AJ PUTT. Hematology. Chemistry. Species: Canine Gender: Female Year of Birth: 2013 Client: PUTT

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1 Speies: Cnine Gender: Femle Yer of Birth: 2013 Client: PUTT Requisition #: Aession #: W Aount Code: Veterinrin: CARTER Pnel/Profile: Tik Pnel Add-on Senior Profile with L 4Dx Plus (Cnine)- Stndrd CBC RETICULOCYTE PANEL Hemtology RBC M/µL Hemtorit % Hemogloin g/dl MCV fl MCH pg MCHC g/dl % Retiuloyte 0.3 % Retiuloyte K/µL WBC K/µL % Neutrophil 47.6 % % Lymphoyte 36.9 % % Monoyte 6.9 % % Eosinophil 8.4 % % Bsophil 0.2 % Neutrophil K/µL L Lymphoyte K/µL Monoyte K/µL Eosinophil K/µL Bsophil K/µL Pltelet K/µL Remrks SLIDE REVIEWED MICROSCOPICALLY. NO PARASITES SEEN SCANNING OF THE BLOOD SMEAR REVEALED ADEQUATE PLATELET NUMBERS. DUE TO CLUMPING, THE AUTOMATED PLATELET NUMBER CANNOT BE ACCURATELY DETERMINED. Chemistry Novemer 03, :43 AM Pge 1 of 5

2 Chemistry (ontinued) Gluose mg/dl BUN mg/dl Cretinine mg/dl SDMA BUN / Cretinine Rtio µg/dl 27.1 Phosphorus mg/dl Clium mg/dl Sodium mmol/l Potssium mmol/l N / K Rtio Chloride mmol/l TCO2 (Bironte) mmol/l Anion Gp mmol/l Totl Protein g/dl Alumin g/dl Gloulin g/dl Al / Glo Rtio ALT U/L AST U/L ALP U/L GGT U/L Biliruin - Totl mg/dl Biliruin - Unonjugted Biliruin - Conjugted mg/dl mg/dl Cholesterol mg/dl Amylse ,469 U/L Lipse U/L Cretine Kinse U/L Hemolysis Index Lipemi Index N N BOTH SDMA AND CREATININE ARE WITHIN THE REFERENCE INTERVAL whih indites kidney funtion is likely good. If SDMA nd/or retinine is t the upper end of the referene intervl, erly kidney disese nnot e ruled out. Evlute omplete urinlysis to onfirm there is no other evidene of kidney disese. Novemer 03, :43 AM Pge 2 of 5

3 Index of N,+,++ exhiits no signifint effet on hemistry vlues. Index of N,+,++ exhiits no signifint effet on hemistry vlues. Urinlysis Colletion Color Clrity FREE-CATCH YELLOW CLOUDY Speifi Grvity ph 8.5 Protein Gluose Ketones Blood / Hemogloin Biliruin 1+ Uroilinogen NORMAL White Blood Cells Red Blood Cells Bteri Epithelil Cells Muus (3-5) 0-5 Csts Crystls Other AMORPHOUS PHOSPHATES PRESENT 1+ AMMONIUM MG PHOSPHATE (1-2) NON-CRYSTALLINE DEBRIS PRESENT Novemer 03, :43 AM Pge 3 of 5

4 Endorinology Totl T µg/dl Interpretive rnges: <1.0 Low Norml >4.0 High Therpeuti Dogs with no linil signs of hypothyroidism nd results within the norml referene rnge re likely euthyroid. Dogs with low T4 onentrtions my e hypothyroid or "euthyroid sik". Osionlly, hypothyroid dogs n hve T4 onentrtions tht re low norml. Dogs with linil signs of hypothyroidism nd low or low norml T4 onentrtions my e evluted further y sumission of free T4 nd nine TSH. A high T4 onentrtion in linilly norml dog is likely vrition of norml; however elevtions my our seondry to thyroid utontiodies or rrely thyroid neoplsi. For dogs on thyroid supplement, eptle 4-6 hour post pill totl T4 onentrtions generlly fll within the higher end or slightly ove the referene rnge. Serology Hertworm Antigen Ehrlihi nis / ewingii Lyme (Borreli urgdorferi) Anplsm phgoytophilum / pltys Lyme Antiody y IFA 1:400 Ehrlihi nis Antiody y IFA To follow Interprettion: The interprettion is: No ntiody 1:25 Antiody (titer) Positive smples re tested in inrementl dilutions to 1:3200. Titers eyond 1:3200 re usully of limited linil vlue. If you wish n endpoint titer there is n dditionl hrge. A positive titer indites exposure to E.nis or similr ntigen ut does not onfirm the presene of disese. A CBC is reommended to identify normlities onsistent with infetion. If onfirmtion of infetion is desired, Ehrlihi PCR test, ode 2634 n e useful, espeilly in linilly sik nimls. Novemer 03, :43 AM Pge 4 of 5

