative test result. M. tuberculosis complex infection
unlikely.
TB2-NIL
REFERENCE RANGE:
QUANTIFERON(R)-TB GOLD:  NEGATIVE
The Nil tube value reflects the background interferon
gamma immune response of the patient's blood sample.
This value has been subtracted from the patient's
displayed TB and Mitogen results.
Lower than expected results with the Mitogen tube prevent
false-negative Quantiferon readings by detecting a patient
with a potential immune suppressive condition and/or
suboptimal pre-analytical specimen handling.
The TB1 Antigen tube is coated with the M. tuberculosis-
specific antigens designed to elicit responses from TB
antigen primed CD4+ helper T-lymphocytes.
The TB2 Antigen tube is coated with the M. Tuberculosis-
specific antigens designed to elicit responses from TB
antigen primed CD4+ helper and CD8+ cytotoxic T-lymphocytes.
For additional information, please refer to
https://education.questdiagnostics.com/faq/FAQ204
(This link is being provided for informational/
educational purposes only.)
TEST PERFORMED AT:
QUEST DIAGNOSTICS/NICHOLS SJC
33608 ORTEGA HWY
SAN JUAN CAPISTRANO, CA 92675-2042
Director: IRINA MARAMICA,MD,PHD,MBA 

=========================================================================

Lab Test: Prothrombin Time+PTT
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Plasma (substance)
Date/Time Collected: 28 Oct 2024 @ 1052
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: PTT
Result: 33 
Units: sec
Reference Range: (24-37)
Interpretation: Effective 01/10/2017: Therapeutic Range (Heparin Therapy): 45 - 
90 sec.
May be used to monitor patients on High Molecular Weight heparin
therapy.  Not suitable for monitoring patients on Low Molecular
Weight heparin.  Reference ranges may change slightly with reagent lot
numbers.
Polycythemia (hematocrit >55) may falsely increase the PT (INR)
and aPTT results as well as affecting other calcium-dependent
clotting tests (e.g.Protein C/Protein S).
Contact the laboratory at (702)791-9000 x15568 for an individually
prepared collection tube to provide the ideal specimen to
anticoagulant ratio for proper analysis.
Recommended therapeutic INR range for most patients on Coumadin is
2.0 -3.0. For prophylaxis with mechanical prosthetic heart vales
the range is 2.5 - 3.5.
The aPTT is the appropriate test for monitoring of low to moderate
levels of unfractionated heparin therapy.
The aPTT is the appropriate test for the monitoring of the thrombin
inhibitor, argatroban; the recommended therapeutic range is
1.5 to 3 times the baseline level (less than 100 seconds).
Effective 09/19/2013-01/10/2017: Therapeutic Range (Heparin Therapy): 77
- 118 sec.
Effective 4/8/2015: Reference range updated to 24.0-37.0 sec.
Effective 8/13/2013-4/8/2015: Reference range was 25.0-35.0 sec.
Effective 3/8/2011-8/12/2013: Reference range was 24.0-36.0 sec.
Effective 12/6/2007-3/7/2011: Reference range was 24.1-35.9 sec. due to
new instrumentation (STAGO).
Effective 8/1/2003-12/5/2007: Reference range was 28.5-38.5 sec.
Effective 12/25/2002-7/31/2003: Reference range was 25.3-33.7 sec.
Prior to 12/24/2002: Reference range was 21.0-34.0 sec. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: INR-SCREEN
Result: 0.9 
Units: ratio
Reference Range: (0.9-1.2)
Interpretation: Effective 9/19/2013: Critical High >4.5
Effective 02/12/2008-9/18/13: Critical High >5.0
AS RECOMMENDED BY AMERICAN COLLEGE OF CHEST PHYSICIANS
AND CLINICAL STAFF.
EFFECTIVE 12/06/2007: REFERENCE RANGE CHANGED TO 0.9-1.2 RATIO
FROM 0.9-1.1 RATIO DUE TO NEW INSTRUMENTATION (STAGO).
The INR is validated only for patients receiving stable oral
anticoagulant therapy.  Its use in other situations is invalid and
contraindicated, since it may produce misleading results.
Polycythemia (hematocrit >55) may falsely increase the PT (INR)
and aPTT results as well as affecting other calcium-dependent
clotting tests (e.g. Protein C/Protein S).
Contact the laboratory at (702) 791-9000 x15568 for an individually
prepared collection tube to provide the ideal specimen to
anticoagulant ratio for proper analysis.
Recommended therapeutic INR range for most patients on Coumadin is
2.0 -3.0.  For prophylaxis with mechanical prosthetic heart valves
the range is 2.5 - 3.5.
The aPTT is the appropriate test for monitoring of low to moderate
levels of unfractionated heparin therapy.
The aPTT is the appropriate test for the monitoring of the thrombin
inhibitor, argatroban; the recommended therapeutic range is
1.5 to 3 times the baseline level (less than 100 seconds). 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: PROTIME
Result: 12.8 
Units: sec
Reference Range: (12.2-14.4)
Interpretation: Effective 8/13/2013: reference range updated.
Effective 11/01/2012-8/12/2013: reference range was 11.6-14.5.
*********************************************************************
EFFECTIVE 04/01/2011: REFERENCE RANGE HIGH CHANGED TO
13.5 FROM 14.7 SECONDS.
CRITICAL HIGH CHANGED TO 43.8 FROM 44.6 SECONDS.
*********************************************************************
EFFECTIVE 01/14/2010: REFERENCE RANGE CHANGED TO 11.9-14.7 FROM 11.6-13.9
SECONDS.  CRITICAL HIGH CHANGED TO 44.6 FROM 45.5 SECONDS
*********************************************************************
EFFECTIVE 01/31/2008:CRITICAL HIGH CHANGED TO 45.5 FROM 38 SECONDS
*********************************************************************
EFFECTIVE 12/06/2007: REFERENCE RANGE CHANGED TO 11.6-13.9 SEC.
FROM 11.1-12.7 SECONDS DUE TO NEW INSTRUMENTATION (STAGO).
CRITICAL HIGH CHANGED TO 38 FROM 30 SECONDS.
INR >4.0 IS CONSIDERED A PANIC VALUE.
Reference range changed 12/24/02. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
=========================================================================

