What stone is left unturned?

Urinalysis
specific gravity 1.008 SR 1.003-1.030
pH 7.5 SR 5-7.5
Total protein negative
UA Glucose negative
UA Ketones negative
UA Bilirubin negative
UA Blood negative
Ua nitirite negative
UA Urobilinogen 0.2 SR 0.2-1.0 mg/dL
UA Leukocyte Esterase negative
UA WBC/HPF negative
UA squamous epithelial cells negative

Histoplasma antigen EIA, urine negative

URINANALYSIS #2
Component Standard Range Your Value
UA Color Yellow
UA Appearance Clear
SPECIFIC GRAVITY 1.007 SR 1.003 - 1.030
Urine pH 6.0 SR 5.0 - 7.5
TOTAL PROTEIN Negative Negative
UA Glucose Negative Negative
UA Ketones Negative Negative
UA Bilirubin Negative Negative
UA Blood Negative Negative
UA Leukocyte Esterase Negative Negative
UA Nitrite Negative Negative
UA Urobilinogen 0.2 SR 0.2 - 1.0 mg/dL
UA Microscopic Nothing Seen


COMPREHENSIVE METABOLIC PANEL
sodium 142 standard range 136-144 mmol/L
potassium 3.7 standard range 3.3-5.0 mmol/L
Chloride 107 standard range 102-110 mmol/L
CO2 24 standard range 20-26 mmol/L
BUN 10 standard range 8-24 mg/L
creatinine 1.04 standard range .072-1.25 mg/dL
glucose, fasting 84 standard range 64-128 mg/dL
calcium 9.9 standard range 8.4-10.5 mg/dL
total protein 7.7 standard range 6,5-8,4g/dL
albumin 4.5 standard range 3.5-5.0g/dL
total bilirubin 0.9 standard range 0.2-1.4mg/dL
Alkaline phospatase 62 standard range 38-126U/L
AST 25 standard range 16-40 U/L
ALT 25 standard range 5-60 U/L
Anion Gap 11 standard range 8-14mmol/L

HISTOPLASMA ANTIGEN DETECTION EIA, URINE

C-REACTIVE PROTEIN 0.1 mg/dL standard range 0.0-0.8 mg/dL

EGFR 92
EGFR 91
EGFR 85

ANA, IGG ELISA W/ REFLEX TO ANA, IGG IFA none detected

Rheumatoid Factor (RF) Level <7 standard range 0-14 IU/mL

(TSH) Level 2.37 standard range 0.35-4.94 mU/L

BORRELIA BURGDORFERI ANTIBODIES, IGG & IGM BY WESTERN BLOT negative

COCCIDIOIDES AB PANEL,SERUM CF
IgG by ELISA 0.7 SR<=0.9
IgM by Elisa 0.3 SR <=0.9 IV
CRYPTOCOCCUS ANTIGEN, SERUM negative

CULTURE, BLOOD nothing grown

COMPREHENSIVE METABOLIC PANEL #1
sodium 142 standard range 136-144 mmol/L
potassium 3.7 standard range 3.3-5.0 mmol/L
Chloride 107 standard range 102-110 mmol/L
CO2 24 standard range 20-26 mmol/L
BUN 10 standard range 8-24 mg/L
creatinine 1.04 standard range .072-1.25 mg/dL
glucose, fasting 84 standard range 64-128 mg/dL
calcium 9.9 standard range 8.4-10.5 mg/dL
total protein 7.7 standard range 6,5-8,4g/dL
albumin 4.5 standard range 3.5-5.0g/dL
total bilirubin 0.9 standard range 0.2-1.4mg/dL
Alkaline phospatase 62 standard range 38-126U/L
AST 25 standard range 16-40 U/L
ALT 25 standard range 5-60 U/L
Anion Gap 11 standard range 8-14mmol/L

