Caution: This information was collected by scanning and then editing a rather poor fax. Any information which appears silly or dangerous should be checked against the original FAX or source document. MF
| %SBLYMER* | IF | ||
| LYME AB SCREEN | 1.64 H | EIA VALUE | |
| ***EXPLANATION OF EIA VALUE | |||
| <1.00 | NEGATIVE | ||
| 1.00-1.19 | EQUIVOCAL | ||
| > OR = 1.20 | POSITIVE | ||
| DUE TO RECOMENDATIONS BY THE FOOD AND DRUG |
| ADMINISTRATION (FDA), ALL POSITIVE OR EQUIVOCAL |
| BORRELIA BURGDORFERI ANTIBODY ElA (SCREENING) |
| TESTS WILL BE FOLLOWED BY THE WESTERN BLOT. |
| THE SCREENING TEST FOR B. BURGDORFERI HAS A LOW |
| PREDICTIVE VALUE FOR A NEGATIVE RESULT WHEN USED TO |
| DETECT EARLY INFECTION AND A LOW PREDICTIVE VALUE OF |
| A POSITIVE RESULT WHEN EXPOSURE HISTORY, SYMPTOMS, |
| AND CLINICAL. FINDINGS ARE NOT CONSISTENT WITH LYME |
| DISEASE. POSTIVE OR EQUIVOCAL RESULTS SHOULD NOT BE |
| INTERPRETED AS TRUE POSITIVES UNTIL A SECOND-STEP |
| TESTING OF THE SPECIMEN IS DONE USING A METHOD THAT |
| IS MORE SPECIFIC FOR ANTIBODIES TO B. BURGDORFERI |
| (E.G. WESTERN BLOT) |
| VERIFIED BY REPEAT ANALYSIS |
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| 8593RSL= * | |||||
| IGG | POSITIVE | NEGATIVE | |||
| BANDS PRESENT | 18, 28, 39, 41, 45,. 58KD | ||||
| ***EXPLANATION OF TEST RESULTS *** | |||||
| THE IGG WB TEST IS CONSIDERED POSITIVE IF ANY FIVE OF THE FOLLOWING TEN BANDS ARE PRESENT; 18, OSP C (21/23). 28, 30,. 39, 41, 45, 59, 66, OR 93 (83). | |||||
| IGM | NEGATIVE | NEGATIVE | |||
| BANDS PRESENT | 23KD | ||||
| ***EXPLANATION OF TEST RESULTS*** | |||||
| THE ABOVE LISTED BANDS WERE DETECTED BUT DO NOT MEET THE FOLLOWING | |||||
| CRITERIA FOR A POSITIVE IGM WB: THE IGM WB IS CONSIDERED POSITIVE | |||||
| IF TWO OF THE FOLLOWING THREE BANDS ARE PRESENT: OSP C (21/23), 39 | |||||
| OR 41, KD. A NEGATIVE IGM WB DOES NOT RULE OUT LYME DISEASE. | |||||
| SPECIMENS DRAWN TOO SOON AFTER ONSET OF DISEASE (ESPECIALLY IF THE | |||||
| PATIENT IS TREATED EARLY) MAY NOT HAVE DEVELOPED A SUFFICIENT | |||||
| ANTIBODY RESPONSE TO BE CONSIDERED POSITIVE. IF CLINICALLY INDICATED, | |||||
| PLEASE RESUBMIT AN ADDITIONAL SPECIMEN IN TWO TO FOUR WEEKS | |||||
>>- REPORT CONTINUED ON NEXT PAGE <<<
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| PID PANEL | 3.25 | - | MG/PT-a |
| TRIGLYCERIDES | |||
| CHOLESTEROL, 7 TAL | 59$ S | MG/IL | |
| HDL-CROLESTflO | 47 | MG/DL |
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| %SS41SB | |
| LDL-CRQLESTE OL | 2~33 K |
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| NATIONAL CHOLESTEROL EDUCATION PROQRAM (Na?) |
| TREATMENT GUIDELINES SUMMARY |
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| DIETARY THERAPY DRUG TRfl~#t GOAL OF | ||||||
| INITIATION LEVEL CONS IDKRAflQW | flERAPY | |||||
| LDL dOLES OL | (KQ/DL) | (MG/DL) | (WI/DL) | |||
| ~ | ||||||
| W/OCED | <2 | ~0R-16O | ~OR.l9# | clip | ||
| RISK FACTO | ||||||
| W/OCRD | <OR=130 | >OR =160 | ~l30 | |||
| OR - 2 | ||||||
| RISK FACTO | ||||||