Lab Test: Hemogram V
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Blood (substance)
Date/Time Collected: 28 Oct 2024 @ 1052
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: WBC
Result: 6.5 
Units: K/mcL
Reference Range: (4.8-10.8)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: RBC
Result: 5.07 
Units: M/mcL
Reference Range: (4.7-6.1)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: HGB
Result: 15.3 
Units: g/dL
Reference Range: (14-18)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: HCT
Result: 46.3 
Units: %
Reference Range: (42-52)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MCV
Result: 91.3 
Units: fL
Reference Range: (80-100)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MCH
Result: 30.2 
Units: pg
Reference Range: (27-34)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MCHC
Result: 33.0 
Units: g/dL
Reference Range: (32-36)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: RDW-CV
Result: 13.4 
Units: %
Reference Range: (13.0-15.0)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: PLT
Result: 182 
Units: K/mcL
Reference Range: (150-400)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MPV
Result: 11.4 
Units: fL
Reference Range: (9.4-12.4)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: LYMPHOCYTE % (AUTO)
Result: 30.5 
Units: %
Reference Range: (20-40)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NEUTROPHIL % (AUTO)
Result: 58.4 
Units: %
Reference Range: (50-75)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MONOCYTE % (AUTO)
Result: 7.8 
Units: %
Reference Range: (0.0-12.5)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MONOCYTE # (AUTO)
Result: 0.5 
Units: K/mcL
Reference Range: (0.3-0.8)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: LYMPHOCYTE # (AUTO)
Result: 2.0 
Units: K/mcL
Reference Range: (1.3-2.9)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: EOSINOPHIL # (AUTO)
Result: 0.2 
Units: K/mcL
Reference Range: (0.0-0.5)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: EOSINOPHIL % (AUTO)
Result: 2.3 
Units: %
Reference Range: (0.0-6.2)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: BASOPHIL # (AUTO)
Result: 0.1 
Units: K/mcL
Reference Range: (0.0-0.2)
Interpretation: If CBC indicates need for manual diff, contact lab within 24 
hours. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: BASOPHIL % (AUTO)
Result: 0.8 
Units: %
Reference Range: (0.0-2.3)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NEUTROPHIL # (AUTO)
Result: 3.8 
Units: K/mcL
Reference Range: (1.1-6.4)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: RDW-SD
Result: 45.1 High
Units: fL
Reference Range: (35.1-43.9)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: IG% (AUTO)
Result: 0.2 
Units: %
Reference Range: (0-0.429)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: IG# (AUTO)
Result: 0.01 
Units: K/mcL
Reference Range: (0-0.031)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NRBC # (AUTO)
Result: 0.00 
Units: K/mcL
Reference Range: (0-0.012)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NRBC % (AUTO)
Result: 0.0 
Units: %
Reference Range: (0-0.2)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
=========================================================================

Lab Test: Sedimentation Rate~PHOTOMETRIC
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Blood (substance)
Date/Time Collected: 28 Oct 2024 @ 1052
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: ESR
Result: 4 
Units: mm/hr
Reference Range: (SEE INTERP)
Interpretation: Men under 50 years:    <15 mm/hr
Men over 50 years:     <20 mm/hr
Women under 50 years:  <20 mm/hr
Women over 50 years:   <30 mm/hr 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
=========================================================================

Lab Test: C Reactive Protein HS
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Plasma (substance)
Date/Time Collected: 28 Oct 2024 @ 1052
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: C-REACT PROTEIN
Result: 6.15 
Units: MG/L
Reference Range: (0-7.5)
Interpretation: EFFECTIVE 09/27/2012: REFERENCE RANGE CHANGED TO 0-7.5 MG/L
FROM 0-5.0 MG/L due to new instrumentation (Beckman DXc800). 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
-------------------------------------------------------------------------

