1 of 1 - My Health Summary

Candace P Deihl "Candie"
Patient Health Summary, generated on Aug. 02, 2022
Patient Demographics - Female; born Oct. 31, 1985

Patient Address Communication Language Race / Ethnicity Marital Status
712 Blair St (Home) 814-955-5801 (Home) English - Written White / Not Hispanic or Divorced
Portage, PA 15946 814-955-5801 (Mobile) (Preferred) Latino
candacedeihl@gmail.com
Former (Jul. 03, 2021 -
Jan. 10, 2022):
CAMBRIA COUNTY
PRISON (Home)
425 MANOR DR
EBENSBURG, PA 15931
Former (Feb. 11, 2020 -

Jul. 02, 2021):
712 BLAIR ST (Home)
PORTAGE, PA
15946-1577
Note from Conemaugh Health System

This document contains information that was shared with Candace P Deihl. It may not contain the entire record from
Conemaugh Health System.
Allergies
Amoxicillin (Hives) - High Severity
Bee Venom Protein (Honey Bee) (Hives)
Penicillins (Anaphylaxis) - High Severity
Morphine (Rash) - Low Severity, Inactive
Medications
ARIPiprazole (Abilify) 15 mg tablet (Started 7/15/2022)
Take 0.5 tablets (7.5 mg total) by mouth daily Indications: mood
buPROPion XL (Wellbutrin XL) 300 mg 24 hr tablet (Started 7/15/2022)
Take 1 tablet (300 mg total) by mouth daily Indications: anxiousness associated with depression, bipolar depression
levothyroxine (Synthroid) 50 mcg tablet (Started 7/14/2022)
Take 1 tablet (50 mcg total) by mouth daily
topiramate (Topamax) 100 mg tablet (Started 7/14/2022)
Take 1 tablet (100 mg total) by mouth 2 (two) times a day Indications: mood
mirtazapine (Remeron) 7.5 mg tablet (Started 7/14/2022)
Take 1 tablet (7.5 mg total) by mouth every night Indications: posttraumatic stress syndrome
prazosin (Minipress) 1 mg capsule (Started 7/14/2022)
Take 1 capsule (1 mg total) by mouth every night
Ended Medications
levothyroxine (Synthroid) 50 mcg tablet (Started 6/23/2020) (Discontinued)
Take 0.5 tablets (25 mcg total) by mouth daily
5 refills by 6/23/2021
FLUoxetine (PROzac) 10 mg capsule (Started 6/23/2020) (Discontinued)
Take 1 capsule (10 mg total) by mouth daily
1 refill by 6/23/2021
azithromycin (ZITHROMAX) 250 mg tablet (Started 9/22/2020) (Discontinued)
Take 2 tablets the first day, then 1 tablet daily for 4 days.
topiramate (Topamax) 100 mg tablet (Started 2/22/2022) (Discontinued)
ARIPiprazole (Abilify) 5 mg tablet (Started 5/3/2022) (Discontinued)
buPROPion XL (Wellbutrin XL) 300 mg 24 hr tablet (Started 4/18/2022) (Discontinued)
Active Problems
39 weeks gestation of pregnancy (Noted 12/23/2019)
Ankle joint pain (Noted 1/31/2017)
Clotting disorder complicating pregnancy or childbirth (Noted 7/20/2017)
Decreased platelet count (Noted 8/24/2018)
Discharge from the vagina (Noted 1/11/2018)
History of cesarean delivery, antepartum (Noted 12/12/2019)
Hives (Noted 4/26/2018)
Influenza-like symptoms (Noted 12/5/2019)
Low back pain (Noted 1/31/2017)
Mixed anxiety depressive disorder (Noted 1/31/2017)
Nontoxic uninodular goiter (Noted 1/31/2017)
Obesity (Noted 1/31/2017)
Postpartum depression (Noted 2/6/2018)
Pyelonephritis affecting pregnancy in third trimester (Noted 11/27/2017)
Suicidal thoughts (Noted 7/7/2022)
Underactive thyroid (Noted 8/27/2018)
Resolved Problems
Acute upper respiratory infection (Noted 8/25/2018)
Breech presentation of baby (Noted 1/1/2018)
Breech presentation of baby (Noted 1/12/2018)
History of urinary tract infection (Noted 1/11/2018)
Periorbital cellulitis (Noted 8/23/2018)
Immunizations
Influenza, Seasonal, Injectable, Preservative Free (Given 9/28/2017)
Rho (D) - IG IM (Given 12/24/2019, 12/3/2019, 5/12/2019, 1/13/2018, 10/23/2017)
TST-PPD Intradermal (Given 5/23/2011)
Tdap (Given 11/9/2017)
influenza, Injectable, Quadrivalent, Preservative Free (Given 12/8/2019)
Social History
Tobacco Use Types Packs/Day Years Used Date
Former Smoker 0.5 10 Quit: 06/15/2016
Smokeless Tobacco: Never Quit: 06/15/2016
Used
Alcohol Use Standard Drinks/Week

