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College Park CPK
11725 W 112th St , Overland Park, KS 662102761
Schaumburg, Grant, M, 08/17/1986
913-469-5579
801-809-2509
FINAL RESULT
Accession ID: 12684902000 Lab Ref ID: 1P6273067

Order Date: 05/06/2015 Received: 05/09/2015 05:18:07

Collection Date: 05/06/2015 09:44:00 Report: 05/09/2015 06:08:00

Requesting Physician:Crook, Trystan Ordering Physician: Crook, Trystan

Testosterone, Free and Total** LC140103

NAME VALUE REFERENCE RANGE LAB

F Testosterone, Serum 383 348-1197 (ng/dL) 01

F Comment: Comment 01

- Adult male reference interval is based on a population of lean males

- up to 40 years old.

F Free Testosterone(Direct) 8.2 L 9.3-26.5 (pg/mL) 02

PERFORMING LAB: LabCorp Dallas, 7777 Forest Lane Suite C350, Dallas, TX 752302544, Phone - 9725986000, Director - MDEtufugh

PERFORMING LAB: LabCorp Burlington, 1447 York Court, Burlington, NC 272153361, Phone - 8007624344, Director - MDHancock

Result: Accession ID: 12684902000

Notes: Please make sure pt. is free of any dysuria type symptoms as

UA mildly abnormal. Testosterone level is low concerning free

testosterone. If interested we can check further lab such as

FSH, LH, Prolactin and repeat free/total testosterone in the

future. Crook,Trystan J 5/12/2015 6:45:35 AM > Grimmett,

LPN,Jordan C 5/12/2015 10:42:29 AM > See telephone

encounter

1 of 1 8/17/2017 1:40 PM
 https://mycw37.eclinicalweb.com/portal4062/jsp/100mp/renderFormData.jsp
College Park CPK
11725 W 112th St , Overland Park, KS 662102761
Schaumburg, Grant, M, 08/17/1986
913-469-5579
801-809-2509
FINAL RESULT
Accession ID: 13384905420 Lab Ref ID: 1P6319449

Order Date: 05/13/2015 Received: 05/17/2015 16:15:04

Collection Date: 05/13/2015 09:43:00 Report: 05/17/2015 17:05:00

Requesting Physician:Crook, Trystan Ordering Physician: Crook, Trystan

FSH and LH (Luteinizing Hormone)**LC028480

NAME VALUE REFERENCE RANGE LAB

F LH 4.0 1.7-8.6 (mIU/mL) 01

F FSH 3.9 1.5-12.4 (mIU/mL) 01

PERFORMING LAB: LabCorp Dallas, 7777 Forest Lane Suite C350, Dallas, TX 752302544, Phone - 9725986000, Director - MDEtufugh

PERFORMING LAB: LabCorp Burlington, 1447 York Court, Burlington, NC 272153361, Phone - 8007624344, Director - MDHancock

Result: Accession ID: 13384905420

Notes: Upon recheck the lab was normal for pituitary gland contributors
to low testosterone. Additionally, upon recheck the testosterone

level is low normal therefore no treatment indicated at this time.

Crook,Trystan J 5/18/2015 8:21:06 AM >

1 of 1 8/17/2017 1:47 PM
 https://mycw37.eclinicalweb.com/portal4062/jsp/100mp/renderFormData.jsp
College Park CPK
11725 W 112th St , Overland Park, KS 662102761
Schaumburg, Grant, M, 08/17/1986
913-469-5579
801-809-2509
FINAL RESULT
Accession ID: 13384905420 Lab Ref ID: 1P6319449

Order Date: 05/13/2015 Received: 05/17/2015 16:15:04

Collection Date: 05/13/2015 09:43:00 Report: 05/17/2015 17:05:00

Requesting Physician:Crook, Trystan Ordering Physician: Crook, Trystan

Prolactin**LC004465
NAME VALUE REFERENCE RANGE LAB

F Prolactin 9.6 4.0-15.2 (ng/mL) 01

PERFORMING LAB: LabCorp Dallas, 7777 Forest Lane Suite C350, Dallas, TX 752302544, Phone - 9725986000, Director - MDEtufugh

PERFORMING LAB: LabCorp Burlington, 1447 York Court, Burlington, NC 272153361, Phone - 8007624344, Director - MDHancock

Result: Accession ID: 13384905420

Notes: Upon recheck the lab was normal for pituitary gland contributors

to low testosterone. Additionally, upon recheck the testosterone

level is low normal therefore no treatment indicated at this time.

