Message:
Michael -
Your lab results are, overall, fine. There are a couple of issues, however. First, your homocysteine level is 13.9. This is one of the additional tests your requested we run and can be a indicator of heart disease risk. Anything above 11.4 is considered high and means you may be at increased risk. It is only one piece of the puzzle, however, and when you compare results of some of the other tests, such as your great cholesterol and triglyceride levels, it doesn't mean as much. In other words, the cholesterol and triglyceride numbers are more important indicators. I would recommend your start an over the counter supplement of folic acid daily as this can help lower the homocysteine level. Second, your vitamin D level is low at 26. The normal range is 32 to 100, with the optimal range around 50. Low vitamin D can lead to various aches and pain, as well as other issues. I recommend you start taking an over the counter supplement of 2000 to 4000 IU's per day to get the level up. We will recheck all of these results again when you return for your next annual exam in 12 months. Until then, stay healthy.
Patient: BAISDEN, MICHAELDOB: ******Sex: Male
Lab Receipt: 4/28/2011 9:06:00 PMCollection: 4/28/2011 12:13:00 PMResults: 5/1/2011 9:45:00 PM
7444SB= - THYROID PANEL WITH TSH, 3RD GENERATION
T3RU Fr SerPl / 33 / % / 22-35 / F
T4 SerPl-mCnc / 7.8 / mcg/dL / 4.5-12.0 / F
FTI SerPl-aCnc / 2.6 / 1.4-3.8 / F
7444SB= - THYROID PANEL WITH TSH, 3RD GENERATION
TSH SerPl-aCnc / 1.27 / mIU/L / 0.40-4.50 / F
7600SB= - LIPID PANEL
Cholest SerPl-mCnc / 133 / mg/dL / 125-200 / F
7600SB= - LIPID PANEL
HDLc SerPl-mCnc / 40 / mg/dL / > OR = 40 / F
7600SB= - LIPID PANEL
Trigl SerPl-mCnc / 66 / mg/dL / <150 / F
7600SB= - LIPID PANEL
LDLc SerPl Calc-mCnc / 80 / mg/dL (calc) / <130 / F
Desirable range <100 mg/dL for patients with CHD or
diabetes and <70 mg/dL for diabetic patients with
known heart disease.
7600SB= - LIPID PANEL
Cholest/HDLc SerPl-mRto / 3.3 / (calc) / < OR = 5.0 / F
31789SBX= - HOMOCYSTEINE, CARDIOVASCULAR
Homocysteine SerPl-sCnc / 13.9 / umol/L / <11.4 / F
10231SB= - COMPREHENSIVE METABOLIC PANEL W/eGFR
Glucose SerPl-mCnc / 75 / mg/dL / 65-99 / F
Fasting reference interval
BUN SerPl-mCnc / 18 / mg/dL / 7-25 / F
Creat SerPl-mCnc / 1.01 / mg/dL / 0.78-1.34 / F
GFR/BSA.pred SerPl MDRD-vRate / 88 / mL/min/1.73m2 / > OR = 60 / F
GFR/BSA pred.black SerPl MDRD-vRate / 102 / mL/min/1.73m2 / > OR = 60 / F
BUN/creat SerPl-mRto / NOT APPLICABLE / (calc) / 6-22 / F
Sodium SerPl-sCnc / 139 / mmol/L / 135-146 / F
Potassium SerPl-sCnc / 4.1 / mmol/L / 3.5-5.3 / F
Chloride SerPl-sCnc / 105 / mmol/L / 98-110 / F
CO2 SerPl-sCnc / 26 / mmol/L / 21-33 / F
Calcium SerPl-mCnc / 9.0 / mg/dL / 8.6-10.2 / F
Prot SerPl-mCnc / 6.7 / g/dL / 6.2-8.3 / F
Albumin SerPl-mCnc / 4.3 / g/dL / 3.6-5.1 / F
Globulin Ser Calc-mCnc / 2.4 / g/dL (calc) / 2.1-3.7 / F
Albumin/Glob SerPl-mRto / 1.8 / (calc) / 1.0-2.1 / F
Bilirub SerPl-mCnc / 0.8 / mg/dL / 0.2-1.2 / F
ALP SerPl-cCnc / 71 / U/L / 40-115 / F
AST SerPl-cCnc / 23 / U/L / 10-40 / F
ALT SerPl-cCnc / 28 / U/L / 9-60 / F
8181SB= - HEMOGLOBIN A1C WITH MPG
Hgb A1c SFr Bld / 5.3 / % of total Hgb / <5.7 / F
Decreased risk of diabetes
<5.7 Decreased risk of diabetes
5.7-6.0 Increased risk of diabetes
6.1-6.4 Higher risk of diabetes
> or = 6.5 Consistent with diabetes
Standards of Medical Care in Diabetes-2010.
Diabetes Care, 33(Supp 1): S1-S61,2010.
