Report Status: Final

BIRK, LOVEDEEP

Patient Information Specimen Information Client Information

BIRK, LOVEDEEP

DOB: 08/20/1975 AGE: 45

Gender: F Fasting: Y

Phone: 209-***-****

Patient ID: 2594

Health ID: 8573018927776783

Specimen: SZ766818A

Requisition: 0029374

Collected: 02/03/2021 / 07:46 PST

Received: 02/03/2021 / 18:07 PST

Reported: 02/04/2021 / 08:34 PST

Client #: 56009074 MAIL001

HUNDAL, NIRBHAI S

NIRBHAI S. HUNDAL, M.D.

1516 COLORADO AVE

TURLOCK, CA 95380-2711

CLIENT SERVICES: 866-***-**** SPECIMEN: SZ766818A

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. MRN: 2594

COMMENTS: FASTING:YES

Test Name In Range Out Of Range Reference Range Lab LIPID PANEL WITH REFLEX TO DIRECT LDL

CHOLESTEROL, TOTAL 279 H <200 mg/dL UL

HDL CHOLESTEROL 46 L > OR = 50 mg/dL UL

TRIGLYCERIDES 223 H <150 mg/dL UL

If a non-fasting specimen was collected, consider

repeat triglyceride testing on a fasting specimen

if clinically indicated.

Jacobson et al. J. of Clin. Lipidol. 2015;9:129-169. LDL-CHOLESTEROL 192 H mg/dL (calc) UL

LDL-C levels > or = 190 mg/dL may indicate familial hypercholesterolemia (FH). Clinical assessment and measurement of blood lipid levels should be

considered for all first degree relatives of

patients with an FH diagnosis.

For questions about testing for familial

hypercholesterolemia, please call Quest Genomics

Client Services at 1.866.GENE.INFO.

Jacobson T, et al. J National Lipid Association

Recommendations for Patient-Centered Management of Dyslipidemia: Part 1 Journal of Clinical Lipidology 2015;9(2), 129-169.

Reference range: <100

Desirable range <100 mg/dL for primary prevention;

<70 mg/dL for patients with CHD or diabetic patients with > or = 2 CHD risk factors.

LDL-C is now calculated using the Martin-Hopkins

calculation, which is a validated novel method providing better accuracy than the Friedewald equation in the estimation of LDL-C.

Martin SS et al. JAMA. 2013;310(19): 2061-2068

(http://education.QuestDiagnostics.com/faq/FAQ164) CHOL/HDLC RATIO 6.1 H <5.0 (calc) UL

NON HDL CHOLESTEROL 233 H <130 mg/dL (calc) UL

Non-HDL level > or = 220 is very high and may indicate genetic familial hypercholesterolemia (FH). Clinical assessment and measurement of blood lipid levels

should be considered for all first-degree relatives of patients with an FH diagnosis.

For patients with diabetes plus 1 major ASCVD risk factor, treating to a non-HDL-C goal of <100 mg/dL

(LDL-C of <70 mg/dL) is considered a therapeutic

option.

COMPREHENSIVE METABOLIC UL

PANEL

PAGE 1 OF 3

Report Status: Final

BIRK, LOVEDEEP

Patient Information Specimen Information Client Information BIRK, LOVEDEEP

DOB: 08/20/1975 AGE: 45

Gender: F Fasting: Y

Patient ID: 2594

Health ID: 8573018927776783

Specimen: SZ766818A

Collected: 02/03/2021 / 07:46 PST

Received: 02/03/2021 / 18:07 PST

Reported: 02/04/2021 / 08:34 PST

Client #: 56009074

HUNDAL, NIRBHAI S

CLIENT SERVICES: 866-***-**** SPECIMEN: SZ766818A

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. Test Name In Range Out Of Range Reference Range Lab GLUCOSE 167 H 65-99 mg/dL

Fasting reference interval

For someone without known diabetes, a glucose

value >125 mg/dL indicates that they may have

diabetes and this should be confirmed with a

follow-up test.

