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1 Abnormal (s) Summary Summary may not contain all abnormal results, especially those of Tests with an interpretation. Please review the entire report. TEST NAME RESULT-FLAG TEST NAME RESULT-FLAG GLUCOSE (GLU) H URIC ACID (84550) 9.8 H CREATINE KINASE (CK)TOTAL (82550) H HEMOGLOBIN A1C (83036) 10.1 H PROGESTERONE 0.11 L APOLIPOPROTEIN B/A1 RATIO > 1.1 H D-DIMER 507 HP MCHC 31.7 L INSULIN H ERYTHOPOIETIN (EPO) H FACTOR IX ACTIVITY H FACTOR V ACTIVITY H FACTOR VII ACTIVITY H LACTATE 3.4 H CLINICAL CHEMISTRY LACTATE 3.4 H mmol/l 6/25/18 14:25 SODIUM (NA+) mmol/l 6/25/18 14:25 POTASSIUM (K+) mmol/l 6/25/18 14:25 CHLORIDE (CL-) mmol/l 6/25/18 14:25 CARBON DIOXIDE, TOTAL (tco2) mmol/l 6/25/18 14:25 GLUCOSE (GLU) H mg/dl 6/25/18 14:25 UREA NITROGEN (BUN) mg/dl 6/25/18 14:25 CREATININE (CRE) mg/dl 6/25/18 14:25 BUN/CREATININE RATIO /25/18 14:25 CALCIUM (CA) mg/dl 6/25/18 14:25 PROTEIN, TOTAL (TP) g/dl 6/25/18 14:25 ALBUMIN, SERUM (ALB) g/dl 6/25/18 14:25 BILIRUBIN, TOTAL (TBIL) mg/dl 6/25/18 14:25 ASPARTATE AMINOTRANSFERASE (AST) U/L 6/25/18 14:25 ALANINE AMINOTRANSFERASE (ALT) U/L 6/25/18 14:25 URIC ACID (84550) 9.8 H mg/dl 6/25/18 14:25 PHOSPHORUS (84100) mg/dl 6/25/18 14:25 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 1 of 13

2 LIPIDS MAGNESIUM (83735) mg/dl 6/25/18 14:25 AMYLASE (82150) U/L 6/25/18 14:25 LIPASE (83690) U/L 6/25/18 14:25 LACTATE DEHYDROGENASE (83615) U/L 6/25/18 14:25 CREATINE KINASE (CK)TOTAL (82550) H U/L 6/25/18 14:25 ALKALINE PHOSPHATASE (ALP) U/L 6/25/18 14: CHOLESTEROL mg/dl 6/25/18 14:25 The National Lipid Association and the National Cholesterol Education Program (NCEP) has set the following guidelines for lipids (total cholesterol, triglycerides, HDL, LDL and non HDL cholesterol) in adults ages 18 and up in mg/dl: 1) CHOLESTEROL: ADULTS: [Desirable: <200] [Borderline high: ] [High: > or =240] 2)TRIGLYCERIDES: [Normal: <150] [Borderline high: ] [High: ] [Very high: > or = 500] 3) HDL Cholesterol: [Males: > = 40] [Females: > or = 50] 4) LDL Cholesterol: [Desirable:<100] [Above Desirable: ] [Borderline high: ] [High; ] [Very high: >= 190] 5) NON HDL Cholesterol: [Desirable:<130] [Above Desirable: ] [Borderline high: ] [High; ] [Very high: >= 200] The Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents has set the following guidelines for lipids (total cholesterol, triglycerides, HDL, LDL and non HDL cholesterol) in children ages 2-17 in mg/dl: 1)TOTAL CHOLESTEROL: [Acceptable: <170] [Borderline high: ] [High: > or =200] 2)TRIGLYCERIDES: CHILD (2-9 yrs): [Acceptable: <75] [Borderline high: 75-99] [High: > or =100] CHILD (10-17 yrs): [Acceptable: <90] [Borderline high: ] [High: > or =130] 3) HDL Cholesterol: [Low : < 40] [Borderline Low: 40-45] [Acceptable: > 45] 4) LDL Cholesterol: [Acceptable:<110] [Borderline high: ] [High; > or = 130] 5) NON HDL Cholesterol: [Acceptable:<120] [Borderline high: ] [High; > or = 145] HDL CHOLESTEROL 38.0 mg/dl 6/25/18 14:25 LDL (CALCULATED) mg/dl 6/25/18 14:25 VLDL CHOLESTEROL 51.0 mg/dl 6/25/18 14:25 TRIGLYCERIDES mg/dl 6/25/18 14:25 CHOL/HDL RATIO 6.4 6/25/18 14:25 NON HDL CHOLESTEROL 206 mg/dl 6/25/18 14:25 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 2 of 13

