Color: Gray/Yellow. 5/7/2018 L Hematology results from IDEXX VetLab In-clinic Laboratory Requisition ID: 0 Posted Final Test Result Reference Range

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1 5/7/2018 L LD AA-Urinalysis results from IDEXX VetLab In-clinic COLLECTION = free catch COLOR = yellow CLARITY = clear SP GR = GLUCOSE = neg BILIRUBIN = neg KETONE = neg BLOOD = neg PH = 6.0 PROTEIN = 30+ UROBILIN = 0.2 CELLS = 0-1 trans. Manually entered. jld 5/7/2018 L Chemistry results from IDEXX VetLab In-clinic ALB = 3.5 g/dl ALKP = 174 U/L ALT = 166 U/L H AMYL = 387 U/L L BUN/UREA = 14 mg/dl 7-27 Ca = 13.4 mg/dl H Chloride = 116 mmol/l CHOL = 342 mg/dl H CREA = 0.8 mg/dl GGT = 6 U/L 0-11 GLU = 92 mg/dl LIPA = 1494 U/L PHOS = 2.1 mg/dl L Potassium = 3.8 mmol/l TBIL = 0.4 mg/dl TP = 7.3 g/dl Sodium = 155 mmol/l GLOB = 3.8 g/dl ALB/GLOB = 0.9 BUN/CREA = 18 Na/K = 40 OSM calc = 305 mmol/kg 5/7/2018 L Hematology results from IDEXX VetLab In-clinic The Pet Hospital of Tierrasanta Page 1 of 11 Date: 5/17/2018 2:58 PM

2 BASO = 0.01 K/uL EOS = 0.28 K/uL HCT = 53.2 % HGB = 19.1 g/dl LYMPHS = 1.11 K/uL MCH = 23.0 pg MCHC = 35.9 g/dl MCV = 63.9 fl MONOS = 0.49 K/uL MPV = 7.7 fl L RBC = 8.32 M/uL WBC = 6.47 K/uL %LYMPHS = 17.2 % %MONOS = 7.6 % NEUT = 4.58 K/uL %NEUT = 70.7 % %EOS = 4.3 % %BASO = 0.2 % PLT = 553 K/uL H Retics = 92.4 K/uL %Retics = 1.1 % RDW = 21.6 % PDW = 8.5 fl L PCT = 0.42 % /19/2017 L LD Microbiology results from IDEXX Laboratory Services Requisition ID: Posted Final OVA&PARA Ascn: OVA & PARASITES NO OVA OR PARASITES SEEN In cases of acute or chronic diarrhea in addition to a fecal floatation and antigen testing for ova and parasites consider testing for viral, bacterial and protozoal infectious agents using RealPCR (canine diarrhea panel: test code 2625; feline diarrhea panel: test code 2627). 8/21/2017 L LD AA-Cytology results from IDEXX VetLab In-clinic SOURCE: = Mass L penis WBC = lg clump RBC = lg clump The Pet Hospital of Tierrasanta Page 2 of 11 Date: 5/17/2018 2:58 PM

3 NEOPLASTIC = none obs Manually entered. Peripheral blood only edr 5/17/2017 L LD Chemistry results from IDEXX Laboratory Services Requisition ID: Posted Final SDMA 14 ug/dl 0-14 Ascn: NC REFER TO Ascn: NC REFER TO IF BOTH SDMA AND CREATININE ARE WELL WITHIN THE REFERENCE INTERVAL, then kidney function is likely good. Evaluate a complete urinalysis and confirm there is no other evidence of kidney disease. IF SDMA IS INCREASED BUT CREATININE IS WITHIN THE REFERENCE INTERVAL. IDEXX SDMA Test is a more reliable indicator of kidney function than creatinine because SDMA detects declining kidney function earlier and is not impacted by muscle mass. Creatinine can miss early function loss and be falsely decreased in patients with poor muscle mass. SDMA increases in acute and active injury as well as chronic kidney disease. A complete urinalysis should be performed to evaluate for inappropriate specific gravity, proteinuria and other evidence of kidney disease. If SDMA is ug/dl and there is other evidence of kidney disease, action should be taken. If SDMA is ug/dl with no other evidence of disease, recheck in 2-4 weeks. If SDMA 20 ug/dl or is persistently ug/dl, regardless of whether there is other evidence of kidney disease, action should be taken. For information on recommended actions visit: IF SDMA IS WITHIN THE REFERENCE INTERVAL AND CREATININE IS INCREASED. This combination of results is uncommon. Hemolysis, if present, can result in decreased SDMA. SDMA and creatinine can both be affected by biologic and assay The Pet Hospital of Tierrasanta Page 3 of 11 Date: 5/17/2018 2:58 PM