Est. average glucose Bld gHb Est-mCnc / 111 / mg/dL (calc) / F
17306SB= - VITAMIN D, 25-HYDROXY, LC/MS/MS
Vit D25 SerPl-mCnc / 26 / ng/mL / 30-100 / F
25-OHD3 indicates both endogenous production and
supplementation. 25-OHD2 is an indicator of exogenous
sources, such as diet or supplementation. Therapy is
based on measurement of Total 25-OHD, with levels
<20 ng/mL indicative of Vitamin D deficiency, while
levels between 20 ng/mL and 30 ng/mL suggest
insufficiency. Optimal levels are > or = 30 ng/mL.
Cholecalciferol SerPl-mCnc / 26 / ng/mL / See Note: / F
Reference Range:
Reference Range
Not established
Calciferol SerPl-mCnc / <4 / ng/mL / See Note: / F
Reference Range:
Reference Range
Not established
905SB= - URIC ACID
Urate SerPl-mCnc / 4.2 / mg/dL / 4.0-8.0 / F
3020SBX= - URINALYSIS, COMPLETE W/REFLEX TO CULTURE
Color Ur / DARK YELLOW / YELLOW / F
Appearance Ur / CLOUDY / CLEAR / F
Sp Gr Ur Strip / 1.027 / 1.001-1.035 / F
pH Ur Strip / 6.5 / 5.0-8.0 / F
Glucose Ur Ql Strip / NEGATIVE / NEGATIVE / F
Bilirub Ur Ql Strip / NEGATIVE / NEGATIVE / F
Ketones Ur Ql Strip / NEGATIVE / NEGATIVE / F
Hgb Ur Ql Strip / NEGATIVE / NEGATIVE / F
Prot Ur Ql Strip / NEGATIVE / NEGATIVE / F
Nitrite Ur Ql Strip / NEGATIVE / NEGATIVE / F
Leukocyte esterase Ur Ql Strip / NEGATIVE / NEGATIVE / F
WBC #/area UrnS HPF / NONE SEEN / /HPF / < OR = 5 / F
RBC # UrnS HPF / NONE SEEN / /HPF / < OR = 3 / F
Squamous #/area UrnS HPF / NONE SEEN / /HPF / < OR = 5 / F
Bacteria #/area UrnS HPF / NONE SEEN / /HPF / NONE SEEN / F
Hyaline Casts #/area UrnS LPF / NONE SEEN / /LPF / NONE SEEN / F
This urine was analyzed for the presence of WBC,
RBC, bacteria, casts, and other formed elements.
Only those elements seen were reported.
6399SB= - CBC (INCLUDES DIFF/PLT)
WBC # Bld Auto / 8.2 / Thousand/uL / 3.8-10.8 / F
RBC # Bld Auto / 4.92 / Million/uL / 4.20-5.80 / F
Hgb Bld-mCnc / 15.5 / g/dL / 13.2-17.1 / F
Hct Fr Bld Auto / 44.5 / % / 38.5-50.0 / F
MCV RBC Auto / 90.4 / fL / 80.0-100.0 / F
MCH RBC Qn Auto / 31.5 / pg / 27.0-33.0 / F
MCHC RBC Auto-mCnc / 34.9 / g/dL / 32.0-36.0 / F
RDW RBC Auto-Rto / 13.4 / % / 11.0-15.0 / F
Platelet # Bld Auto / 197 / Thousand/uL / 140-400 / F
Neutrophils # Bld Auto / 5174 / cells/uL / 1500-7800 / F
Lymphocytes # Bld Auto / 2403 / cells/uL / 850-3900 / F
Monocytes # Bld Auto / 525 / cells/uL / 200-950 / F
Eosinophil # Bld Auto / 82 / cells/uL / 15-500 / F
Basophils # Bld Auto / 16 / cells/uL / 0-200 / F
Neutrophils Fr Bld Auto / 63.1 / % / F
Lymphocytes NFr Bld Auto / 29.3 / % / F
Monocytes Fr Bld Auto / 6.4 / % / F
Eosinophil Fr Bld Auto / 1.0 / % / F
Basophils Fr Bld Auto / 0.2 / % / F
457SB= - FERRITIN
Ferritin SerPl-mCnc / 141 / ng/mL / 20-380 / F
927SB= - VITAMIN B12
Vit B12 Ser-mCnc / 523 / pg/mL / 200-1100 / F
4420SB= - C-REACTIVE PROTEIN
CRP SerPl-mCnc / 0.25 / mg/dL / <0.80 / F
19728SB= - HIV AB, HIV 1/2, EIA, WITH REFLEXES
HIV1+2 Ab Ser Ql EIA / NON-REACTIVE / NON-REACTIVE / F
A Nonreactive HIV-1/2 antibody result does not
exclude HIV infection since the time frame for
seroconversion is variable. If acute HIV infection is
suspected, antibody retesting and nucleic acid
amplification (HIV DNA/RNA) testing is recommended.
%SBNOCULI - REFLEXIVE URINE CULTURE
Bacteria Ur Cult / NO CULTURE INDICATED / F
5363SB= - PSA, TOTAL
PSA SerPl-mCnc / 1.2 / ng/mL / < OR = 4.0 / F
This test was performed using the Siemens
chemiluminescent method. Values obtained from
different assay methods cannot be used