COMPREHENSIVE METABOLIC PANEL #2
sodium 141 standard range 136-144 mmol/L
potassium 4.4 standard range 3.3-5.0 mmol/L
Chloride 104 standard range 102-110 mmol/L
CO2 26 standard range 20-26 mmol/L
BUN 13 standard range 8-24 mg/L
creatinine 1.05 standard range .072-1.25 mg/dL
glucose, fasting 116 standard range 64-128 mg/dL
calcium 10.1 standard range 8.4-10.5 mg/dL
total protein 7.6 standard range 6,5-8,4g/dL
albumin 4.9 standard range 3.5-5.0g/dL
total bilirubin 0.6 standard range 0.2-1.4mg/dL
Alkaline phospatase 57 standard range 38-126U/L
AST 23 standard range 16-40 U/L
ALT 22 standard range 5-60 U/L
Anion Gap 11 standard range 8-14mmol/L

COMPREHENSIVE METABOLIC PANEL #3
SODIUM 140
POTASSIUM 4.3
CHLORIDE 104
CO2 28
BUN 15
CREATININE 1.11
Glucose, Fasting 86
CALCIUM 9.9
TOTAL PROTEIN 7.6
ALBUMIN 4.4
TOTAL BILIRUBIN 1.1
ALKALINE PHOSPHATASE 60
AST 25
ALT 26
Anion Gap 8

CBC WITH PLT COUNT AND AUTO DIFF #1
WBC 5.52 SR 3.20-10.60k/uL
Red blood cell 5.37 SR 4.69-6.07 M/uL
HGB 16,3 SR 14.6-17.8 g/dL
HCT 49.1 SR 40.8-51.9%
Mean corpuscular volume 91.5 SR 77.8-94.0 fL
Mean corpuscular hemoglobin 30.4 SR 26.5-32.6 pg
Mean corpuscualr HGB concentration 33.3 SR 32.7-36.9
red cell distribution width 13.0 SR10.8-14.1%
platelet 209 SR 177-406k/uL
mean platelet volume 7.6 SR 5.9-9.8 fL
Granulocyte% 64.9 SR 44-76
Monocyte% 8.5 SR 4-8.9
Eosinophil% 1.8 SR 0-6
Basophil% 0.5 SR 0-1.7
Granulocyte # 3.6 SR 1.3-7
Monocyte# 0.5 SR 0.2-0.7k/uL
Eosinphil# 0.1 SR 0-0.4 k/uL
Basophil# 0.0 SR 0-0.1
Lymphocyte% 24.3 SR 14.7-42.6
Lymphocute# 1.3 SR 0.8-3.1k/uL

CBC WITH PLT COUNT AND AUTO DIFF #2
WBC 4.78 SR 3.20 - 10.60 k/uL
Red Blood Cell 5.32 SR 4.69 - 6.07 M/uL
HGB 16 SR 14.6 - 17.8 g/dL
HCT 47.7 SR 40.8 - 51.9 %
Mean Corpuscular Volume 89.6 SR77.8 - 94.0 fL
Mean Corpuscular Hemoglobin 30.1 SR 26.5 - 32.6 pg
Mean Corpuscular HGB Concentration 33.6 SR32.7 - 36.9 g/dL
Red Cell Distribution Width 13.8 SR 10.8 - 14.1 %
Platelet 251 SR177 - 406 k/uL
Mean Platelet Volume 6.1 SR5.9 - 9.8 fL
Granulocyte % 64.3 SR 44.0 - 76.0 %
Monocyte % 7.0 SR 4.0 - 8.9 %
Eosinophil % 1.9 SR0.0 - 6.0 %
Basophil % 0.4 SR0.0 - 1.7 %
Granulocyte # 3.1 SR 1.3 - 7.0 k/uL
Monocyte # 0.3 SR0.2 - 0.7 k/uL
Eosinophil # 0.1 SR 0.0 - 0.4 k/uL
Basophil # 0.0 SR 0.0 - 0.1 k/uL
Lymphocyte % 26.4 SR14.7 - 42.6 %
Lymphocyte # 1.3 SR 0.8 - 3.1 k/uL

