CONTACTS
SUBJECTS
WBC 6.8 Increase 12% CBC Blood Test Lab 120509
1903 -
1903 - ..
1904 - Summary/Objective
1905 -
190501 - Follow up ref SDS 9 0000, ref SDS 8 0000.
190502 -
190503 -
190504 -
190506 - ..
1906 -
1907 -
1908 - Progress
1909 -
190901 - Blood draw today for meeting with Doctor Egan and Doctor Sandhu next
190902 - Monday on 120514, scheduled on 120403 1104. ref SDS 9 X45G
190904 - ..
190905 - Last full lab was on 110727 1238, ref SDS 2 RP4N, and this was to
190906 - prepare for meeting in Primary Care a few weeks later on 110803 1400.
190907 - ref SDS 3 U24I
190909 - ..
190910 - Last partial lab for lipid panel testing cholesterol and for glucose,
190911 - sodium, and total bilirubin was on 120209 1118. ref SDS 6 KK9M
190912 - ref SDS 6 KK9M
190914 - ..
190915 - Last partial lab for lipid panel and other panels for primary care,
190916 - but omitting CBC, was on
190917 -
190918 -
190920 - ..
190921 - Blood Tests Evaluate Health 8 Months After Surgery
190922 -
190923 - Follow up ref SDS 2 RP4N.
190924 -
190925 - Prior CBC on 110727 1238. ref SDS 2 RP4N
190926 -
190927 - CBC.......................... 2012 05 09 1124
190928 - Blood Results Units Range
190929 - WBC +++ 6.8 K/cmm 4.8 - 10.8
190930 - RBC 5.06 M/cmm 4.7 - 6.1
190931 - HGB 15.0 g/dL 14 - 18
190932 - HCT 45.8 % 42 - 52
190933 - MCV 90.7 fL 80 - 99
190934 - MCH 29.7 uug 27 - 34
190935 - MCHC 32.8 gm/dL 32 - 35.2
190936 - RDW 13.6 % 11.5 - 14.5
190937 - PLT --- 288 K/cmm 130 - 400
190938 - MPV 8.7 fL 7 - 10.4
190939 - NEUT % 68.0 % 40 - 80
190940 - LYMPH % 21.3 % 20 - 51
190941 - MONO % 8.0 % 2 - 13
190942 - EOS % --- 2.0 % .5 - 7
190943 - BASO % 0.7 % 0 - 2
190944 - NEUT # +++ 4.6 K/cmm 1.5 - 7.9
190945 - LYMPH # 1.4 K/cmm 1.2 - 3.4
190946 - MONO # 0.5 K/cmm .2 - 1.2
190947 - EOS # 0.1 K/cmm .1 - .5
190948 - BASO # 0.0 K/cmm 0 - .2
190949 - ESRmVES mm/hr 0 - 10
190950 - ESRxCYT mm/hr 2 - 10
190951 - RETIC % % .66 - 2.85
190952 - RETIC # k/uL 27.9 - 121.6
190954 - ..
190955 - Comments:
190956 -
190957 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
190959 - ..
190960 - Plateletts 288 continue mid-range 130 - 400, presenting no risk of
190961 - blood clots caused by high platletts that require treatment with
190962 - aspirin, reported in the meeting on 110817 1030. ref SDS 4 CZ5L
190963 -
190964 - [On 140430 0900 discussed concern hiking 11 miles causing
190965 - blood clots due to dehydration; plateletts 303 at
190966 - mid-range, blood pressure and heart rate below normal.
190967 - ref SDS 11 7J7L
190968 -
190969 -
190970 -
190971 -
190972 -
190973 -
1910 -
SUBJECTS
Chem Profile Glucose 108 Range 74-118 Lab Blood Test Below Diabetes
5403 -
540401 - ..