No 0 (1 standard drink = 0.6 oz pure alcohol)
Sex Assigned at Birth Date Recorded

Not on file
Job Start Date Occupation Industry

Not on file Not on file Not on file
COVID-19 Exposure Response Date Recorded

In the last 10 days, have you been in contact with someone No / Unsure 7/16/2022 1:39 PM EDT
who was confirmed or suspected to have Coronavirus/
COVID-19?
Last Filed Vital Signs
Vital Sign Reading Time Taken Comments
Blood Pressure 101/55 07/14/2022 5:00 AM EDT
Pulse 78 07/14/2022 5:00 AM EDT
Temperature 37.1 °C (98.7 °F) 07/14/2022 5:00 AM EDT
Respiratory Rate 19 07/14/2022 5:00 AM EDT
Oxygen Saturation 99% 07/10/2022 1:52 AM EDT
Inhaled Oxygen Concentration - -
Weight 109 kg (241 lb 6.4 oz) 07/08/2022 2:45 AM EDT
Height 172.7 cm (5' 7.99") 07/08/2022 2:45 AM EDT
Body Mass Index 36.71 07/08/2022 2:45 AM EDT
Procedures
ANESTHESIA SPINAL BLOCK (Performed 12/23/2019)
Cesarean delivery with care before and after delivery (FULL ROUT OBSTE CARE,CESAREAN DELIV) (Performed 12/23/2019)
Performed for History of cesarean delivery, antepartum
FETAL NONSTRESS TEST (Performed 12/12/2019)
Performed for Abdominal pain complicating pregnancy
Performed for Influenza-like symptoms
ANESTHESIA SPINAL BLOCK (Performed 1/12/2018)
Cesarian delivery with pre- and post-delivery care (Performed 1/12/2018)
Performed for Breech presentation, single or unspecified fetus
Performed for Encounter for supervision of other normal pregnancy
Performed for Lower abdominal pain, 37 weeks gestation of pregnancy
Performed for Encounter for supervision of other normal pregnancy
Performed for 32 weeks gestation of pregnancy, Left flank pain
Performed for Acute midline low back pain without sciatica
Results
XR CHEST 1 VW - Final result (07/11/2022 8:14 PM EDT)
Anatomical Region Laterality Modality
Body Computed Radiography
Anatomical Location / Collection Method /

Specimen (Source) Laterality Volume Collection Time Received Time
07/13/2022 6:29 AM 07/13/2022 6:29 AM
EDT EDT
Impressions
07/13/2022 6:31 AM EDT
IMPRESSION: No positive findings.
TIME OF DICTATION: 7/13/2022 6:29 AM
Narrative
07/13/2022 6:31 AM EDT
INDICATION: Post covid-19 condition, unspecified
XR CHEST 1 VW
COMPARISON: 01/09/2016
FINDINGS: Single view. The cardiomediastinal silhouette, hila, pleural surfaces and bony thorax are
unremarkable. Lung fields show no evidence of active process. There are no significant pulmonary
nodules detected. There is no pneumothorax detected.
Procedure Note
Steven L Diehl - 07/13/2022
Formatting of this note might be different from the original.
INDICATION: Post covid-19 condition, unspecified
XR CHEST 1 VW
FINDINGS: Single view. The cardiomediastinal silhouette, hila, pleural surfaces and bony thorax are unremarkable. Lung fields
show no evidence of active process. There are no significant pulmonary nodules detected. There is no pneumothorax detected.
IMPRESSION: No positive findings.