3 SPECIAL CHEMISTRY IRON,TOTAL (83540) ug/dl 6/25/18 14:25 TIBC (83350) ug/dl 6/24/18 15:44 IgG, Total mg/dl 6/26/18 10:44 IgA, Total mg/dl 6/26/18 10:44 IgM, Total mg/dl 6/26/18 10:44 IgE Total IU/mL 6/26/18 10:44 CRP - HI SENSITIVE mg/dl 6/26/18 10:44 APOLIPOPROTEIN A mg/dl 6/26/18 10:44 APOLIPOPROTEIN B mg/dl 6/26/18 10:44 C mg/dl 6/26/18 10:44 C3 (COMPLEMENT C3) mg/dl 6/26/18 10:44 ALPHA-1 ANTITRYPSIN mg/dl 6/26/18 10:44 LAMBDA mg/dl 6/26/18 10:44 KAPPA mg/dl 6/26/18 10:44 KAPPA LAMBDA RATIO /27/18 10:12 APOLIPOPROTEIN B/A1 RATIO > 1.1 H /27/18 10:12 THYROID MALE: [<0.40: Normal] [ : Low risk] [ : Moderate risk] [ : High risk] FEMALE: [<0.30: Normal] [ : Low risk] [ : Moderate risk] [ : High risk] ANTI-THYROGLOBULIN <12 Normal I [<40 : Negative] [40-60 : Equivocal] [>60 : Positive] ANTI-THYROID PEROXIDASE <4 Normal I [<25 : Negative] [25-35 : Equivocal] [>35 : Positive] T3-UPTAKE % 6/26/18 12:34 T4 TOTAL ug/dl 6/26/18 11:41 FREE T pg/ml 6/26/18 11:41 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 3 of 13

4 TG (THYROGLOBULIN) ng/ml 6/26/18 11:41 htsh ulu/ml 6/26/18 11:41 HEMATOLOGY HEMOGLOBIN A1C (83036) 10.1 H % 6/25/18 12:31 Non Diabetic <6% Excellent Control 6-7% Good to Fair Control >7-8% Suboptimal Glycemic Control >8% WHITE BLOOD CELL COUNT e3/uL 6/24/18 15:57 RED BLOOD CELL COUNT e6/uL 6/24/18 15:57 HEMOGLOBIN g/dl 6/24/18 15:57 HEMATOCRIT % 6/24/18 15:57 MCV fl 6/24/18 15:57 MCH pg 6/24/18 15:57 MCHC 31.7 L g/dl 6/24/18 15:57 RDW 13.8 % 6/24/18 15:57 PLATELET COUNT Thousand/ 6/24/18 15:57 ul NEUTROPHILS 45.3 % 6/24/18 15:57 LYMPHOCYTES 37.9 % 6/24/18 15:57 MONOCYTES 11.1 % 6/24/18 15:57 EOSINOPHILS 5.1 % 6/24/18 15:57 BASOPHILS 0.6 % 6/24/18 15:57 ABSOLUTE NEUTROPHILS 2.32 cells/ul 6/24/18 15:57 ABSOLUTE LYMPHOCYTES 1.94 cells/ul 6/24/18 15:57 ABSOLUTE MONOCYTES 0.57 cells/ul 6/24/18 15:57 ABSOLUTE EOSINOPHILS 0.26 cells/ul 6/24/18 15:57 ABSOLUTE BASOPHILS 0.03 cells/ul 6/24/18 15:57 MPV (Mean Platelet Volume) 10.1 fl 6/24/18 15:57 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 4 of 13