5 Serology (ontinued) Roky Mountin Spotted Fever Antiody y IFA 1:50 The Ehrlihi nis/ehrlihi ewingii ntiody portion of the test uses peptides from eh orgnism tht re sensitive nd speifi for deteting exposure to these pthogens. If positive, sumission of fresh whole lood smple with n ir-dried smer for omprehensive CBC, test ode 300, is reommended to identify normlities onsistent with infetion, primrily thromoytopeni nd nemi. PCR testing is omplementry to serology nd my e useful for onfirmtion of infetion nd for detetion of infetion in ptients erly in infetion prior to seroonversion, espeilly in ptients with linil signs. Consider test ode 2854, Ehrlihi spp RelPCR Test, or test ode 28701,Tik/Vetor Comprehensive RelPCR Pnel Add-on (preferred). The Lyme (Borreli urgdorferi) ntiody portion of the test detets Lyme C6 ntiodies. A positive Lyme C6 ntiody response indites infetion in dogs, rther thn exposure or vintion. This test my detet ntiodies efore linil signs of joint disese. The quntittive ssy for Lyme C6 ntiodies (Lyme Qunt C6 Antiody y ELISA, test ode 7246) is preferred for ssessing response to tretment. A mesurle deline in quntittive Lyme C6 ntiody levels within 6 months orreltes with effetive tretment, wheres the 4Dx Plus test my remin positive. For more informtion on Lyme, plese visit The Anplsm phgoytophilum/anplsm pltys ntiody portion of the test uses peptide tht is sensitive nd speifi for deteting exposure to these orgnisms. If positive, sumission of fresh whole lood smple with n ir-dried smer is reommended to identify normlities onsistent with infetion, primrily thromoytopeni. PCR testing is omplementry to serology nd my e useful for onfirmtion of infetion nd for detetion of infetion in ptients erly in infetion prior to seroonversion, espeilly in ptients with linil signs. Consider test ode 2824, Anplsm spp RelPCR Test, or test ode 28701,Tik/Vetor Comprehensive RelPCR Pnel Add-on (preferred). Interprettion: The interprettion is: No ntiody 1:100 Antiody (titer) Positive smples re tested in inrementl dilutions to 1:12,800. A positive titer indites exposure to Borreli urgdorferi or similr ntigen ut does not onfirm the presene of disese. Titers my e ffeted y vintion or disese. In the dog, the Lyme Qunt C6 Test (test ode 7246) is reommended for differentiting vine titers vs. nturl infetion. IN DOGS, we re now reommending the new Lyme Qunt C6 ntiody test, ode 7246, s more urte wy to dignose Lyme disese. This test identifies C6 ntiody levels. C6 is more sensitive nd speifi mrker for tive Lyme infetion. Unlike the trditionl whole ell tests like Lyme IFA or Western lot, C6 levels will deline when the dog is suessfully treted. Interprettion: The interprettion is: No ntiody 1:25 Antiody (titer) Positive smples re tested in inrementl dilutions to 1:1600. Titers eyond 1:1600 re usully of limited linil vlue. If you wish n endpoint titer there is n dditionl hrge. Singles titer of greter thn or equl to 1:1024 re suggestive of tive infetion. Low or negtive ute titers should e reevluted in 2-3 weeks (onvlesent titer). Novemer 03, :43 AM Pge 5 of 5