Authorizing Provider Result Type

Madeline Gdula IMG XR PROCEDURES
(ABNORMAL) CBC WITH AUTO DIFFERENTIAL REFLEX TO MANUAL DIFFERENTIAL, IF ABNORMAL - Final result
(07/11/2022 4:26 PM EDT)
Ref Analysis Performed
Component Value Range Test Method Time At Pathologist Signature
WBC 5.63 4.50 - 07/11/2022 MMC LAB
11.00 5:07 PM
10*3/uL EDT
RBC 4.22 4.20 - 07/11/2022 MMC LAB
5.50 5:07 PM
10*6/uL EDT
Hemoglobin 13.5 11.5 - 07/11/2022 MMC LAB
16.0 g/ 5:07 PM
dL EDT
Hematocrit 40 37 - 47 07/11/2022 MMC LAB
% 5:07 PM
EDT
MCV 95 82 - 101 07/11/2022 MMC LAB
fL 5:07 PM
EDT
MCH 32.0 27.0 - 07/11/2022 MMC LAB
34.0 pg 5:07 PM
EDT
MCHC 34 32 - 36 07/11/2022 MMC LAB
g/dL 5:07 PM
EDT
RDW 11.5 11.5 - 07/11/2022 MMC LAB
14.5 % 5:07 PM
EDT
Platelets 132 (L) 140 - 07/11/2022 MMC LAB
440 5:07 PM
10*3/uL EDT
MPV 11.8 (H) 7.4 - 07/11/2022 MMC LAB
10.4 fL 5:07 PM
EDT
Neutrophils % 65.1 38.0 - 07/11/2022 MMC LAB
70.0 % 5:07 PM
EDT
Lymphocytes % 26.1 20.0 - 07/11/2022 MMC LAB
48.0 % 5:07 PM
EDT
Monocytes % 4.3 4.0 - 07/11/2022 MMC LAB
12.0 % 5:07 PM
EDT
Eosinophils % 3.2 0.0 - 6.0 07/11/2022 MMC LAB
% 5:07 PM
EDT
Basophils % 0.9 0.0 - 2.0 07/11/2022 MMC LAB
% 5:07 PM
EDT
Immature Granulocytes 0.4 0.0 - 0.4 07/11/2022 MMC LAB
% % 5:07 PM
EDT
Absolute Neutrophils 3.7 1.7 - 8.0 07/11/2022 MMC LAB
10*3/uL 5:07 PM
EDT
Lymphocytes Absolute 1.5 0.9 - 2.9 07/11/2022 MMC LAB
10*3/uL 5:07 PM
EDT
Monocytes Absolute 0.2 (L) 0.3 - 0.9 07/11/2022 MMC LAB
10*3/uL 5:07 PM
EDT
Eosinophils Absolute 0.2 0.1 - 0.5 07/11/2022 MMC LAB
10*3/uL 5:07 PM
EDT
Basophils Absolute 0.1 0.0 - 0.3 07/11/2022 MMC LAB
10*3/uL 5:07 PM
EDT
Immature Granulocyte 0.0 0.0 - 0.1 07/11/2022 MMC LAB
Absolute 5:07 PM
EDT
Blood Venous blood Venipuncture / 07/11/2022 4:26 PM 07/11/2022 4:54 PM
specimen / Unknown Unknown EDT EDT

Madeline Gdula LAB BLOOD ORDERABLES
Performing
Organization Address City/State/ZIP Code Phone Number
MMC LAB 1086 Franklin Street Johnstown, PA 15905
(ABNORMAL) LYME DISEASE ANTIBODIES REFLEX TO LYME DISEASE LINE BLOT, IF POSITIVE OR EQUIVOCAL - Final
result (07/11/2022 4:25 PM EDT)
Lyme Total IgM/IgG Ab Equivocal (A) Non- 07/13/2022 MMC LAB
Reactive 11:32 AM
EDT
Comment: This result has been reported to the PA Department of Health.
Lyme Total IgM/IgG Ab 0.9 (H) <=0.8 AI 07/13/2022 MMC LAB
Index 11:32 AM
EDT