Crook,Trystan J 5/18/2015 8:21:06 AM >

1 of 1 8/17/2017 1:46 PM
 https://mycw37.eclinicalweb.com/portal4062/jsp/100mp/renderFormData.jsp
College Park CPK
11725 W 112th St , Overland Park, KS 662102761
Schaumburg, Grant, M, 08/17/1986
913-469-5579
801-809-2509
FINAL RESULT
Accession ID: 12684902000 Lab Ref ID: 1P6273067

Order Date: 05/06/2015 Received: 05/09/2015 05:18:05

Collection Date: 05/06/2015 09:44:00 Report: 05/09/2015 06:08:00

Requesting Physician:Crook, Trystan Ordering Physician: Crook, Trystan

T4Free, TSH and T3Free**LC376137

NAME VALUE REFERENCE RANGE LAB

F TSH 2.010 0.450-4.500 (uIU/mL) 01

F Triiodothyronine,Free,Serum 3.4 2.0-4.4 (pg/mL) 01

F T4,Free(Direct) 1.52 0.82-1.77 (ng/dL) 01

PERFORMING LAB: LabCorp Dallas, 7777 Forest Lane Suite C350, Dallas, TX 752302544, Phone - 9725986000, Director - MDEtufugh

PERFORMING LAB: LabCorp Burlington, 1447 York Court, Burlington, NC 272153361, Phone - 8007624344, Director - MDHancock

Result: Accession ID: 12684902000

Notes: Please make sure pt. is free of any dysuria type symptoms as

UA mildly abnormal. Testosterone level is low concerning free

testosterone. If interested we can check further lab such as

FSH, LH, Prolactin and repeat free/total testosterone in the

future. Crook,Trystan J 5/12/2015 6:45:35 AM > Grimmett,

LPN,Jordan C 5/12/2015 10:42:29 AM > See telephone

encounter

1 of 1 8/17/2017 1:39 PM
 https://mycw37.eclinicalweb.com/portal4062/jsp/100mp/renderFormData.jsp
College Park CPK
11725 W 112th St , Overland Park, KS 662102761
Schaumburg, Grant, M, 08/17/1986
913-469-5579
801-809-2509
FINAL RESULT
Accession ID: 12684902000 Lab Ref ID: 1P6273067

Order Date: 05/06/2015 Received: 05/09/2015 05:18:05

Collection Date: 05/06/2015 09:44:00 Report: 05/09/2015 06:08:00

Requesting Physician:Crook, Trystan Ordering Physician: Crook, Trystan

CBC (Includes Diff/Plt)**LC5009

NAME VALUE REFERENCE RANGE LAB

F WBC 5.2 3.4-10.8 (x10E3/uL) 01

F RBC 5.10 4.14-5.80 (x10E6/uL) 01

F Hemoglobin 15.4 12.6-17.7 (g/dL) 01

F Hematocrit 45.2 37.5-51.0 (%) 01

F MCV 89 79-97 (fL) 01

F MCH 30.2 26.6-33.0 (pg) 01

F MCHC 34.1 31.5-35.7 (g/dL) 01

F RDW 13.4 12.3-15.4 (%) 01

F Platelets 165 150-379 (x10E3/uL) 01

F Neutrophils 47 (%) 01

F Lymphs 40 (%) 01

F Monocytes 11 (%) 01

F Eos 2 (%) 01

F Basos 0 (%) 01

Immature Cells 01

F Neutrophils (Absolute) 2.5 1.4-7.0 (x10E3/uL) 01

F Lymphs (Absolute) 2.1 0.7-3.1 (x10E3/uL) 01

F Monocytes(Absolute) 0.6 0.1-0.9 (x10E3/uL) 01

F Eos (Absolute) 0.1 0.0-0.4 (x10E3/uL) 01

F Baso (Absolute) 0.0 0.0-0.2 (x10E3/uL) 01

F Immature Granulocytes 0 (%) 01

F Immature Grans (Abs) 0.0 0.0-0.1 (x10E3/uL) 01

NRBC 01

Hematology Comments: 01

PERFORMING LAB: LabCorp Dallas, 7777 Forest Lane Suite C350, Dallas, TX 752302544, Phone - 9725986000, Director - MDEtufugh

