Quest Diagnostics incorporated eiiii Ckuelt • n,poriouce Pads Wormadoa Specimen Information Specimen: BF274310 Requisition: 7612790009421 BROCKMAN, JOHN DOB: AGE:. Gender: Phone: Patient 111 °A wed: 09/02/2015 Received: 09/03/2015 105:37 EDT Reported: 09/03/2015 108:36 EDT Report Status: Final BROCKMAN, JOHN Client Isiorminton Client n: 61279 1000 RICHARD KUTNICK. MD RICHARD KUTRICK I.D. 1421 3RD AVENUE • PENTHOUSE NEW YORK. NY 10028 Test Name COMP METAB PANEL GLUCOSE In Range Out Of Range Reference Range 122 65-139 mg/dL The glucose reference range i3 based on a non-fasting state. 141 135-146 mmol/L 4.2 3.5-5.3 mmol/L 109 98-110 mmol/L 18 L 19-30 mmol/L 39 8 7-25 mg/dL 1.40 R 0.70-1.18 mq/dL The upper reference limit for Creatinine is approximately for people identified as African-American. 28 8 6-22 9.3 8.6-10.3 mg/dL 3.9 5.3 L 6.1-8.1 q/dL 3.6-5.1 q/dL 1.9-3.7 g/dL 1.0-2.5 0.2-1.2 mg/dL 40-115 U/L 78 I :0-35 U/L 85 R 9-46 C/L 49 mL/min/1.73m2 EGFR AFRICAN L 7.e6C mL/min/1.73m2 MAGNESI::x 1.5-2.5 mq/dL ISH 1 . 'S 0.40-4.50 mIU/L SMIUM POTASSIUM CHLCRTDE CARBON DIOXIDE UREA NITROGEN CREATININE 13% higher BUN/CREAT/N/NE RATIO CALCIUM PROTEIN, TOTAL ALBUM:N GLOBULfM,CALCULATED A/C RATIO BILIRDRIN,TOTAL ALKALINE PHOSPHA7ASE AST ALT EGFR NON AFF AFRICAN AMERICAN 1.4 L 2.8 8 / 1.7 R PERFORMING SITE: TM Qum Papa Or MOcc4, k mine Irrkto CIO. LANy a.. Pte.!,' larna T... M D. CUA )1I30)104411 LIST OF RESULTS PRINTED CARSON DIOXIDE UREA NITROGEN CREATININE IN THE OUT OF RANGE COLUMN: 18 L 19-30 mmol/L 39 R 7-25 mg/dL 1.40 8 0.70-1.18 rq/dL The .:pper . reference limit for Creatinine is approximately 13% higher for people identified as African-American. SUN/CREATININE RATIO 28 H 6-22 PROTEIN, TOTAL GLOBULIN, CALCULATED AJG RATIO BILIRDE/N,TOTAL AST ALT EGFR NON APR AMER:CAN EGER AFRICAN AMERICAN 5.3 L 6.1-8.1 g/dL 1.4 L 1.9-3.7 q/dL 2.8 H 1.0-2.5 1.7 H 0.2-1.2 mg/dL 78 H 10-35 U/L 85 H 9-46 U/L 49 L >-60 et/min/1.7302 57 L >6.60 mL/min/1.73m2 Lab :BR TSR T3R TBR TBR TSR TSR 7BR 7BR 7BR TBR TSR TBR TBR TER CLIENT SERVICES: SPECIMEN: BF274310 P•no0 by C.O60 Awcaecon rCaCILI,I 4104 OW. Qae4. Qat-4 Diessieuin, lbw imodated lot.,ad al an,cialcd chin! IhCrew.kil lank% air du It adcoutio of (Ivoi PAGE I Of I EFTA01196909