5 IMMUNOLOGY dsdna ANTIBODIES 1.0 I [<10 : Negative] [10-15 : Equivocal] [>15 : Positive] SMITH D(p) ANTIBODIES 1.2 EliA U1RNP ANTIBODIES 1.4 [<5 : Negative] [5-10 : Equivocal] [>10 : Positive] SCL-70 ANTIBODIES <0.6 JO-1 ANTIBODIES <0.3 ANTI-CENTROMERE <0.4 Negative SSA (Ro) ANTIBODIES <0.3 EliA RNP-70 ANTIBODIES <0.3 U/ml 6/27/18 8:59 SSB (La) ANTIBODIES <0.3 EliA ttg - TISSUE TRANSGLUTAMINASE AB IgG <0.6 ttg - TISSUE TRANSGLUTAMINASE AB IgA 0.4 EliA u/ml 6/27/18 8:59 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 5 of 13

6 GLIADIN DP IgA 0.9 EliA GLIADIN DP IgG <0.4 EliA ANTI-CCP 0.9 Negative EliA RHEUMATOID FACTOR IgA 4.6 I [<14 : Negative] [14-20 : Equivocal] [>20 : Positive] RHEUMATOID FACTOR IgM <0.5 I [<3.5 : Negative] [3.5-5 : Equivocal] [>5 : Positive] CARDIOLIPIN ANTIBODIES IgG <0.5 GPL- [<10 : Negative] [10-40 : Weak Positive] [>40 : Positive] CARDIOLIPIN ANTIBODIES IgA 1.8 APL-U/ml 6/27/18 8:59 [<14 : Negative] [14-20 : Equivocal] [>20 : Positive] CARDIOLIPIN ANTIBODIES IgM <0.8 MPL- [<10 : Negative] [10-40 : Weak Positive] [>40 : Positive] BETA 2 GLYCOPROTEIN IgG <0.6 BETA 2 GLYCOPROTEIN IgM <2.9 BETA 2 GLYCOPROTEIN IgA 1.0 U/ml 6/27/18 8:59 MPO - MYELOPEROXIDASE ANTIBODY <0.3 [<3.5 : Negative] [ : Equivocal] [>5.0 : Positive] Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 6 of 13

7 PR3 - PROTEINASE-3 ANTIBODY <0.7 [<2.0 : Negative] [ : Equivocal] [>3.0 : Positive] GBM ANTIBODIES <1.90 ELiA- M2 ANTIBODY 0.6 [<4 : Negative] [4-6 : Equivocal] [>6 : Positive] ANTI-PHOSPHATIDYLSERINE IgG 1.42 GPS 6/26/18 11:57 U/mL [11.00 : Neg] [= or >11.0 : Pos] ANTI-PHOSPHATIDYLSERINE IgM 6.01 MPS 6/26/18 11:57 U/mL [<25.0 : Neg] [= or >25.0 : Pos] ANTI-PHOSPHATIDYLSERINE IgA < 1.23 APS 6/26/18 11:57 U/mL [<20.0 : Neg] [= or >20.0 : Pos] aps/pt IgG < 5.1 UNITS 6/25/18 14:30 [=or <30.0 : Neg] [ >30.0 : Pos] aps/pt IgM 5.98 UNITS 6/25/18 14:30 [=or <30.0 : Neg] [ >30.0 : Pos] C1q CIC < 1.23 ug Eq/mL 6/25/18 14:30 [<4.4 : Neg] [4.4 - <10.8 : Equiv] [= or >10.8 : Pos] ANTI-HISTONE 0.20 UNITS 6/25/18 14:30 [<1.0 : Neg] [ : Weak Pos] [ : Moderate Pos][>2.5 : Strong Pos] ANTI-RIBOSOME P 0.99 UNITS 6/25/18 14:30 [<20 : Neg] [20-39 : Weak Pos] [40-80: Moderate Pos][>80 : Strong Pos] Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 7 of 13