Comments: Standardized eGFR Interpretation: Estimated Glomerular Filtration
Rate (eGFR) calculated using the 2021 Chronic Kidney
Disease-Epidemiology (CKD-EPI) Collaboration creatinine equation;
units of measure are mL/min/R(1.73 m2). Results are only valid for
adults (=18 years) whose serum creatinine is in a steady state.
eGFR calculations are not valid for patients with acute kidney
injury and for patients on dialysis.  Creatinine-based estimates of
kidney function may also be inaccurate in patients with reduced
creatinine generation due to decreased muscle m* (e.g.,
malnutrition, severe hypoalbuminemia, sarcopenia, chronic
neuromuscular disease, amputations, severe heart failure or liver
disease) and in patients with increased creatinine generation due
to increased muscle m* (e.g., muscle builders, anabolic steroids)
or increased dietary intake. As drug clearance is proportional to
total GFR and not GFR indexed to body surface area (BSA), in
individuals with a BSA substantially different than 1.73 m2, drug
dosing should be based the reported eGFR value de-indexed from BSA
by multiplying by the individual's BSA and dividing by 1.73.CKD is
diagnosed based on abnormalities of kidney structure or function,
present for >3 months, with implications for health and disease.
CKD is cl*ified and staged based on cause, eGFR and albuminuria
(quantified as urine albumin to creatinine ratio). An eGFR >60
mL/min/R(1.73 m2) in the absence of increased urine albumin
excretion or  structural abnormalities does not represent CKD.
eGFR calculated using the 2021 CKD-EPI Creatinine equation.
eGFR and Chronic Kidney Disease (CKD) Stages:
>90 ml/min               G1  - Normal kidney function
60-89 mL/min/R(1.73 m2)  G2  - Mild decrease in kidney function
45-59 mL/min/R(1.73 m2)  G3A - Mild to moderate decrease in kidney
function
30-44 mL/min/R(1.73 m2)  G3B - Moderate to severe decrease in
kidney function
15-29 mL/min/R(1.73 m2)  G4  - Severe decrease in kidney function
<15 mL/min/R(1.73 m2)    G5  - Kidney failure
Reference: https://www.kidney.org 

=========================================================================

Lab Test: Chemistry Analysis Profile
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Plasma (substance)
Date/Time Collected: 28 Oct 2024 @ 1052
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: GLUCOSE
Result: 92 
Units: mg/dL
Reference Range: (74-118)
Interpretation: Effective 09/27/2012: Reference range is 74-118 mg/dL.
Previous reference range was 70-105 mg/dL. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: UREA NITROGEN
Result: 14 
Units: mg/dL
Reference Range: (8-20)
Interpretation: Effective 09/27/2012: Reference range is 8-20 mg/dL.
Previous reference range was 6-19 mg/dL. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: SODIUM
Result: 137 
Units: mmol/L
Reference Range: (136-144)
Interpretation: Effective 09/27/2012: Reference range is 136-144 mmol/L.
Previous reference range was 133-145 mmol/L. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: POTASSIUM
Result: 4.3 
Units: mmol/L
Reference Range: (3.6-5.1)
Interpretation: Effective 09/27/2012: Reference range is 3.6-5.1 mmol/L.
Previous reference range was 3.6-5.2 mmol/L. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: CHLORIDE
Result: 105 
Units: mmol/L
Reference Range: (101-111)
Interpretation: Effective 09/27/2012: Reference range is 101-111 mmol/L.
Previous reference range was 96-108 mmol/L. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: CO2
Result: 27 
Units: mmol/L
Reference Range: (22-32)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: ANION GAP
Result: 9 Low
Units: mmol/L
Reference Range: (10-20)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: BUN/CREAT
Result: 18.0 
Units: RATIO
Reference Range: (12-20)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: CREATININE (SERUM/PLASMA)
Result: 0.79 
Units: mg/dL
Reference Range: (0.64-1.27)
Interpretation: Effective 09/27/2012: Reference range is 0.64-1.27 mg/dL 
(males)
and 0.44-1.03 mg/dl (females).
Previous reference range was 0.40-1.20 mg/dL. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: EGFR-CKD
Result: >90 
Units: mL/min/R
Reference Range: (SEE COMMENTS)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
-------------------------------------------------------------------------