| WITRCHD | ~100 | ~ORs 130 | <OkinlOO | |||
| NCEP RICO | S THAT DIETARY an/OR DRUG ThSUt NOT BE | |||||
| INITIATED | ED ON A SINGLE LDL CHOLISTEUGIa ~mrur. PLEASE | |||||
| REFER TO S COND REPORT OF THE NCEP IN JAfl LflS,fl9~30l5-23 | ||||||
| FOR GTJIDEL S. | ||||||
| c200 | ||||||
| <200 | ||||||
| MG/DL (CALC) 0-131 | ||||||
| 4.36 | (CALC) | ~ | <4.98 | |||
----------------[EDITED]
| COMP METAB PANEL W/O CO2, ALT |
| GLUCOSE | 96 | MG/DL | 70-125 | |
| UREA NITROGEN (BUN) | 17 | MG/DL | 7-25 | |
| CREATINIME | 1.3 | MG/DL | 0.5-1.4 | |
| BUN/CREATINE RATIO | 13 | (CALC) | 6-25 | |
| SODIUM | 141 | MEQ/L | 135-146 | |
| POTASSIUM | 4.7 | MEQ/L | 3.5-5.3 | |
| CHLORIDE | 107 | MEQ/L | 95-109 | |
| CALCIUM | 8.9 | MEQ/L | 9.5-3-0 .3 | |
| PROTEIN, TOT | 6.8 | G/DL | 6.0-8.5 | |
| ALBUMIN | 3.9 | G/DL | 3.2-5.0 | |
| GLOBULIN | 2.9 | G/DL (CALC) | 24-4.2 | |
| ALDUMIK/GLOB | 114 PATIO | 1.3 | (CALC) | 0.8-2.0 |
| BILIRUBIN, | AL | 0.9 | MG/DL | 0.0-1.3 |
| ALKALflIE PROS | HATASE | 98 | U/L | 20-125 |
| AWL' (SOOT) | 34 | U/L | 0-42 |
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| SED RATE BY MODIED WESTERGREN | ||||
| WESTERGREN | 4 |
MM/HR | < OR =20 | |
| EU SPEC | ARE STABLE FOR 4-6 HOURS AT ROOM | |||
| TEMPERATURE | (12 HOURS I? REFRIGERATED). urn *mxtrs | |||
| TREIW LOWER | ITS INCREASED SPECIMEN AGE. ~WSZZ1ZR | |||
| USE OF C- | IV! PROTEIN TO ASSESS ACUTW #i&M | |||
| RESPONSES. | ||||
| CBC (INCLUDES DIFF/PLT) | |||
| WHITE BLOOD CELL COUNT | 6.1 | THOUS/MCL | 3.8-10.8 |
| RED BLOOD CELL COUNT | 4.72 | MILL/MCL | 4.40-5.30 |
| HEMOGLOBIN | 144 | G/DL | 13.8-17.2 |
| HEMATOCRIT | 41.4 | % | 41.0-50.0 |
| MCV | 876 | FL | 80.0-100.0 |
| MCH | 30.6 | PG | 27.0-33.0 |
| MCHC | 34.9 | G/DL | 32.0-36.0 |
| RDW | 14.7 | % | 9.0-15.0 |
| PLATELET COUNT | 195 | THOUS/MCL | 130-400 |
| ABSOLUTE NEUTROPHILS | 4221 | CELLS/MCL | 1500-7800 |
| NEUTROPHILS | 69.2 | % | |
| ABSOLUTE LYMPHOCYTES | 1183 | CELLS/MCL | 850-4100 |
| LYMPHOCYTES | 19.4 | % | |
| ABSOLUTE MONOCYTES | 506 | CELLS/MCL | 200-1100 |
| MONOCYTES | 3.3 | % | |
| ABSOLUTE EOSINOPHILS | 165 | CELLS/MCL | 50-550 |
| EOSINOPHILS | 2.7 | % | |
| ABSOLUTE BASOPHILS | 24 | CELLS/MCL | 0-200 |
| BASOPHILS | 0 | 0.4 | 0% |
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| HIV-1 AB SCREEN | ||
| HIV- AB SCREEN W/REFL | NON-REACTIVE | NON-REACTIVE |
| ***NOTE: A NON REACTIVE RESULT INDICATES.THAT HIV1 (HVLT-III) |
| ANTIBODIES HAVE NOT BEEN FOUND IN THIS PATIENT SPECIMEN. |
| A NON-REACTIVE RESULT, HOWEVER. DOES NOT PRECLUDE |
| PREVIOUS EXPOSURE OR INFECTION WITH HTV1. |
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| IUIMUNOYIXATION |
| "IV | ||
| RIV- AD BCE! N/RIFt, | NON-REWTCVR | NON-REACTIVE |
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| ***NOTE: A K-REACTIVE RESULT INDICATES TE~T UZV1 (HTLV-III) | |
| IBODh1S HAVE NQT RINK 1OU~ ~)I ~S~Z~S ~`ATI1MT SPECIMEN. | |
| A N- RKAC'rIVE RESULT, HOWEVER. ~OU~ ~ PRECLUDE | |
| P | OUS EXPOSURE OR INFECTION wrri KI~n. |
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