8 ANTI-CHROMATIN 1.26 UNITS 6/25/18 14:30 BLOOD BANK [<20 : Neg] [20-60 : Moderate Pos][>60 : Strong Pos] 25 OH Vitamin D Total /26/18 12:34 In 2011, the Clinical Guidelines Subcommittee of the Endocrine Society Task Force established the guidelines below for recommended serum 25(OH) vitamin D levels: Deficient: <20 ng/ml Insufficient: 20 to <30 ng/ml Sufficient: ng/ml Upper Safety Limit: >100 ENDOCRINOLOGY/HORMONES LH - LEUTINIZING HORMONE miu/ml 6/26/18 11:41 PROLACTIN (84146) 7.04 ng/ml 6/26/18 11:41 Gender Males Females Premenopausal (<50 years of age) Postmenopausal (>50 years of age) Reference Ranges ng/mL ng/mL ng/mL PROGESTERONE 0.11 L ng/ml 6/26/18 11:41 FERRITIN ng/ml 6/26/18 11:41 FOLIC ACID ng/ml 6/26/18 11:41 CORTISOL ug/dl 6/26/18 11:41 TESTOSTERONE TOTAL 1.48 ng/ml 6/26/18 11:41 95% REFERENCE INTERVAL Males. (Age Range 18-66) ng/ml Females.(Age Range 21-73)...< ng/ml TROPONIN I ng/ml 6/26/18 11:41 VITAMIN B pg/ml 6/26/18 11:41 DHEA-SULFATE ug/dl 6/26/18 11:41 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 8 of 13

9 Females:[18-21 yrs: ][21-30 yrs: ][31-40 yrs: ][41-50 yrs: ][51-60 yrs: 8-188][61-70 yrs: ][>71 yrs: 7-177] Males:[18-21 yrs: ][21-30 yrs: ][31-40 yrs: ][41-50 yrs: ][51-60 yrs: ][61-70 yrs: ][>71 yrs: 5-253] FOLLICLE STIMULATING HORMONE miu/ml 6/26/18 11:41 GROWTH HORMONE (83003) /26/18 11:41 95% REFERENCE INTERVAL Males ng/ml Females ng/ml BNP pg/ml 6/25/18 22:09 INSULIN H ulu/ml 6/26/18 11:41 SEX HORMONE BINDING GLOBULIN (84270) 16.7 nmol/l 6/26/18 11:41 95% REFERENCE INTERVAL (nmol/l) Males (20-50 years) nmol/l Females (20-46 years) nmol/l Post-menopausal (47-91 years) nmol/l Females CK-MB ng/ml 6/26/18 11:41 ERYTHOPOIETIN (EPO) H miu/ml 6/26/18 11:41 MYOGLOBIN ng/ml 6/26/18 11:41 INHIBIN A pg/ml 6/26/18 11:41 stfr nmol/ml 6/26/18 11:41 INTRINSIC FACTOR BLOCKING AB,SERUM Negative Negative AU/mL 6/26/18 11:41 [<1.20 AU/mL: Negative][ 1.20 to <1.53 AUL/mL: Equivocal][ 1.53 AU/mL: Positive] ESTRADIOL pg/ml 6/26/18 11:41 COAGULATION Non-pregnant females: [Mid follicular phase(days -6 to -8 from the hlh peak (day 0)): ][mid-luteal phase(days +6 to +8 from the hlh peak (day 0)): ][peri-ovulatory phase(days -1 from the hlh peak (day 0)): ] Postmenopausal Females(not on hormone therapy): <20-40 Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 9 of 13

