* 17.8 DOUGLASS HANLY MOIR PATHOLOGY. "We take it personally"

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1 Toll Free: Results: Dr EricaAH Dr Karl BAUMGAfr Dr Elizabeth BERM Or Jonathan BLACKV Dr David BLAXlAN Dr Warick oelprado SPECIALIST PATHOLOGISTS Or Colin GOLDSCHMIDT Or Richard HASKELL PLMIPLM/PLM/SMY A 1911 D.O.B. (Age) : (19) PH: /XT AG/25603/1 011 GLUC;COELIAC SEROLOGY;OHEAS;FAI,TESTOSTERONE & SHBG;FREE TESTOSTERONE;FSH;GH;LH;PROLACTIN;TSH+FT4 ;FBC;FE STUOIES;FREE T3;LFT [RT3;DIHYOROTESTOSTERONE;TBG Reports to tollow] QUERY HYPOPITUITARISM Date Printed: You r Reference: Sex: M Page: 1 Free Testosterone * DHEAS 8.2 µmolll Further report to follow. Thank you for referring thjs patient KRSMANOVIC. MARKO: FREE TESTOSTERONE, DHEAS NATA ACCREDITATION NO, 2178 ~ PHONE I APPT: I-N-O-T-E-s-I 4222/ /07

2 All hours: Pathologists: Toll Free: Results: Dr EricaAH Dr Kar1 SAL Dr Eli.zabetr S=Fi"''' DrJonathanRAG' DrDavidBl..AXl.AN DrFionaBONAR DrIvanBURCHETT DrInnyBUSMANIS DrGrahameCALDWELL DrIanCHAMBEr,S DrDebbieCLARK DrWarickDELPRADO DrJoannaDING Dr RobertDIXON DrStephenFAIRY Dr SteveMORAN DrAnnabelleFARNSWORTH Dr HelenOGLE Dr LeoFEAIN DrSimonPALFREEMAN DrWilliamFELBEL Dr MiriamPAUL Dr ColinGOLDSCHMIDT Dr PaulRICHMOND Dr FrancesHANLY DrElizabethSINCLAIR Dr RichardHASKELL DrVeraSTOERMER Dr VickiHOWARD DrAndrewTAN Dr DebraJENSEN DrJeanneTOMLINSON Dr KenKNEALE DrCateTREBECK Dr RobynLEVINGSTON' DrMarkWILSHER Dr AlanLLOYD DrTinaYEN DrRayMcKINLEY Dr DenisMOIR (Age) : (19) PH: /XT AG/25418/33/35 GLUC;COELIAC SEROLOGY;FAI,TESTOSTERONE& SHBG;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FESTUDIES;FREE T3;L [RT3;DHEAS;FREE TESTOSTERONE;DIHYDROTESTOSTERONE;TBG. Reportsto follow] QUERY HYPOPITUITARISM Date of Service: ID N0.: Sex: M Date Printed: Your Reference: Page: 1 FULL BLOOD COUNT ( Reference: Male, Adult) ( Reference ) Haemoglobin 176 gil ( ) RCC 5.84 xl01\12/l ( ) Haematocrit 0.51 ratio ( ) MCV 87.3 fl ( ) MCH 30.1 pg ( ) MCHC 345 gil ( ) ROW 41.5 fl ( ) WBC Count 7.5 xl01\9/l ( ) Neutrophils (34.6%) 2.6 xl01\9/l ( ) Lymphocytes (49.5%) 3.7 xl Ql\9/L ( ) Monocytes (9.5%) 0.7 xl01\9/l ( ) Eosinophils (5.3%) 0.4 xl01\9/l ( ) Basophils (1.1%) 0.1 xl01\9/l ( ) Plat Count 202 xl01\9/l ( ) COMMENT: Fuli blood count normal LIVER FUNCTION TESTS Bilirubin 10 µmol/l ALP 107 U/L GGT 12 U/L W *3~ U~ AST 67 U/L ALT * 96 U/L T.Protein 79 gil Albumin 50 gil Globulin 29 gil Elevated transaminase(s). Follow-up may be indicated Plasma Glucose: 4.7 mmol/l ( ) If fasting # LH (Roche Method) <0.5 lull? Exogenous hormone effect. If not, pituitary pathology may need to be excluded. Female Basal Mid cycle peak Post-menopausal Male Children KRSMANOVIC, MARKO: FBC, LFT, GLUC, LH NATAACCREDITA1l0 NO ~ PHONE I APPT: I NOTES I 4222/D /07

