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TOTAL HEALTH PLUS, CHEM 27 w/ SDMA, T4, IDEXX CBC, COCCIDIOIDES SCRN+TITER AO Date Performed: 04/10/2021 03:19 PM Patient Info: Clinic: ID: 23412 A Species: Canine Family Pet Hospital, Inc. Name: Dusty Breed: German Shepherd X 1455 Herndon Ave. Owner: Jeff Wilcox Birthdate: 04/02/2009 Clovis, CA 93611 Provider: SS Sex: MN VC-8203418664.pdf Requisition # 151733209 Accession # 8203418664 Panel Name TOTAL HEALTH PLUS Panel Name CHEM 27 w/ SDMA GLUCOSE 48 LOW 63-114mg/dL SDMA 13 0-14ug/dL SDMA and creatinine are within the reference interval: impairment of GFR is unlikely. Recommended next step: evaluate complete urinalysis. CREATININE 0.5 0.5-1.5mg/dL BUN 13 9-31mg/dL BUN/CREATININE RATIO 26 PHOSPHORUS 3.7 2.5-6.1mg/dL CALCIUM 11.1 8.4-11.8mg/dL SODIUM 146 142-152mmol/L POTASSIUM 5.1 4.0-5.4mmol/L CHLORIDE 107 LOW 108-119mmol/L NA/K RATIO 29 28-37 TCO2 (BICARBONATE) 22 13-27mmol/L ANION GAP 22 11-26mmol/L TOTAL PROTEIN 7.2 5.5-7.5g/dL ALBUMIN 3.5 2.7-3.9g/dL GLOBULIN 3.7 2.4-4.0g/dL ALB/GLOB RATIO 0.9 0.7-1.5 ALT 75 18-121U/L AST 32 16-55U/L ALP 118 5-160U/L GGT 4 0-13U/L TOTAL BILIRUBIN 0.1 0.0-0.3mg/dL BILIRUBIN UNCONJUGATED 0 0.0-0.2mg/dL BILIRUBIN CONJUGATED 0.1 0.0-0.1mg/dL CHOLESTEROL 293 131-345mg/dL AMYLASE 651 337-1469U/L LIPASE 103 0-250U/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 10-200U/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 1.0-4.0ug/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 4.9-17.6K/uL RBC 7.13 5.39-8.70M/uL HGB 15.6 13.4-20.7g/dL HCT 44.3 38.3-56.5% MCV 62 59-76fL MCH 21.9 21.9-26.1pg MCHC 35.2 32.6-39.2g/dL % RETICULOCYTE 0.6 % RETICULOCYTE 43 10-110K/uL RETIC HGB 25.8 22.3-29.6pg % NEUTROPHIL 77.2 % % LYMPHOCYTE 8.1 % % MONOCYTE 7.4 % % EOSINOPHIL 7.2 % % BASOPHIL 0.1 % PLATELET 369 143-448K/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