10 D-DIMER 507 HP ng/ml 6/28/18 15:17 [D-Dimer Reference Value: < or = 232 ng/ml] critical value, notified Dr.ayass on 4pm QFA THROMBIN mg/dl 6/25/18 15:32 INR RATIO 6/25/18 15:32 PT RecombiPlasTin Second 6/25/18 15:32 APCR (FACTOR V LEIDEN) TR 6/25/18 15:47 FREE PROTEIN S % 6/25/18 15:47 FACTOR IX ACTIVITY H % 6/25/18 15:32 FACTOR VIII ACTIVITY % 6/25/18 15:32 ANTI-THROMBIN LIQUID % 6/25/18 15:47 DRVVT CONFIRM TR 6/25/18 15:32 HOMOCYSTEINE umol/l 6/25/18 15:47 SILICA CLOTTING TIME CONFIRM TR 6/25/18 15:32 APTT SYNTHASIL s 6/25/18 15:32 PROTEIN C ACTIVITY % 6/25/18 15:32 FACTOR XI ACTIVITY % 6/25/18 15:32 FACTOR II ACTIVITY % 6/25/18 15:32 FACTOR V ACTIVITY H % 6/25/18 15:32 FACTOR VII ACTIVITY H % 6/25/18 15:32 FACTOR X ACTIVITY % 6/25/18 15:32 FACTOR XII ACTIVITY % 6/25/18 15:32 PLASMINOGEN % 6/25/18 15:47 PLASMIN INHIBITOR % 6/25/18 15:47 ALLERGY W23 DOCKWOOD YELLOW T4-HAZELNUT E1- CAT EPI DANDER Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 10 of 13

11 I6 - COCKROACH F3- COD F2- COWS MILK F13-PEANUT F24-SHRIMP F14-SOYBEAN F256-WALNUT E5- DOG DANDER E2- DOG EPITHELIUM F20-ALMOND E3-HORSE DANDER E4-COW DANDER E85-CHICKEN FEATHER F4- WHEAT F7-OAT POSITIVE(IV) F44-STRAWBERRY F75-EGG YOLK F79-GLUTEN F52-CHOCOLATE F201-PECAN NUT F202-CASHEW NUT F245-EGG,WHOLE F315-GREEN BEAN IgE ku/l 6/28/18 9:13 G2-BERMUDA GRASS POSITIVE(III) G6-TIMOTHY GRASS POSITIVE(IV) 0.06 G8-KENTUCKY BLUE JUNE GRASS IgE POSITIVE (V) 0.05 ku/l 6/28/18 9:13 G10-JOHNSON GRASS POSITIVE(IV) I1 - HONEYBEE VENOM I2- WHITE FACED HORNET Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 11 of 13

12 I3-COMMON WASP I5-YELLOW HORNET I100-COCKROACH (AMERICANA) D1-DERMATOPHAGOIDES PTERONYSSINUS D2- DERMATOPHAGOIDES FARINAE POSITIVE(I) M1-PENICILLIUM NOTATUM M3-ASPERGILLUS FUMIGATUS M4-MUCOR RACEMOSUS M5 - CANDIDA ALBICANS M6-ALTERNARIA TENIUS (ALT) M8- HELMINTHOSPORIUM HALODES M10- STEMPHYLIUM BOTRYOSUM M207- ASPERGILLUS NIGER K82-LATEX T6-MOUNTAIN CEDAR POSITIVE(IV) T7- OAK,WHITE T8-ELM,AMERICAN T10-WALNUT T14-COTTONWOOD TREE T16-PINE,WHITE T22-PECAN TREE T70-MULBERRY,WHITE T72 PALM,QUEEN T219-RED CEDAR IgE POSITIVE (IV) 0.05 ku/l 6/28/18 9:14 W2-RAGWEED,WESTERN W1-RAGWEED, COMMON W5-WORMWOOD ku/l 6/28/18 9:14 W14-PIGWEED, ROUGH/REDFOOT W20-NETTLE,COMMON Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 12 of 13

13 W82-CARELESS WEED Negative <0.05 0/I Equivocal I Positive II Positive III Positive IV Positive V Positive VI Positive >62.50 >>> END OF REPORT <<< Director: HOUSINI, IHSAN M.D. (License: H9650) Bioscience. Ayass Lung Clinic is certified under the Clinical oratory Improvement Amendments (CLIA) as qualified to perform high complexity clinical laboratory testing Wade Blvd, Suite 750, CLIA Page 13 of 13

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