PERFORMING LAB: LabCorp Burlington, 1447 York Court, Burlington, NC 272153361, Phone - 8007624344, Director - MDHancock

Result: Accession ID: 12684902000

Notes: Please make sure pt. is free of any dysuria type symptoms as

UA mildly abnormal. Testosterone level is low concerning free

testosterone. If interested we can check further lab such as
FSH, LH, Prolactin and repeat free/total testosterone in the

future. Crook,Trystan J 5/12/2015 6:45:35 AM > Grimmett,

LPN,Jordan C 5/12/2015 10:42:29 AM > See telephone

encounter

1 of 1 8/17/2017 1:38 PM
 https://mycw37.eclinicalweb.com/portal4062/jsp/100mp/renderFormData.jsp
College Park CPK
11725 W 112th St , Overland Park, KS 662102761
Schaumburg, Grant, M, 08/17/1986
913-469-5579
801-809-2509
FINAL RESULT
Accession ID: 12684902000 Lab Ref ID: 1P6273067

Order Date: 05/06/2015 Received: 05/09/2015 05:18:05

Collection Date: 05/06/2015 09:44:00 Report: 05/09/2015 06:08:00

Requesting Physician:Crook, Trystan Ordering Physician: Crook, Trystan

CMP Comp Metabolic Panel**LC322000

NAME VALUE REFERENCE RANGE LAB

F Glucose, Serum 75 65-99 (mg/dL) 01

F BUN 27 H 6-20 (mg/dL) 01

F Creatinine, Serum 1.06 0.76-1.27 (mg/dL) 01

F eGFR If NonAfricn Am 95 >59 (mL/min/1.73) 01

F eGFR If Africn Am 110 >59 (mL/min/1.73) 01

F BUN/Creatinine Ratio 25 H 8-19 01

F Sodium, Serum 141 134-144 (mmol/L) 01

F Potassium, Serum 4.5 3.5-5.2 (mmol/L) 01

F Chloride, Serum 101 97-108 (mmol/L) 01

F Carbon Dioxide, Total 26 18-29 (mmol/L) 01

F Calcium, Serum 9.4 8.7-10.2 (mg/dL) 01

F Protein, Total, Serum 7.0 6.0-8.5 (g/dL) 01

F Albumin, Serum 4.8 3.5-5.5 (g/dL) 01

F Globulin, Total 2.2 1.5-4.5 (g/dL) 01

F A/G Ratio 2.2 1.1-2.5 01

F Bilirubin, Total 0.7 0.0-1.2 (mg/dL) 01

F Alkaline Phosphatase, S 72 39-117 (IU/L) 01

F AST (SGOT) 23 0-40 (IU/L) 01

F ALT (SGPT) 18 0-44 (IU/L) 01

PERFORMING LAB: LabCorp Dallas, 7777 Forest Lane Suite C350, Dallas, TX 752302544, Phone - 9725986000, Director - MDEtufugh

PERFORMING LAB: LabCorp Burlington, 1447 York Court, Burlington, NC 272153361, Phone - 8007624344, Director - MDHancock

Result: Accession ID: 12684902000

Notes: Please make sure pt. is free of any dysuria type symptoms as

UA mildly abnormal. Testosterone level is low concerning free

testosterone. If interested we can check further lab such as

FSH, LH, Prolactin and repeat free/total testosterone in the
future. Crook,Trystan J 5/12/2015 6:45:35 AM > Grimmett,

LPN,Jordan C 5/12/2015 10:42:29 AM > See telephone

encounter

1 of 1 8/17/2017 1:39 PM