Free Thyroxine Level 1.3 SR 0.8-1.7 ng/dL

Brain MRI

EGFR

THYROID STIM. HORMONE W/RFLX TO FREE T4 3.86 SR 0.30-4.00 mU/L

Bence Jones Protein, Quantitative Negative

IMMUNONELECTROPHORESIS,IFE,IGA,IGG,IGM
Immunogobulin G 1040 SR 768-1632 mg/dL
Immunogobulin A, SERUM 211 SR 68-378 mg/dL
Immunogobulin M 59 SR 60-263 mg/dL
total protein- electrophoresis 8.30 SR 6-8.30 g/dL
Albumin 5.29 SR 3.75-5.01 g/dL
Alpha 1 Globulin 0.32 SR 3.75-5.01 g/dL
Alpha 2 Globulin 0.73 SR 0.48-1.05 g/dL
Beta Globulin 0.81 SR 0.48-1.10 g/dL
Gamma 1.15 SR 0.62-1.51 g/dL
SPEP/IFE Normal pattern

Glycosylated Hemoglobin Level 5.3 SR 4.0-5.6%

COMPREHENSIVE METABOLIC PANEL



HELICOBACTER PYLORI BREATH TEST Negative

Vitamin D Level 32 SR 30-80ng/mL

MAGNESIUM, PLASMA OR SERUM 2.2 SR 1.6-2.6mg/dL

FOLATE, SERUM >48.0 SR 5.4-40 ng/mL

VITAMIN B12 538 SR 210-911 pg/mL

CBC WITH PLT COUNT AND AUTO DIFF

BILIRUBIN, DIRECT, SERUM OR PLASMA 0.4 SR 0-0.5 mg/dL

BILIRUBIN, TOTAL, SERUM OR PLASMA 1.2 SR 0.2-1.4 mg/dL

CK 113 SR 35-224 U/L

ESR#1- 2 SR 0-10 mm/hr

ESR#3- 2 SR0 - 10 mm/hr

Sedimentation rate #2- 2 SR 0-15 mm/h

VITAMIN B6, PLASMA 106.5 SR20.0 - 125.0 nmol/L


COMPLEMENT COMPONENT 4 15 SR 10 - 40 mg/dL

COMPLEMENT COMPONENT 3 82 SR88 - 201 mg/dL

COMPLEMENT COMPONENT 4 17 SR 10 - 40 mg/dL

COMPLEMENT COMPONENT 3 86 SR88 - 201 mg/dL

Cryoglobulin Quantitative Screen NEG 72Hour NEG 72Hour

Hepatitis C Antibody by CIA Interp Negative Negative

HEP B, SURFACE AG Negative Negative

Hepatitis B Core Antibodies, Total Negative Negative

Creatine Kinase, Total, Ser/Pla 97 SR 20 - 200 U/L

Double-Stranded DNA (dsDNA) Ab IgG ELISA <1:10 <1:10

EXTRACTABLE NUCLEAR AG ABS 5
SSA (Ro) (ENA) Antibody, IgG 2 SR 0 - 40 AU/mL
SSB (La) (ENA) Antibody, IgG 0 SR0 - 40 AU/mL
SMITH (ENA) ANTIBODY, IgG 1 SR0 - 40 AU/mL
Ribonucleic Protein (U1) (ENA) Ab, IgG 0 SR 0 - 40 AU/mL
Scleroderma (Scl-70) (ENA) Antibody, IgG 0 SR 0 - 40 AU/mL

ANTI-NEUTROPHIL CYTOPLS AB W REFLEX TITER
Anti-Neutrophil Cytoplasmic Ab, IgG <1:20 <1:20

C-Reactive Protein <0.1 SR 0.0 - 0.8 mg/dL

Adrenocorticotropic Hormone 28 SR7 - 69 pg/mL

CORTISOL, SERUM or PLASMA 13.2

TISSUE TRANSGLUTAMINASE (TTG) ANTIBODY, IGA WITH REFLEX TO ENDOMYSIAL
issue Transglutaminase Antibody, IgA 8 SR0 - 19 Units