Comments: Standardized eGFR Interpretation: Estimated Glomerular Filtration
Rate (eGFR) calculated using the 2021 Chronic Kidney
Disease-Epidemiology (CKD-EPI) Collaboration creatinine equation;
units of measure are mL/min/R(1.73 m2). Results are only valid for
adults (=18 years) whose serum creatinine is in a steady state.
eGFR calculations are not valid for patients with acute kidney
injury and for patients on dialysis.  Creatinine-based estimates of
kidney function may also be inaccurate in patients with reduced
creatinine generation due to decreased muscle m* (e.g.,
malnutrition, severe hypoalbuminemia, sarcopenia, chronic
neuromuscular disease, amputations, severe heart failure or liver
disease) and in patients with increased creatinine generation due
to increased muscle m* (e.g., muscle builders, anabolic steroids)
or increased dietary intake. As drug clearance is proportional to
total GFR and not GFR indexed to body surface area (BSA), in
individuals with a BSA substantially different than 1.73 m2, drug
dosing should be based the reported eGFR value de-indexed from BSA
by multiplying by the individual's BSA and dividing by 1.73.CKD is
diagnosed based on abnormalities of kidney structure or function,
present for >3 months, with implications for health and disease.
CKD is cl*ified and staged based on cause, eGFR and albuminuria
(quantified as urine albumin to creatinine ratio). An eGFR >60
mL/min/R(1.73 m2) in the absence of increased urine albumin
excretion or  structural abnormalities does not represent CKD.
eGFR calculated using the 2021 CKD-EPI Creatinine equation.
eGFR and Chronic Kidney Disease (CKD) Stages:
>90 ml/min               G1  - Normal kidney function
60-89 mL/min/R(1.73 m2)  G2  - Mild decrease in kidney function
45-59 mL/min/R(1.73 m2)  G3A - Mild to moderate decrease in kidney
function
30-44 mL/min/R(1.73 m2)  G3B - Moderate to severe decrease in
kidney function
15-29 mL/min/R(1.73 m2)  G4  - Severe decrease in kidney function
<15 mL/min/R(1.73 m2)    G5  - Kidney failure
Reference: https://www.kidney.org 

=========================================================================

Lab Test: Aspergillus Fumigatus~SPECIALTY LABS
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Serum (substance)
Date/Time Collected: 28 Oct 2024 @ 1051
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: ASPERGILLUS FUMIGATUS-IGE
Result: <0.10 
Units: kU/L
Reference Range: 
Interpretation: Reference Range:  < .35  kU/L 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
-------------------------------------------------------------------------

Comments: Aspergillus fumigatus cl*: INTERPRETATION
Aspergillus fumigatus cl*:   SPECIFIC                  LEVEL OF
Aspergillus fumigatus cl*: ALLERGEN
Aspergillus fumigatus cl*:    IGE CLASS     kU/L      SPECIFIC
Aspergillus fumigatus cl*: IGE ANTIBODY
Aspergillus fumigatus cl*:   --------   ---------
Aspergillus fumigatus cl*: ----------------
Aspergillus fumigatus cl*:      0           <0.10
Aspergillus fumigatus cl*: ABSENT/UNDETECTABLE
Aspergillus fumigatus cl*:      0/1     0.10-0.34     VERY LOW
Aspergillus fumigatus cl*: LEVEL
Aspergillus fumigatus cl*:      1       0.35-0.69     LOW LEVEL
Aspergillus fumigatus cl*:      2       0.70-3.49     MODERATE
Aspergillus fumigatus cl*: LEVEL
Aspergillus fumigatus cl*:      3       3.50-17.4     HIGH LEVEL
Aspergillus fumigatus cl*:      4       17.5-49.9     VERY HIGH
Aspergillus fumigatus cl*: LEVEL
Aspergillus fumigatus cl*:      5       50-100        VERY HIGH
Aspergillus fumigatus cl*: LEVEL
Aspergillus fumigatus cl*:      6       >100          VERY HIGH
Aspergillus fumigatus cl*: LEVEL
Aspergillus fumigatus cl*:
Aspergillus fumigatus cl*: The clinical relevance of allergen
Aspergillus fumigatus cl*: results of 0.10-0.34 kU/L
Aspergillus fumigatus cl*: are undetermined and intended for
Aspergillus fumigatus cl*: specialist use.
Aspergillus fumigatus cl*: TEST PERFORMED AT:
Aspergillus fumigatus cl*: QUEST DIAGNOSTICS/NICHOLS SJC
Aspergillus fumigatus cl*: 33608 ORTEGA HWY
Aspergillus fumigatus cl*: SAN JUAN CAPISTRANO, CA 92675-2042
Aspergillus fumigatus cl*: Director: IRINA MARAMICA,MD,PHD,MBA 

=========================================================================

Lab Test: Aspergillus fumigatus IgG~SPECIALTY LABS
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Serum (substance)
Date/Time Collected: 28 Oct 2024 @ 1051
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: ASPERGILLUS FUMIGATUS-IGG
Result: 63.7 High
Units: mcg/mL
Reference Range: (SEE BELOW)
Interpretation: Reference Range = < 2.0  ug/mL 
Performing Location: QUEST DIAGNOSTICS VALENCIA 27027 Tourney Road , VALENCIA, 
CA 91355-5386 
Status: Final
-------------------------------------------------------------------------