4 variability resulting in fluctuations around the upper end of the reference interval; this can be seen with well-managed stable CKD and results will likely align as disease progresses. Creatinine can exceed the reference interval in muscular dogs with normal kidney function. Creatinine can be artifactually increased postprandially. If kidney disease is still suspected, a complete urinalysis should be performed on all patients to evaluate for inappropriate specific gravity, proteinuria or other evidence of kidney disease. IF BOTH SDMA AND CREATININE ARE INCREASED, then kidney disease is probable and action should be taken. A complete urinalysis should be performed to evaluate for inappropriate urine specific gravity, proteinuria or other evidence of kidney disease. For information on recommended actions visit: Note: In puppies, SDMA reference interval is 0-16 ug/dl. Reference interval studies are underway for kittens and Greyhounds, and results should be interpreted in light of other findings. 5/16/2017 L LD Miscellaneous results from IDEXX Laboratory Services Requisition ID: Posted Final Ascn: RE: 9999 NOTE NOTE Your microbiology sample has been received. Results to follow upon completion. 5/16/2017 L LD UA/Microscopy results from IDEXX Laboratory Services Requisition ID: Posted Final BACTERIA NONE SEEN BILIRUBIN NEGATIVE BLOOD NEGATIVE CASTS NONE SEEN CLARITY CLEAR COLOR YELLOW CRYSTALS NONE SEEN The Pet Hospital of Tierrasanta Page 4 of 11 Date: 5/17/2018 2:58 PM

5 EPI CELL 1+ (1-2)/HPF GLUCOSE NEGATIVE KETONES NEGATIVE MUCUS NONE SEEN PH 6.5 PROTEIN NEGATIVE RBC 0-2 HPF SP GRAVITY UROB NORMAL WBC 0-2 HPF 0-5 Ascn: RE: 900 COLLECTION METHOD FREE-CATCH Protein test is performed and confirmed by the sulfosalicylic acid test. Reporting of bacteria morphology has been added to your urinalysis results if indicated. For additional guidance on the diagnosis and management of urinary tract infections, please see 5/16/2017 L LD Chemistry results from IDEXX Laboratory Services Requisition ID: Posted Final ALB 4.2 g/dl H ALKP 177 U/L H ALT 110 U/L AMYL 488 U/L ANION GAP 22 mmol/l AST 29 U/L BICARB 23 mmol/l BUN/UREA 31 mg/dl 9-31 Ca 13.6 mg/dl H Chloride 109 mmol/l CHOL 376 mg/dl H CREA 1.0 mg/dl DBIL 0.1 mg/dl GGT 6 U/L 0-13 GLU 81 mg/dl IBIL 0.0 mg/dl LIPA 730 U/L PHOS 4.3 mg/dl Potassium 4.8 mmol/l TBIL 0.1 mg/dl TP 7.0 g/dl Sodium 149 mmol/l A/G Ratio The Pet Hospital of Tierrasanta Page 5 of 11 Date: 5/17/2018 2:58 PM