540402 - Total Bilirubin 2.5 Impaired Liver Due to Rosuvastatin
540403 - Salt Sodium Declines Near Danger Too Low
540404 - Glucose Declines Again Risk Diabetes Further Reduced
540405 -
540406 - Follow up ref SDS 6 KK9M, ref SDS 5 KK9M.
540407 -
540408 - Prior Chem Profile on 120209 1118. ref SDS 6 KK9M
540410 - ..
540411 - Electrolytes
540413 - ..
540414 - CHEM PROFILE........... 2012 05 09 1124
540415 - PLASMA Results Units Range
540416 - GLUCOSE 108 mg/dL 74 - 118
540417 - GLUfast mg/dL Ref: <=99
540418 - NA (salt) 138 mmol/L 136 - 144
540419 - K 4.2 mmol/L 3.4 - 4.8
540420 - CL 105 mmol/L 98 - 106
540421 - CO2 27 mmol/L 23 - 33
540422 - BUN 17 mg/dL 8 - 26
540423 - CREAT 0.95 mg/dL .5 - 1.1
540424 - eGFR >60 mL/min Ref: >=60
540425 - CALCIUM 8.7 mg/dL 8.7 - 10.2
540426 - CA CORR mg/dL 8.7 - 10.2
540427 - PO4 mg/dL 2.4 - 4.5
540428 - MG mg/dL 1.8 - 2.5
540429 - ALK PHO 86 IntUnits/L 37 - 107
540430 - T. BIL +5 2.5 H mg/dL .3 - 1.2
540431 - D. BILI 0.3 mg/dL .1 - .4
540432 - AST 25 IntUnits/L 8 - 42
540433 - ALT 21 IntUnits/L 5 - 55
540434 - ALBUMIN 4.1 g/dL 3.3 - 4.8
540435 - PROTEIN 7.1 g/dL 6.5 - 8.1
540436 - LDH IntUnits/L 90 - 208
540437 - AMYLASE Units/L 28 - 100
540438 - LIPASE Units/L 7 - 58
540439 - NH3 mcmol/L 15 - 56
540440 - URIC AC mg/dL 4.8 - 8.7
540441 - Comments: a
540443 - ..
540444 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
540446 - ..
540447 - b. Evaluation for CREAT:
540448 -
540449 - Effective 7/2/08, new standardized method for
540450 - creatinine in place. Note reference range change.
540451 - Previous range 0.5-1.2 mg/dL.
540453 - ..
540454 - c. Evaluation for ALK PHO:
540455 -
540456 - The normal range is for an adult population less than
540457 - 50 years old. Alk Phos increases with age over 50 to
540458 - about 60% higher values by ages greater than 75 years
540459 - old.
540461 - ..
540462 - d. Evaluation for eGFR:
540463 -
540464 - eGFR Units = mL/min/1.73 square meters
540465 -
540467 - ..
540468 - Total Bilirubin 2.5 increased from 1.8 - 70% compared to prior lab on
540469 - 120209 1118. ref SDS 6 KK9M This is now more than 100% above
540470 - published range, and associated with increasing Rosuvastatin 20 mg
540471 - from 10 mg, prescribed on 120216 1000. ref SDS 7 DG36
540472 -
540473 -
540474 -
540475 -
5405 -
SUBJECTS
Default Null Subject Account for Blank Record
5503 -
550401 - ..
550402 - LDL 94 Significant Decrease Risk CAD Goal Reduce LDL < 70
550403 -
550404 - Follow up ref SDS 6 IM9N, ref SDS 5 IM9N.
550405 -
550406 - Work plan changed simvastatin 40 mg to rosuvastatin 10 mg on 110817
550407 - 1030. ref SDS 4 DG36 Increase rosuvastatin to 20 mg following lab on
550408 - 111117 1415. ref SDS 5 IM9N, was not effective reducing cholesterol
550409 - LDL < 70, planned in meeting on 110817 1030, ref SDS 4 JQ54
550411 - ..
550412 - On 120214 decided to continue Rosuvastatin 20 mg. ref SDS 7 DG36
550414 - ..