Comments: ASPERGILLUS FUMIGATUS (M3) IGG
REFERENCE RANGE:  <2.0 mcg/mL
This test was performed using a kit that has not been
cleared or approved by the FDA. The analytical performance
characteristics of this test have been determined by Quest
Diagnostics Nichols Institute San Juan Capistrano. This test
should not be used for diagnosis without confirmation by
other medically established means.
TEST PERFORMED AT:
QUEST DIAGNOSTICS/NICHOLS SJC
33608 ORTEGA HWY
SAN JUAN CAPISTRANO, CA 92675-2042
Director: IRINA MARAMICA,MD,PHD,MBA 

=========================================================================

Lab Test: Fungal Ab
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Serum (substance)
Date/Time Collected: 28 Oct 2024 @ 1051
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: ASPERGILLUS-CF
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: Reference range = NEGATIVE (<1:8) 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: ASPERGILLUS-ID
Result: NOT INDICATED 
Units: --
Reference Range: (NEGATIVE)
Interpretation: -- 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: BLASTOMYCES-CF
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: NEGATIVE (<1:8) TITER 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: BLASTOMYCES-ID
Result: NOT INDICATED 
Units: --
Reference Range: (NEGATIVE)
Interpretation: -- 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: COCCIDIOIDES IMMITIS-CF
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: NEGATIVE (<1:8) TITER 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: COCCIDIOIDES IMMITIS-LATEX
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: -- 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: COCCIDIOIDES IMMITIS-ID
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: -- 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: HISTOPLASMA CAPSULATUM YEAST-CF
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: Reference range = NEGATIVE (<1:8) 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: HISTOPLASMA MYCELIAL-CF
Result: NEGATIVE 
Units: --
Reference Range: (NEGATIVE)
Interpretation: NEGATIVE (<1:8) TITER 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
----------------------
Test Name: HISTOPLASMA CAPSULATUM ID
Result: NOT INDICATED 
Units: --
Reference Range: (NEGATIVE)
Interpretation: -- 
Performing Location: LEXINGTON VAMC-LEESTOWN 1101 VETERANS DRIVE Leestown Road 
, LEXINGTON, KY 40511-1052 
Status: Final
-------------------------------------------------------------------------

Comments: Complement Fixation (CF) starting dilutions for serum
specimens are 1:2 for C. immitis and 1:8 for all other
antibodies.  Starting dilutions for CSF are undiluted
unless otherwise indicated.
Immunodiffusion (ID) Presence of precipitin bands is specific
for previous or current infection.
Complement fixation (CF) Serum titers =>1:16 are suggestive
of systemic infection; titers 1:2 - 1:8 are possibly
significant of localized disease for C. immitis. In CSF
samples any titer is potentially significant.
Latex Agglutination - Positive in early primary cocci
infection.
Anticomplementary (AC): Result is indeterminate as there is a
substance in the patient's specimen interfering with the
reading of the test.
"Neg. at" indicates that there is a low level, less than a
significant CF titer, of anti-complementary activity in the
patient's sample.  The value reported is the lowest
dilution showing no anti-complementary activity. 

=========================================================================

Lab Test:                     CULTURE (NOT BLD,UR,STOOL)....
Lab Type:                     Microbiology
Ordering Provider:            VIGUE,MICHAEL J
Ordering Location:            North Las Vegas VA Medical Center
Specimen:                     --
Collection Sample:            SPUTUM
Date/Time Collected:          26 Oct 2024 @ 1200
Collected Location:           North Las Vegas VA Medical Center
Performing Location:          North Las Vegas VA Medical Center P.O. BOX 360001, NORTH LAS VEGAS 89036
Date/Time Completed:          01 Nov 2024 @ 1200
-------------------------------------------------------------------------


Accession [UID]: MICRO 24 4642 [1924004642] Received: Oct 28, 
2024@10:49
Collection sample: SPUTUM              Collection date: Oct 26, 2024 
08:00
Provider: VIGUE,MICHAEL J
                                                
                               
                                                
                               
 Test(s) ordered: CULTURE (NOT 
BLD,UR,STOOL).... completed: Nov 01, 2024 10:39

* BACTERIOLOGY FINAL REPORT => 
Nov 01, 2024 10:41   TECH CODE: 223068340
GRAM STAIN: 5-10 epithelial/LPF 
     
       Few WBC 
            Few mixed flora 
                                   
                                            
CULTURE RESULTS:  1. ESCHERICHIA 
COLI - Quantity: MODERATE 
                     Comment: CEFAZOLIN MIC <= 4 
mcg/mL 
                                                                        
       
                  2. CANDIDA ALBICANS - Quantity: MODERATE 
            
                                                                   
            
      3. HAEMOPHILUS INFLUENZAE - Quantity: MODERATE 
                     
Comment: Beta Lactamase Positive 
                                              
                                 
                                              