6 B/C Ratio 31.0 Na/K Ratio GLOB 2.8 g/dl CK 155 U/L SDMA SEE NOTES ug/dl 0-14 Ascn: RE: 281 HEMOLYSIS INDEX 4+ Index of ++++ may increase AST and CPK by 25-50%, and decrease ALP by >50%, decrease Total and Direct Bilirubin by 25-50%, and decrease SDMA by 10-25%. RE: 282 LIPEMIA INDEX 4+ Index of 4+ may decrease ALT, AST and Direct Bilirubin values by >50%. SPECIMEN REQUIRED ULTRACENTRIFUGATION DUE TO GROSS LIPEMIA. RESULT VERIFIED BY REPEAT ANALYSIS Unable to Determine 5/16/2017 L LD Hematology results from IDEXX Laboratory Services Requisition ID: Posted Final ANISO SLIGHT BASO 0.0 % EOS 4.1 % HCT 56.6 % H HGB 19.6 g/dl LYMPHS 15.8 % MCH 24.9 pg MCHC 34.6 g/dl MCV 72 fl MONOS 5.7 % NEUT SEG 74.4 % PLATELETS 507 K/uL H POIK SLIGHT RBC 7.87 M/uL RETIC CNT 1.3 % WBC 6.8 K/uL ABS BASO 0 /ul ABS EOS 279 /ul ABS LYMPHS 1074 /ul ABS MONOS 388 /ul ABS NEUTS 5059 /ul ABS RET 102 K/uL Ascn: RE: PLATELET COMMENTS PLATELET COMMENTS PLATELETS APPEAR INCREASED ON THE BLOOD FILM. The Pet Hospital of Tierrasanta Page 6 of 11 Date: 5/17/2018 2:58 PM

7 RE: 3034 REMARKS REMARKS SLIDE REVIEWED MICROSCOPICALLY. 5/15/2017 L LD Microbiology results from IDEXX Laboratory Services Requisition ID: Posted Final SOURCE URINE-OTHER STATUS FINAL Ascn: L WU ID MN CANINE REF TO NO GROWTH SO FAR RE: 5002 COMPLETED CULTURE RESULTS COMPLETED CULTURE RESULTS NO GROWTH 5/15/2017 L LD UA/Microscopy results from IDEXX Laboratory Services Requisition ID: Posted Final Ascn: L WU ID MN CANINE REF TO /20/2017 L Chemistry results from IDEXX VetLab In-clinic ALB = 3.9 g/dl ALKP = 146 U/L ALT = 172 U/L H BUN/UREA = 19 mg/dl 7-27 Chloride = 116 mmol/l CREA = 1.0 mg/dl GLU = 120 mg/dl Potassium = 4.0 mmol/l TP = 7.1 g/dl Sodium = 155 mmol/l GLOB = 3.2 g/dl ALB/GLOB = 1.2 BUN/CREA = 19 Na/K = 39 OSM calc = 309 mmol/kg 3/20/2017 L Hematology results from IDEXX VetLab In-clinic BASO = 0.04 K/uL The Pet Hospital of Tierrasanta Page 7 of 11 Date: 5/17/2018 2:58 PM

8 EOS = 0.39 K/uL HCT = 51.7 % HGB = 18.7 g/dl LYMPHS = 0.93 K/uL L MCH = 23.0 pg MCHC = 36.2 g/dl MCV = 63.7 fl MONOS = 0.52 K/uL MPV = 8.8 fl RBC = 8.12 M/uL WBC = 6.59 K/uL %LYMPHS = 14.1 % %MONOS = 7.9 % NEUT = 4.71 K/uL %NEUT = 71.5 % %EOS = 5.9 % %BASO = 0.6 % PLT = 501 K/uL H Retics = 60.1 K/uL %Retics = 0.7 % RDW = 21.0 % PDW = 10.6 fl PCT = 0.44 % /10/2015 L Chemistry results from VetScan Requisition ID: Posted Final ALT 90 U/L BUN/UREA 17 mg/dl 7-25 Chloride 100 mmol/l * CREA 0.3 mg/dl * GLU 119 mg/dl * Potassium 3.8 mmol/l Sodium 141 mmol/l TCO2 24 mmol/l PROFILE: Critical Care Plus Sample Type: Dog Patient ID: Alternate ID: Bones Rotor Lot Number: 5155BC0 Serial Number: 0000V23120 QC OK HEM 0 LIP 1+ ICT 0 9/10/2015 L Hematology results from VetScan Requisition ID: Posted Final BASO ^9/l The Pet Hospital of Tierrasanta Page 8 of 11 Date: 5/17/2018 2:58 PM