Performing
(ABNORMAL) LYME DISEASE-WESTERN BLOT (LYME ANTIBODY, LINE BLOT, SERUM) - Final result (07/11/2022 4:25 PM
EDT)
IgG P93 Ab. Absent 07/17/2022 LABCORP
5:06 PM
EDT
5:06 PM
EDT
5:06 PM
EDT
5:06 PM
EDT
IgG P41 Ab. Present (A) 07/17/2022 LABCORP
5:06 PM
EDT
5:06 PM
EDT
5:06 PM
EDT
5:06 PM
EDT
5:06 PM
EDT
5:06 PM
EDT
Lyme IgG Line Blot Negative 07/17/2022 LABCORP
Interp. 5:06 PM
EDT
Comment:
Positive: 5 of the following
Borrelia-specific bands:
18,23,28,30,39,41,45,58,
66, and 93.
Negative: No bands or banding
patterns which do not
meet positive criteria.
IgM P41 Ab. Absent 07/17/2022 LABCORP
5:06 PM
EDT
IgM P39 Ab. Absent 07/17/2022 LABCORP
5:06 PM
EDT
IgM P23 Ab. Present (A) 07/17/2022 LABCORP
5:06 PM
EDT
Lyme IgM Line Blot Negative 07/17/2022 LABCORP
Interp. 5:06 PM
EDT
Comment:
Note: An equivocal or positive EIA result followed by a negative
Line Blot result is considered NEGATIVE. An equivocal or positive
EIA result followed by a positive Line Blot is considered POSITIVE
by the CDC.
Positive: 2 of the following bands: 23,39 or 41
Negative: No bands or banding patterns which do not meet positive
criteria.
Criteria for positivity are those recommended by CDC/ASTPHLD.
p23=Osp C, p41=flagellin
Note:
Sera from individuals with the following may cross react in the
Lyme Line Blot assays: other spirochetal diseases (periodontal
disease, leptospirosis, relapsing fever, yaws, and pinta);
connective autoimmune (Rheumatoid Arthritis and Systemic Lupus
Erythematosus and also individuals with Antinuclear Antibody);
other infections (Rocky Mountain Spotted Fever; Epstein-Barr Virus,
and Cytomegalovirus).
Please Note: Lyme immunoblot alone is not recommended for the
diagnosis of Lyme disease. Current guidelines recommend the use
of a two-tiered approach to Lyme serology testing to improve the
sensitivity and specificity of testing. Labcorp offers test code
164226 Lyme Disease Serology with Reflex to aid in the diagnosis
of Lyme Disease.
Narrative
LABCORP - 07/17/2022 5:06 PM EDT
Performed at: 01 - Labcorp Burlington
1447 York Court, Burlington, NC 272153361
Lab Director: Sanjai Nagendra MD, Phone: 8007624344

Performing
LABCORP
PHOSPHORUS - Final result (07/11/2022 4:25 PM EDT)

Phosphorus 4.4 2.3 - 4.7 07/11/2022 MMC LAB
mg/dL 5:26 PM
EDT

Performing
MYOGLOBIN SERUM (MYOGLOBIN, SERUM) - Final result (07/11/2022 4:25 PM EDT)

Myoglobin 22.6 0.0 - 07/11/2022 MMC LAB
106.0 5:26 PM
ng/mL EDT
Comment: Cal Accepted


Performing
MAGNESIUM - Final result (07/11/2022 4:25 PM EDT)

Magnesium 2.2 1.6 - 2.6 07/11/2022 MMC LAB
mg/dL 5:26 PM
EDT


Performing
(ABNORMAL) CK - Final result (07/11/2022 4:25 PM EDT)

Total CK 27 (L) 30 - 190 07/11/2022 MMC LAB
U/L 5:26 PM
EDT

Performing
(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (07/11/2022 4:25 PM EDT)

Sodium 141 136 - 07/11/2022 MMC LAB
145 5:26 PM
mmol/L EDT
Potassium 3.8 3.5 - 5.1 07/11/2022 MMC LAB
mmol/L 5:26 PM
EDT
Chloride 112 (H) 98 - 107 07/11/2022 MMC LAB
mmol/L 5:26 PM
EDT
CO2 22 22 - 29 07/11/2022 MMC LAB
mEq/L 5:26 PM
EDT
Anion Gap 7 5 - 14 07/11/2022 MMC LAB
mmol/L 5:26 PM
EDT
Calcium 9.50 8.50 - 07/11/2022 MMC LAB
10.30 5:26 PM
mg/dL EDT
BUN 18 7 - 19 07/11/2022 MMC LAB
mg/dL 5:26 PM
EDT
Creatinine 1.10 0.55 - 07/11/2022 MMC LAB
1.10 mg/ 5:26 PM
dL EDT
eGFR 67 >60 mL/ 07/11/2022 MMC LAB
min 5:26 PM
EDT
Comment:
Values below 60 have clinical implications for moderate kidney disease.
If kidney function is unstable, result may not be accurate.
Albumin 4.7 3.5 - 5.0 07/11/2022 MMC LAB

g/dL 5:26 PM
EDT
Total Bilirubin 0.3 0.3 - 1.2 07/11/2022 MMC LAB
mg/dL 5:26 PM
EDT
Alkaline Phosphatase 120 40 - 150 07/11/2022 MMC LAB
U/L 5:26 PM
EDT
Total Protein 7.6 6.0 - 8.3 07/11/2022 MMC LAB
g/dL 5:26 PM
EDT
AST 16 5 - 34 U/ 07/11/2022 MMC LAB
L 5:26 PM
EDT
ALT (SGPT) 17 <=55 U/ 07/11/2022 MMC LAB
L 5:26 PM
EDT
Glucose, Fasting 102 70 - 105 07/11/2022 MMC LAB
mg/dL 5:26 PM
EDT
Comment: If the patient is non-fasting the reference range can be extended to 200 mg/dL.