                                 
ANTIBIOTIC SUSCEPTIBILITY TEST RESULTS:
      
                                                                         
      
                          1. ESCHERICHIA COLI
                                
:
AMPICLN.......................  S
AMPICILLIN/SULBACTAM..........  
S
CEFEPIME......................  S
CEFTRIAXONE...................  
S
CIPROFLOXACIN.................  S
GENTMCN.......................  
S
LEVOFLOXACIN..................  S
TETRCLN.......................  
S
TRMSULF.......................  S
PIPERACILLIN/TAZOBAC..........  S
          
                                                                     

Bacteriology Remark(s):
  MODERATE Gram negative bacilli 
  Identification & 
Susceptibilities to follow. 
  MODERATE Normal oralpharyngeal flora also 
isolated. 
  FUNGUS 
  FUNGUS SENT TO REFERENCE LAB FOR IDENTIFICATION 
  SEE 
MICRO 24 4687 FOR RESULTS. 
                                                    
                           

=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--=--

Performing Laboratory:
Bacteriology Report Performed By: 
SOUTHERN NEVADA HCS 
[CLIA# 29D2042411]
6900 NORTH PECOS ROAD LAS VEGAS, NV 89086-4400


 

-----------------------------------------------------------------------------
Result Key:
SUSC = Susceptibility Result                S = Susceptible
INTP = Interpretation                       I = Intermediate
MIC  = Minimum Inhibitory Concentration     R = Resistant

=========================================================================

Lab Test: Prothrombin Time+PTT
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Plasma (substance)
Date/Time Collected: 03 Oct 2024 @ 0924
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: PTT
Result: 31 
Units: sec
Reference Range: (24-37)
Interpretation: Effective 01/10/2017: Therapeutic Range (Heparin Therapy): 45 - 
90 sec.
May be used to monitor patients on High Molecular Weight heparin
therapy.  Not suitable for monitoring patients on Low Molecular
Weight heparin.  Reference ranges may change slightly with reagent lot
numbers.
Polycythemia (hematocrit >55) may falsely increase the PT (INR)
and aPTT results as well as affecting other calcium-dependent
clotting tests (e.g.Protein C/Protein S).
Contact the laboratory at (702)791-9000 x15568 for an individually
prepared collection tube to provide the ideal specimen to
anticoagulant ratio for proper analysis.
Recommended therapeutic INR range for most patients on Coumadin is
2.0 -3.0. For prophylaxis with mechanical prosthetic heart vales
the range is 2.5 - 3.5.
The aPTT is the appropriate test for monitoring of low to moderate
levels of unfractionated heparin therapy.
The aPTT is the appropriate test for the monitoring of the thrombin
inhibitor, argatroban; the recommended therapeutic range is
1.5 to 3 times the baseline level (less than 100 seconds).
Effective 09/19/2013-01/10/2017: Therapeutic Range (Heparin Therapy): 77
- 118 sec.
Effective 4/8/2015: Reference range updated to 24.0-37.0 sec.
Effective 8/13/2013-4/8/2015: Reference range was 25.0-35.0 sec.
Effective 3/8/2011-8/12/2013: Reference range was 24.0-36.0 sec.
Effective 12/6/2007-3/7/2011: Reference range was 24.1-35.9 sec. due to
new instrumentation (STAGO).
Effective 8/1/2003-12/5/2007: Reference range was 28.5-38.5 sec.
Effective 12/25/2002-7/31/2003: Reference range was 25.3-33.7 sec.
Prior to 12/24/2002: Reference range was 21.0-34.0 sec. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: INR-SCREEN
Result: 1.0 
Units: ratio
Reference Range: (0.9-1.2)
Interpretation: Effective 9/19/2013: Critical High >4.5
Effective 02/12/2008-9/18/13: Critical High >5.0
AS RECOMMENDED BY AMERICAN COLLEGE OF CHEST PHYSICIANS
AND CLINICAL STAFF.
EFFECTIVE 12/06/2007: REFERENCE RANGE CHANGED TO 0.9-1.2 RATIO
FROM 0.9-1.1 RATIO DUE TO NEW INSTRUMENTATION (STAGO).
The INR is validated only for patients receiving stable oral
anticoagulant therapy.  Its use in other situations is invalid and
contraindicated, since it may produce misleading results.
Polycythemia (hematocrit >55) may falsely increase the PT (INR)
and aPTT results as well as affecting other calcium-dependent
clotting tests (e.g. Protein C/Protein S).
Contact the laboratory at (702) 791-9000 x15568 for an individually
prepared collection tube to provide the ideal specimen to
anticoagulant ratio for proper analysis.
Recommended therapeutic INR range for most patients on Coumadin is
2.0 -3.0.  For prophylaxis with mechanical prosthetic heart valves
the range is 2.5 - 3.5.
The aPTT is the appropriate test for monitoring of low to moderate
levels of unfractionated heparin therapy.
The aPTT is the appropriate test for the monitoring of the thrombin
inhibitor, argatroban; the recommended therapeutic range is
1.5 to 3 times the baseline level (less than 100 seconds). 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: PROTIME
Result: 13.2 
Units: sec
Reference Range: (12.2-14.4)
Interpretation: Effective 8/13/2013: reference range updated.
Effective 11/01/2012-8/12/2013: reference range was 11.6-14.5.
*********************************************************************
EFFECTIVE 04/01/2011: REFERENCE RANGE HIGH CHANGED TO
13.5 FROM 14.7 SECONDS.
CRITICAL HIGH CHANGED TO 43.8 FROM 44.6 SECONDS.
*********************************************************************
EFFECTIVE 01/14/2010: REFERENCE RANGE CHANGED TO 11.9-14.7 FROM 11.6-13.9
SECONDS.  CRITICAL HIGH CHANGED TO 44.6 FROM 45.5 SECONDS
*********************************************************************
EFFECTIVE 01/31/2008:CRITICAL HIGH CHANGED TO 45.5 FROM 38 SECONDS
*********************************************************************
EFFECTIVE 12/06/2007: REFERENCE RANGE CHANGED TO 11.6-13.9 SEC.
FROM 11.1-12.7 SECONDS DUE TO NEW INSTRUMENTATION (STAGO).
CRITICAL HIGH CHANGED TO 38 FROM 30 SECONDS.
INR >4.0 IS CONSIDERED A PANIC VALUE.
Reference range changed 12/24/02. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
-------------------------------------------------------------------------