UREA NITROGEN (BUN) 13 7-25 mg/dL

CREATININE 0.63 0.50-1.10 mg/dL

eGFR NON-AFR. AMERICAN 108 > OR = 60 mL/min/1.73m2 eGFR AFRICAN AMERICAN 126 > OR = 60 mL/min/1.73m2

BUN/CREATININE RATIO NOT APPLICABLE 6-22 (calc)

SODIUM 137 135-146 mmol/L

POTASSIUM 4.5 3.5-5.3 mmol/L

CHLORIDE 101 98-110 mmol/L

CARBON DIOXIDE 27 20-32 mmol/L

CALCIUM 9.1 8.6-10.2 mg/dL

PROTEIN, TOTAL 7.2 6.1-8.1 g/dL

ALBUMIN 4.0 3.6-5.1 g/dL

GLOBULIN 3.2 1.9-3.7 g/dL (calc)

ALBUMIN/GLOBULIN RATIO 1.3 1.0-2.5 (calc)

BILIRUBIN, TOTAL 0.4 0.2-1.2 mg/dL

ALKALINE PHOSPHATASE 73 31-125 U/L

AST 17 10-35 U/L

ALT 38 H 6-29 U/L

HEMOGLOBIN A1C WITH MPG UL

HEMOGLOBIN A1c 8.7 H <5.7 % of total Hgb

For someone without known diabetes, a hemoglobin A1c value of 6.5% or greater indicates that they may have diabetes and this should be confirmed with a follow-up test.

For someone with known diabetes, a value <7% indicates that their diabetes is well controlled and a value greater than or equal to 7% indicates suboptimal

control. A1c targets should be individualized based on duration of diabetes, age, comorbid conditions, and other considerations.

Currently, no consensus exists regarding use of

hemoglobin A1c for diagnosis of diabetes for children. MEAN PLASMA GLUCOSE 232 mg/dL (calc)

TSH W/REFLEX TO FT4 2.24 mIU/L UL

Reference Range

> or = 20 Years 0.40-4.50

Pregnancy Ranges

First trimester 0.26-2.66

Second trimester 0.55-2.73

Third trimester 0.43-2.91

CBC (H/H, RBC, INDICES, UL

WBC, PLT)

PAGE 2 OF 3

Report Status: Final

BIRK, LOVEDEEP

Patient Information Specimen Information Client Information BIRK, LOVEDEEP

DOB: 08/20/1975 AGE: 45

Gender: F Fasting: Y

Patient ID: 2594

Health ID: 8573018927776783

Specimen: SZ766818A

Collected: 02/03/2021 / 07:46 PST

Received: 02/03/2021 / 18:07 PST

Reported: 02/04/2021 / 08:34 PST

Client #: 56009074

HUNDAL, NIRBHAI S

CLIENT SERVICES: 866-***-**** SPECIMEN: SZ766818A

Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics. Test Name In Range Out Of Range Reference Range Lab WHITE BLOOD CELL COUNT 8.7 3.8-10.8 Thousand/uL

RED BLOOD CELL COUNT 5.01 3.80-5.10 Million/uL

HEMOGLOBIN 12.9 11.7-15.5 g/dL

HEMATOCRIT 39.9 35.0-45.0 %

MCV 79.6 L 80.0-100.0 fL

MCH 25.7 L 27.0-33.0 pg

MCHC 32.3 32.0-36.0 g/dL

RDW 13.2 11.0-15.0 %

PLATELET COUNT 365 140-400 Thousand/uL

MPV 9.7 7.5-12.5 fL

PERFORMING SITE:

UL QUEST DIAGNOSTICS SACRAMENTO, 3714 NORTHGATE BLVD, SACRAMENTO, CA 95834-1617 Laboratory Director: M. ROSE AKIN, M.D., FCAP, CLIA: 05D0644209 PAGE 3 OF 3

PATIENT/LAB INFORMATION

Requisition No.: 0029374

Collection Date: 2021-02-03

Requisition Status: Final

Patient Name: BIRK, LOVEDEEP

Patient ID: 2594

Patient DOB: 1975-08-20

ANNOTATIONS:

• Created 2021 Feb 04 05:54 PM By HUNDAL, NIRBHAI

To be discussed on follow up

Contact this candidate