3 I "We take it pe1'sonally" 14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA2113 Toll Free: Results: Dr EricaAHN Dr Karl BAUMGART Dr Elizabeth BERNAL Dr Jonathan BLACKWELL Dr David BLAXLAND Dr Warick DELPRADO Dr Colin GOLDSCHMIDT Dr Richard HASKELL D.O.B. (Age) : (19) PH: GLUC;COELIAC SEROLOGY;FAI,TESTOSTERONE & SHBG;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FE STUDIES;FREE T3;L [RT3;DHEAS;FREE TESTOSTERONE;DIHYDROTESTOSTERONE;TBG - Reports to follow] QUERY HYPOPITUITARISM Date Printed: Your Reference: /XT AG/25418/34/35 M Sex: Page: 2 Prolactin 190 mlu/l ( Testosterone * 6.7 nmol/l ( Sex Hormone Binding Globulin 29 nmol/l ( Free Androgen Index 23 % ( methods and COELIAC SEROLOGY Gliadin IgA 4 UlmL ( 0-20 Serologic markers normalise with gluten restriction and are unreliable in IgA deficiency. Gliadin IgA and ttg IgA-lgG may be elevated without coeliac disease. Very elevated gliadin (> 100) and moderately elevated ttg (>50) strongly suggest coeliac disease. Most undiagnosed coeliacs have ttg >300. Coeliac tissue typing excludes coeliac disease risk when HLA-D02 or 008 are absent. THYROID FUNCTION TESTS Free T3 (FT3) Free Thyroxine TSH (FT4) mlu/l ( ( 8-22 ( Cumulative Thyroid Function Current Result 31/03/ /05/08 00:00 00:00 00:00...~'=C?'!ii'i;;.~c,,,n:'i':'W:'"CC,,,,,,,,,.9 7.Q;3.00; , ,!},.,,,,,,,Unils,...,,=.FT3. ':ii';;ihll.:;;li;:;:!;':"'::;,"" ",2'.7..,.",,:,..' 11:3.0. "pmojll FT4 ~.9,,."pmoJl,l.." TSH.2.26 II 3.76.,::."..r:rillJ1l.,:. Growth Hormone 0.5 mlu/l ( 0-15 Ref Aange (2.5~6.0 ). (_8-22 ). (0.30.;,.4.00) KRSMANOVIC, MARKO NATA ACCREDITATION NO PROLACTIN, FAI,TESTOSTERONE & SHBG, COELIAC SER~ fwf~s~appt: '-N-O-TE-S-'I 4222/ /07

4 Toll Free: Resuits: Dr EricaAHN Dr Karl BAUMGART Dr Elizabeth BERNAL Dr Jonathan BLACKWELL Dr David BLAXLAND Dr Warick DELPRADO Dr Colin GOLDSCHMIDT Dr Richard HASKELL D.O.B. (Age): (19) PH: GLUC;COELIAC SEROLOGY;FAi,TESTOSTERONE & SHBG;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FE STUOIES;FREE T3;L [RT3;DHEAS;FREE TESTOSTERONE;DIHYDROTESTOSTERONE;TBG. Reports to follow] QUERY HYPOPITUITARISM Date Printed: Your Reference: /XT AG/25419/35/35 Sex: M Page: 3 FSH <0.5 lull Female Basal Mid cycle peak Post-menopausal Male Children Iron Transferrin TIBC (Calculated) Saturation Ferritin 24.0 µmol/l ( * 3.9 gil ( * 84 µmol/l ( % ( µg/l ( KRSMANOVIC, MARKO : FSH, FE STUDIES NATA ACCREDiTATION NO ~ PHONE I APPT: I NOTES I 4222/D

5 fit HANLY I DOUGLASS "We take itpersqnally" MOIR 14 Giffnock Avenue, Milcquarie Park, NSW, AUSTRALIA 2113 All hours: Pathologj~ts' Toll Free: R~sults: DR FREDDY AZAR PLMIPLM!PLM/SMY D.O.B. (Age): (19) PH: /XT AG/25276/4/33 RT3;GlUG;COELIAC SEROlOGY;DHEAS;FAI,TESTOSTERONE & SHBG;FREE TESTOSTERONE;FSH;GH;LH;PROLACTIN ;TSH+FT4;FBC;FE STUDIES;FREE T3;LFT [OIHYDROTESTOSTERONE;TBG - Reports to follow] Clini",1 QUERY HYPOPITUITARISM Date of Service:14-0S_08 Date Printed 10 N0.:96547Q19 YourReference:22310 Sex M Page' 1 Reverse Tri-Iodolhyronine Noles: QUERY HYPOPITUITARISM Reverse T3 Reverse T3 LK 261 { Reported by Sullivan and Nicolaides Pathology, a member of the Sonic Healthcare Group. - - KRSMANOVIC, MARKO: RT3 NATA ACCREDITATION NO 2178 I PHONE I APPT: I NOTES 4222/010302/08