9 EOS ^9/l HCT % HGB 17.6 g/dl LYMPHS ^9/l MCH 23.1 pg MCHC 41.1 g/dl MCV 56 fl MONOS ^9/l MPV 8.3 fl RBC ^12/l WBC ^9/l %LYMPHS 13.6 % %MONOS 3.8 % NEUT ^9/l %NEUT 79.0 % %EOS 2.5 % %BASO 1.1 % PLT ^9/l PCT 0.28 % PDWs 9.8 fl PDWcv 33.8 % RDWs 39.1 fl RDWcv 17.8 % Sample ID: Patient Name: Bones Mode: Dog Doctor: Dowd 4/24/2006 L Hematology results from IDEXX VetLab In-clinic EOS ~ 1.2 x10^9/l HCT = 48.9 % HGB = 15.6 g/dl MCHC = 31.9 g/dl WBC = 9.1 x10^9/l GRANS = 6.3 x10^9/l %GRANS = 69 % NEUT ~ 5.1 x10^9/l L/M = 2.8 x10^9/l %L/M = 31 % PLT = 318 x10^9/l Retics ~ 0.5 % 4/24/2006 L Chemistry results from IDEXX VetLab In-clinic Chloride = 118 mmol/l Potassium = 4.2 mmol/l The Pet Hospital of Tierrasanta Page 9 of 11 Date: 5/17/2018 2:58 PM

10 Sodium = 154 mmol/l /24/2006 L Chemistry results from IDEXX VetLab In-clinic ALT = 48 U/L CREA = 1.5 mg/dl GLU = 124 mg/dl /1/2005 L RD Immunology results from IDEXX Laboratory Services Requisition ID: Posted Final HEARTWORM NEGATIVE Ascn: L K9 SSG ID 5/19/2005 L GH AA-Distemper/Parvo Titer results from IDEXX VetLab In-clinic RESULTS: = pos DISTEMPER = pos PARVO = pos Manually entered. 5/12/2005 L GH Miscellaneous results from IDEXX Laboratory Services Requisition ID: Posted Final Ascn: L K9 SSG L ID CANCEL HW PER CLINIC 5/12 RE: 999 CANCEL CANCELLED TESTS - REASON TESTS HAVE BEEN CANCELLED PER CLIENT REQUEST. 5/12/2005 L Hematology results from IDEXX VetLab In-clinic EOS ~ 2.0 x10^9/l H HCT = 46.3 % HGB = 16.6 g/dl MCHC = 35.9 g/dl WBC # 6.8 x10^9/l GRANS # 4.6 x10^9/l %GRANS # 68 % NEUT ~ 2.6 x10^9/l L L/M = 2.2 x10^9/l %L/M # 32 % The Pet Hospital of Tierrasanta Page 10 of 11 Date: 5/17/2018 2:58 PM

11 PLT = 218 x10^9/l Retics ~ 1.0 % 5/12/2005 L Chemistry results from IDEXX VetLab In-clinic ALT = 44 U/L BUN/UREA = 22 mg/dl 7-27 GLU = 134 mg/dl /12/2005 L Chemistry results from IDEXX VetLab In-clinic Chloride = 119 mmol/l Potassium = 4.0 mmol/l Sodium = 151 mmol/l /12/2005 L Hematology results from IDEXX VetLab In-clinic EOS ~ 2.0 x10^9/l H HCT = 47.3 % HGB = 15.8 g/dl MCHC = 33.4 g/dl WBC # 7.8 x10^9/l GRANS # 5.4 x10^9/l %GRANS # 69 % NEUT ~ 3.4 x10^9/l L/M = 2.4 x10^9/l %L/M # 31 % PLT = 257 x10^9/l Retics ~ 0.9 % The Pet Hospital of Tierrasanta Page 11 of 11 Date: 5/17/2018 2:58 PM

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