Comments: SENT FROZEN 

=========================================================================

Lab Test: Hemogram V
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Blood (substance)
Date/Time Collected: 03 Oct 2024 @ 0924
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: WBC
Result: 6.7 
Units: K/mcL
Reference Range: (4.8-10.8)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: RBC
Result: 4.98 
Units: M/mcL
Reference Range: (4.7-6.1)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: HGB
Result: 15.2 
Units: g/dL
Reference Range: (14-18)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: HCT
Result: 46.4 
Units: %
Reference Range: (42-52)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MCV
Result: 93.2 
Units: fL
Reference Range: (80-100)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MCH
Result: 30.5 
Units: pg
Reference Range: (27-34)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MCHC
Result: 32.8 
Units: g/dL
Reference Range: (32-36)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: RDW-CV
Result: 14.6 
Units: %
Reference Range: (13.0-15.0)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: PLT
Result: 182 
Units: K/mcL
Reference Range: (150-400)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MPV
Result: 11.5 
Units: fL
Reference Range: (9.4-12.4)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: LYMPHOCYTE % (AUTO)
Result: 28.4 
Units: %
Reference Range: (20-40)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NEUTROPHIL % (AUTO)
Result: 59.9 
Units: %
Reference Range: (50-75)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MONOCYTE % (AUTO)
Result: 7.9 
Units: %
Reference Range: (0.0-12.5)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: MONOCYTE # (AUTO)
Result: 0.5 
Units: K/mcL
Reference Range: (0.3-0.8)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: LYMPHOCYTE # (AUTO)
Result: 1.9 
Units: K/mcL
Reference Range: (1.3-2.9)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: EOSINOPHIL # (AUTO)
Result: 0.2 
Units: K/mcL
Reference Range: (0.0-0.5)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: EOSINOPHIL % (AUTO)
Result: 3.0 
Units: %
Reference Range: (0.0-6.2)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: BASOPHIL # (AUTO)
Result: 0.1 
Units: K/mcL
Reference Range: (0.0-0.2)
Interpretation: If CBC indicates need for manual diff, contact lab within 24 
hours. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: BASOPHIL % (AUTO)
Result: 0.7 
Units: %
Reference Range: (0.0-2.3)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NEUTROPHIL # (AUTO)
Result: 4.0 
Units: K/mcL
Reference Range: (1.1-6.4)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD, LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: RDW-SD
Result: 50.3 High
Units: fL
Reference Range: (35.1-43.9)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: IG% (AUTO)
Result: 0.1 
Units: %
Reference Range: (0-0.429)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: IG# (AUTO)
Result: 0.01 
Units: K/mcL
Reference Range: (0-0.031)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NRBC # (AUTO)
Result: 0.00 
Units: K/mcL
Reference Range: (0-0.012)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD, LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: NRBC % (AUTO)
Result: 0.0 
Units: %
Reference Range: (0-0.2)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
=========================================================================

