TOTAL HEALTH PLUS, CHEM 27 w/ SDMA, T4, IDEXX CBC, COCCIDIOIDES SCRN+TITER AO Date Performed: 04/10/2021 03:19 PM Patient Info: ID: 23412 A Name: Dusty Owner: Jeff Wilcox Provider: SS Species: Canine Breed: German Shepherd X Birthdate: 04/02/2009 Sex: MN Clinic: Family Pet Hospital, Inc. 1455 Herndon Ave. Clovis, CA 93611 VC-8203418664.pdf Requisition # 151733209 Accession # 8203418664 Panel Name TOTAL HEALTH PLUS Panel Name CHEM 27 w/ SDMA GLUCOSE 48 LOW 63-114 mg/dL SDMA 13 0-14 ug/dL SDMA and creatinine are within the reference interval: impairment of GFR is unlikely. Recommended next step: evaluate complete urinalysis. CREATININE 0.5 0.5-1.5 mg/dL BUN 13 9-31 mg/dL BUN/CREATININE RATIO 26 PHOSPHORUS 3.7 2.5-6.1 mg/dL CALCIUM 11.1 8.4-11.8 mg/dL SODIUM 146 142-152 mmol/L POTASSIUM 5.1 4.0-5.4 mmol/L CHLORIDE 107 LOW 108-119 mmol/L NA/K RATIO 29 28-37 TCO2 (BICARBONATE) 22 13-27 mmol/L ANION GAP 22 11-26 mmol/L TOTAL PROTEIN 7.2 5.5-7.5 g/dL ALBUMIN 3.5 2.7-3.9 g/dL GLOBULIN 3.7 2.4-4.0 g/dL ALB/GLOB RATIO 0.9 0.7-1.5 ALT 75 18-121 U/L AST 32 16-55 U/L ALP 118 5-160 U/L GGT 4 0-13 U/L TOTAL BILIRUBIN 0.1 0.0-0.3 mg/dL BILIRUBIN UNCONJUGATED 0 0.0-0.2 mg/dL BILIRUBIN CONJUGATED 0.1 0.0-0.1 mg/dL CHOLESTEROL 293 131-345 mg/dL AMYLASE 651 337-1469 U/L LIPASE 103 0-250 U/L Please note: the canine and feline reference intervals for lipase have been updated effective May 26, 2020 to reflect current IDEXX testing. CREATINE KINASE 179 10-200 U/L HEMOLYSIS INDEX 3+ Index of 3+ may decrease ALP and Direct Bilirubin by 25 to 50% and increase AST by 25 to 50%. LIPEMIA INDEX N Index of N, 1+, 2+ exhibits no significant effect on chemistry values. Panel Name T4 T4 1 1.0-4.0 ug/dL Dogs with no clinical signs of hypothyroidism and results within the reference interval are likely euthyroid. Occasionally, hypothyroid dogs can have a low normal T4 (1-2 ug/dL). Hypothyroidism may be further assessed in these dogs by adding a free T4 and canine TSH. For dogs on thyroid supplement, recommended therapeutic levels are 2.1-5.4 ug/dL. If this sample was drawn 4-6 hours post-pill in a dog on thyroid supplement, a low normal T4 suggests inadequate supplementation. Panel Name IDEXX CBC WBC 17.5 4.9-17.6 K/uL RBC 7.13 5.39-8.70 M/uL HGB 15.6 13.4-20.7 g/dL HCT 44.3 38.3-56.5 % MCV 62 59-76 fL MCH 21.9 21.9-26.1 pg MCHC 35.2 32.6-39.2 g/dL % RETICULOCYTE 0.6 % RETICULOCYTE 43 10-110 K/uL RETIC HGB 25.8 22.3-29.6 pg % NEUTROPHIL 77.2 % % LYMPHOCYTE 8.1 % % MONOCYTE 7.4 % % EOSINOPHIL 7.2 % % BASOPHIL 0.1 % PLATELET 369 143-448 K/uL NEUTROPHIL 13510 HIGH 2940-12670 /uL LYMPHOCYTE 1418 1060-4950 /uL MONOCYTE 1295 HIGH 130-1150 /uL EOSINOPHIL 1260 70-1490 /uL BASOPHIL 18 0-100 /uL AUTOMATED CBC Panel Name COCCIDIOIDES SCRN+TITER AO IgG ANTIBODY NEGATIVE IgM ANTIBODY NEGATIVE