550415 - Prior Chem Profile on 120209 1118. ref SDS 6 IM9N
550417 - ..
550418 - Results today show strong response to treatment.
550420 - ..
550421 - LIPID PANEL............ 2012 05 09 1124
550422 - PLASMA Results Units Range
550423 - CHOL 158 mg/dL Ref: <=200
550424 - TRIGLYC 76 mg/dL Ref: <=150
550425 - HDL 49 mg/dL Ref: >=40
550426 - LDL 94 mg/dL Ref: <=160
550427 - LDL Dir mg/dL Ref: <=160
550428 - TRIG NF mg/dL Ref: <=150
550429 - Comments: a
550431 - ..
550432 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ CA.
550434 - ..
550435 - b. Evaluation for LDL-CHO:
550436 -
550437 - RISK CATEGORY LDL GOAL
550438 - CHD and CHD risk equivalents <100 mg/dL
550439 - Multiple (2+) risk factors <130 mg/dL
550440 - 0-1 risk factor <160 mg/dL
550442 - ..
550443 - HDL Chol. greater than/equal to 60 mg/dL counts as "negative" risk
550444 - factor; its presence removes 1 risk factor from the total count.
550446 - ..
550447 - Ref: Adult Treatment Panel III (ATP III) JAMA 5/16/01 Vol. 285 #19.
550449 - ..
550450 - LDL dropped from 228 to 94 = 134
550451 -
550452 - [On 120831 1400 LDL 110 lab increased from 94, rather than
550453 - continue to decline. ref SDS 10 IM9N
550454 -
550455 -
550456 -
550457 -
550458 -
5505 -
SUBJECTS
Default Null Subject Account for Blank Record
5603 -
560401 - ..
560402 - Rosuvastatin Switch from Simvastatin Myopathy Side Effects Decline
560403 - Simvistatin Side Effects Myopathy Muscle Pain Decline Switch to Rosuvastatin
560404 - Myopathy Muscle Pain Side Effects Simvistatin Decline Switch to Rosuvastatin
560405 -
560406 - Follow up ref SDS 6 D26G, ref SDS 5 D26G.
560407 -
560408 - Prior Cardiac Enzymes Profile on 120209 1118. ref SDS 6 D26G
560409 -
560410 - CARDIAC ENZYMES........ 2012 02 09 1124
560411 - PLASMA Results Units Range
560412 - CK 152 IntUnits/L 36 - 340
560413 - TRPONIN ng/ml 0 - 0.07
560414 - CK-MB ng/ml 0.6 - 3.5
560415 - MYOGLOB ng/ml 20 - 82
560417 - ..
560418 - a. TEST PERFORMED BY VAMC SACRAMENTO, 10535 HOSPITAL WAY,
560419 - MATHER CA.
560420 -
560421 -
560422 -
560423 -
560424 -
560425 -
560426 -
5605 -
SUBJECTS
Default Null Subject Account for Blank Record
5703 -
570401 - ..
570402 - Urine Dipstick Laboratory Test Satisfactory Within Range
570403 -
570404 - Follow up ref SDS 1 0X72.
570405 -
570406 - Prior Urine Dipstick test on 101207 0906. ref SDS 1 0X72
570407 -
570408 - URINE DIPSTICK............ 2012 05 09 1124
570409 - URINE Results Units Range
570410 - PH 6.0 5 - 9
570411 - PROTEIN NEG mg/dL NEG - TRACE
570412 - GLUCOSE NEG mg/dL Ref: NEG
570413 - KETONES NEG mg/dL Ref: NEG
570414 - BILI NEG Ref: NEG
570415 - BILIcnf Ref: NEG
570416 - BLOOD TRACE Ref: NEG
570417 - NITRITE NEG Ref: NEG
570418 - UROBILI 0.2 EU/dL .2 - 1
570419 - LEU EST NEG Ref: NEG
570420 - SP.GRAV 1.025 1.003- 1.035
570421 - COLOR YELLOW
570422 - APPEAR CLEAR
570423 - Comments: a
570425 - ..
