Color: BROWN/WHITE. Protein test is performed and confirmed by the sulfosalicylic acid test.

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1 5/8/2014 L 29 UA/Microscopy results from IDEXX Reference GLUCOSE NEGATIVE BILIRUBIN NEGATIVE KETONES NEGATIVE BLOOD NEGATIVE PH 6.5 SP GRAVITY PROTEIN NEGATIVE UROB NORMAL WBC NONE SEEN HPF 0-5 RBC NONE SEEN HPF EPI CELL RARE (0-1) HPF BACTERIA NONE SEEN HPF CRYSTALS NONE SEEN HPF CASTS NONE SEEN HPF COLOR YELLOW CLARITY CLEAR MUCUS NONE SEEN Ascn: RE: 900 COLLECTION METHOD FREE-CATCH Protein test is performed and confirmed by the sulfosalicylic acid test. 5/5/2014 L Chemistry results from IDEXX Reference LaboratoryRequisition ID: C Posted Final GLU 105 mg/dl TP 7.3 g/dl ALB 2.7 g/dl ALKP 136 U/L ALT 71 U/L AST 22 U/L BUN/UREA 41 mg/dl H 9-31 Ca 10.4 mg/dl Chloride 111 mmol/l CHOL 227 mg/dl CREA 1.3 mg/dl DBIL 0.0 mg/dl IBIL 0.1 mg/dl West Chelsea Veterinary Page 1 of 5 Date: 5/13/2014 4:22 PM

2 PHOS 3.3 mg/dl Potassium 4.5 mmol/l TBIL 0.1 mg/dl Sodium 148 mmol/l A/G Ratio 0.6 L B/C Ratio 31.5 Na/K Ratio GLOB 4.6 g/dl H RE: 281 HEMOLYSIS INDEX N Index of N,+,++ exhibits no significant effect on chemistry values. RE: 282 LIPEMIA INDEX N Index of N,+,++ exhibits no significant effect on chemistry values. PRE-ACTH 4.6 ug/dl POST-ACTH 4.0 ug/dl TUBE ORDER AND LABELED DRAW TIMES RECHECKED ACTH Reference Range: Canine: Feline Pre-ACTH (resting) cortisol Post-ACTH cortisol Equivocal post-acth cortisol >22 >19 Post-ACTH cortisol consistent with hyperadrenocorticism <2 <0.5 Post-ACTH cortisol consistent with hypoadrenocorticism 1-5 n/a Desired pre- and post-acth cortisol on West Chelsea Veterinary Page 2 of 5 Date: 5/13/2014 4:22 PM

3 lysodren therapy ACTH response test is only clearly positive (>22) in 30% of dogs with hyperadrenocorticism (HAC); equivocally positive in another 30% of dogs with HAC, and normal in 40 % of dogs with HAC.* If the ACTH response test is normal and HAC is still suspected, proceed with a low-dose dexamethasone suppression test. Dogs with iatrogenic Cushing's disease will have flatline response test results in the low end or below the normal reference range. Both HAC and hypoadrenocorticism are rare diseases in cats. *Reference: Feldman and Nelson; Canine and Feline Endocrinology and Reproduction. 3rd ed. W.B.Saunders Co., /5/2014 L Hematology results from IDEXX Reference HCT 42.8 % PLATELETS 614 K/uL H BASO 0.0 % EOS 2.4 % HGB 13.9 g/dl LYMPHS 11.9 % MCH 24.0 pg MCHC 32.5 g/dl L MCV 74 fl MONOS 6.8 % NEUT SEG 78.9 % RBC 5.79 M/uL RETIC CNT 0.6 % WBC 9.0 K/uL ABS BASO 0 /ul ABS EOS 216 /ul ABS LYMPHS 1071 /ul ABS MONOS 612 /ul West Chelsea Veterinary Page 3 of 5 Date: 5/13/2014 4:22 PM

4 ABS NEUTS 7101 /ul ABS RET 35 K/uL AO 854 THYROID PANEL 3 DESRIE MLIBB 2SS,L RE: 3034 REMARKS REMARKS SLIDE REVIEWED MICROSCOPICALLY. PLATELETS APPEAR INCREASED. NO PARASITES SEEN MN 5/5/2014 L Miscellaneous results from IDEXX Reference RE: 9996 ADD-ON TEST ADD-ON TEST Your Add On request has been processed. Refer to Accession: J TSH K ng/ml Ascn: J SS.REFER TO J Increased canine TSH values may occur in dogs with untreated primary hypothyroidism. Sick euthyroid dogs are expected to have low normal TSH concentrations. Secondary or tertiary hypothyroidism (pituitary or hypothalamic lesions) are reported to occur in less than 5% of hypothyroid dogs. West Chelsea Veterinary Page 4 of 5 Date: 5/13/2014 4:22 PM

5 T4 1.0 ug/dl Ascn: J SS.REFER TO J Interpretive ranges: <1.0 Low Normal >4.0 High Therapeutic Dogs with no clinical signs of hypothyroidism and results within the normal reference range are likely euthyroid. Dogs with low T4 concentrations may be hypothyroid or euthyroid sick. Occasionally, hypothyroid dogs can have T4 concentrations that are low normal. Dogs with clinical signs of hypothyroidism and low or low normal T4 concentrations may be evaluated further by submission of free T4 and canine TSH. A high T4 concentration in a clinically normal dog is likely variation of normal; however elevations may occur secondary to thyroid autoantibodies or rarely thyroid neoplasia. For dogs on thyroid supplement, acceptable 4-6 hour post pill total T4 concentrations generally fall within the higher end or slightly above the reference range. West Chelsea Veterinary Page 5 of 5 Date: 5/13/2014 4:22 PM