Lab Test: Chemistry Analysis Profile
Lab Type: Chemistry/Hematology
Ordering Provider: VIGUE, MICHAEL
Ordering Location: SOUTHERN NEVADA HCS
Specimen: Plasma (substance)
Date/Time Collected: 03 Oct 2024 @ 0924
Collected Location: SOUTHERN NEVADA HCS
-------------------------------------------------------------------------
Test Name: GLUCOSE
Result: 100 
Units: mg/dL
Reference Range: (74-118)
Interpretation: Effective 09/27/2012: Reference range is 74-118 mg/dL.
Previous reference range was 70-105 mg/dL. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD, LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: UREA NITROGEN
Result: 14 
Units: mg/dL
Reference Range: (8-20)
Interpretation: Effective 09/27/2012: Reference range is 8-20 mg/dL.
Previous reference range was 6-19 mg/dL. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: SODIUM
Result: 138 
Units: mmol/L
Reference Range: (136-144)
Interpretation: Effective 09/27/2012: Reference range is 136-144 mmol/L.
Previous reference range was 133-145 mmol/L. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: POTASSIUM
Result: 4.4 
Units: mmol/L
Reference Range: (3.6-5.1)
Interpretation: Effective 09/27/2012: Reference range is 3.6-5.1 mmol/L.
Previous reference range was 3.6-5.2 mmol/L. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: CHLORIDE
Result: 107 
Units: mmol/L
Reference Range: (101-111)
Interpretation: Effective 09/27/2012: Reference range is 101-111 mmol/L.
Previous reference range was 96-108 mmol/L. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD, LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: CO2
Result: 24 
Units: mmol/L
Reference Range: (22-32)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: ANION GAP
Result: 11 
Units: mmol/L
Reference Range: (10-20)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD, LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: BUN/CREAT
Result: 18.0 
Units: RATIO
Reference Range: (12-20)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: CREATININE (SERUM/PLASMA)
Result: 0.78 
Units: mg/dL
Reference Range: (0.64-1.27)
Interpretation: Effective 09/27/2012: Reference range is 0.64-1.27 mg/dL 
(males)
and 0.44-1.03 mg/dl (females).
Previous reference range was 0.40-1.20 mg/dL. 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD , LAS VEGAS, NV 
89086-4400 
Status: Final
----------------------
Test Name: EGFR-CKD
Result: >90 
Units: mL/min/R
Reference Range: (SEE COMMENTS)
Interpretation: -- 
Performing Location: SOUTHERN NEVADA HCS 6900 NORTH PECOS ROAD, LAS VEGAS, NV 
89086-4400 
Status: Final
-------------------------------------------------------------------------

Comments: Standardized eGFR Interpretation: Estimated Glomerular Filtration
Rate (eGFR) calculated using the 2021 Chronic Kidney
Disease-Epidemiology (CKD-EPI) Collaboration creatinine equation;
units of measure are mL/min/R(1.73 m2). Results are only valid for
adults (=18 years) whose serum creatinine is in a steady state.
eGFR calculations are not valid for patients with acute kidney
injury and for patients on dialysis.  Creatinine-based estimates of
kidney function may also be inaccurate in patients with reduced
creatinine generation due to decreased muscle m* (e.g.,
malnutrition, severe hypoalbuminemia, sarcopenia, chronic
neuromuscular disease, amputations, severe heart failure or liver
disease) and in patients with increased creatinine generation due
to increased muscle m* (e.g., muscle builders, anabolic steroids)
or increased dietary intake. As drug clearance is proportional to
total GFR and not GFR indexed to body surface area (BSA), in
individuals with a BSA substantially different than 1.73 m2, drug
dosing should be based the reported eGFR value de-indexed from BSA
by multiplying by the individual's BSA and dividing by 1.73.CKD is
diagnosed based on abnormalities of kidney structure or function,
present for >3 months, with implications for health and disease.
CKD is cl*ified and staged based on cause, eGFR and albuminuria
(quantified as urine albumin to creatinine ratio). An eGFR >60
mL/min/R(1.73 m2) in the absence of increased urine albumin
excretion or  structural abnormalities does not represent CKD.
eGFR calculated using the 2021 CKD-EPI Creatinine equation.
eGFR and Chronic Kidney Disease (CKD) Stages:
>90 ml/min               G1  - Normal kidney function
60-89 mL/min/R(1.73 m2)  G2  - Mild decrease in kidney function
45-59 mL/min/R(1.73 m2)  G3A - Mild to moderate decrease in kidney
function
30-44 mL/min/R(1.73 m2)  G3B - Moderate to severe decrease in
kidney function
15-29 mL/min/R(1.73 m2)  G4  - Severe decrease in kidney function
<15 mL/min/R(1.73 m2)    G5  - Kidney failure
Reference: https://www.kidney.org 

=========================================================================


------------------------- VA PATHOLOGY REPORTS --------------------------

Source: VA
Last Updated: 15 Nov 2024 @ 1055

No information was available that matched your selection. However, if you 
recently had a VA pathology specimen collected, the reports may be 
available thirty-six (36) hours after they have been completed. Some 
studies done at a non-VA facility may not be available or they may not 
necessarily include an interpretation. 
Note: Your provider may not have had a chance to read your VA pathology 
reports. If you have any concerns about your reports, contact your health 
care team. 

-------------------------- VA RADIOLOGY REPORTS -------------------------

 

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