570426 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ
570427 - CA.
570428 -
570430 - ..
570431 - URINE MICROSCOPIC......... 2012 02 09 1124
570432 - URINE HY.CAST GR.CAST WBC/HPF RBC/HPF
570433 - Ref range low 0 None 0 0
570434 - Ref range high 1 5 5
570435 -
570436 - per lpf per lpf per hpf per hpf
570437 -
570439 - ..
570440 - a 05/09/2012 11:24 Normal (0-1) None Normal (0-5) Normal (0-5)
570441 - ===============================================================================
570443 - ..
570444 - URINE EPI CEL YEAST BACT MUCOUS
570445 - Ref range low 0 none 0
570446 - Ref range high 1 1
570447 - per hpf per hpf per hpf
570449 - ..
570450 - a 05/09/2012 11:24 Normal (0-1) None Normal (0-1) Present
570451 - ===============================================================================
570453 - ..
570454 - URINE AMR SED CRYSTAL
570455 - Ref range low 0
570456 - Ref range high 1
570457 - CRYS/LPF
570459 - ..
570460 - a 05/09/2012 11:24 None
570462 - ..
570463 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ
570464 - CA.
570465 -
570466 -
570468 - ..
570469 - MISCELLANEOUS TESTS....... 2012 02 09 1124
570471 - ..
570472 - DATE TIME SPECIMEN TEST VALUE Ref ranges
570473 -
570474 - 05/09/2012 11:24 URINE TrichUR None per hpf Ref: None
570475 - 05/09/2012 11:24 URINE CultRfx No
570476 - 05/09/2012 11:24 URINE CelCast None per lpf Ref: None
570477 - 05/09/2012 11:24 URINE RenalEp None per hpf Ref: None
570478 - 05/09/2012 11:24 URINE Calc/Ox Norm(0-1) per hpf0 - 1
570479 - 05/09/2012 11:24 URINE UrACrys Norm(0-1) per hpf0 - 1
570480 - 05/09/2012 11:24 URINE TriPhos Norm(0-1) per hpf0 - 1
570481 -
570482 - a. TEST PERFORMED BY VA MARTINEZ, 150 MUIR ROAD, MARTINEZ
570483 - CA.
570484 -
570485 -
5705 -
SUBJECTS
Default Null Subject Account for Blank Record
5803 -
580401 - ..
580402 - Vitamin D 25 OH Concentration Within Normal Range
580403 -
580404 - Follow up ref SDS 3 N63O.
580405 -
580406 - 05/09/2012 11:24 SERUM 25-OH-D 33.0 ng/mL 30 - 100
580408 - ..
580409 - Interpretation:
580410 - Deficiency: <10ng/mL
580411 - Insufficiency: 10-30ng/mL
580412 - Sufficiency: 30-100ng/mL
580413 - Toxicity: >100 ng/mL
580415 - ..
580416 - The role of vitamin D in bone and mineral metabolism was
580417 - recognized from its first identification as a factor that could
580418 - cure rickets. However, vitamin D is now recognized as a
580419 - prohormone which has multiple roles in maintaining optimal
580420 - health. Vitamin D (D3, D2 and metabolites) is converted to
580421 - 25-hydroxyvitamin D in the liver. The measurement of 25-OH
580422 - vitamin D concentration in the serum or plasma is the best
580423 - indicator of vitamin D nutritional status. Test performed at
580424 - VA Lexington, 1101 Veterans Dr, Lex, KY 40502
580426 - ..
580427 - On 110803 Doctor Sandhu considered prescribing vitamin D treatment to
580428 - recover from, 110803 1400, ref SDS 3 PE6O
580429 -
580430 -
580431 -
580432 -
580433 -
580434 -
580435 -
580436 -
580437 -
580438 -
580439 -
580440 -
580441 -
580442 -
580443 -
580444 -
5805 -