Performing
(ABNORMAL) LIPID SURVEY - Final result (07/08/2022 6:33 AM EDT)

Cholesterol 112 0 - 200 07/08/2022 MMC LAB
mg/dL 7:19 AM
EDT
Triglycerides 52 0 - 150 07/08/2022 MMC LAB
mg/dL 7:19 AM
EDT
HDL 47.6 (L) >=65.0 07/08/2022 MMC LAB
mg/dL 7:19 AM
EDT
LDL Calculated 54 0 - 130 07/08/2022 MMC LAB
mg/dL 7:19 AM
EDT

Blood Venous blood Venipuncture / 07/08/2022 6:33 AM 07/08/2022 6:40 AM

Tiffany N Clark LAB BLOOD ORDERABLES
Performing
(ABNORMAL) DRUG SCREEN, URINE - Final result (07/07/2022 8:26 PM EDT)

Amphetamine Screen, Positive, None 07/07/2022 MMC LAB
Urine Non-Specific detected 9:31 PM
(A) EDT
Comment: Cutoff: 1000ng/mL
Barbiturate Screen, Ur None None 07/07/2022 MMC LAB
detected detected 9:31 PM
EDT
Comment: Cutoff: 200 ng/mL
Benzodiazepines Screen, None None 07/07/2022 MMC LAB
Urine detected detected 9:31 PM
EDT
Cannabinoid Screen, None None 07/07/2022 MMC LAB
EDT
Cocaine Screen, Urine None None 07/07/2022 MMC LAB
EDT
Methadone, Qual None None 07/07/2022 MMC LAB
EDT
Opiate Screen, Ur None None 07/07/2022 MMC LAB
EDT
Oxycodone Screen, Ur None None 07/07/2022 MMC LAB
EDT
PCP Scrn, Ur None None 07/07/2022 MMC LAB
EDT
Tricyclics Screen, Urine None None 07/07/2022 MMC LAB
EDT
Fentanyl Screen, Urine None None 07/07/2022 MMC LAB
ng/mL EDT
Comment: Cutoff: 1.0 ng/mL
Urine Urine specimen Non-blood Collection / 07/07/2022 8:26 PM 07/07/2022 8:49 PM
obtained by clean catch Unknown EDT EDT
procedure / Unknown
Narrative
MMC LAB - 07/07/2022 9:31 PM EDT
This is a screening test. Positive results are not definitive and should be confirmed with a more drug
specific method. If a specific confirmatory test is required, please contact the lab within 3 days.

Emily Rowlands LAB URINE ORDERABLES
Performing
URINALYSIS AUTO ONLY (URINALYSIS) - Final result (07/07/2022 8:26 PM EDT)

Color, Urine Yellow Yellow 07/07/2022 MMC LAB
9:08 PM
EDT
Clarity, Urine Clear Clear 07/07/2022 MMC LAB
9:08 PM
EDT
pH, Urine 6.0 5.0 - 8.0 07/07/2022 MMC LAB
pH 9:08 PM
EDT
Leukocytes, Urine Negative Negative, 07/07/2022 MMC LAB
Trace 9:08 PM
EDT
Nitrite, Urine Negative Negative 07/07/2022 MMC LAB
9:08 PM
EDT
Glucose, Urine Negative Negative 07/07/2022 MMC LAB
mg/dL 9:08 PM
EDT
Bilirubin, Urine Negative Negative 07/07/2022 MMC LAB
9:08 PM
EDT
Specific Gravity, Urine 1.015 1.005 - 07/07/2022 MMC LAB
1.030 9:08 PM
EDT
Ketones, Urine Negative Negative 07/07/2022 MMC LAB
mg/dL 9:08 PM
EDT
Urobilinogen, Urine 0.2 1.0, 0.2 07/07/2022 MMC LAB
mg/dL 9:08 PM
EDT
Blood, Urine Negative Negative 07/07/2022 MMC LAB
9:08 PM
EDT
Protein, Ur Negative Negative, 07/07/2022 MMC LAB
Trace 9:08 PM
mg/dl EDT
procedure / Unknown

Emily Rowlands LAB URINE ORDERABLES
Performing
ETHANOL LEVEL (ETHANOL, PLASMA) - Final result (07/07/2022 8:04 PM EDT)

Ethanol, Whole Blood <0.01 <0.01 % 07/07/2022 MMC LAB
Conversion 8:41 PM
EDT
Comment: This is a whole blood conversion, mg/dL divided by 1180.
Ethanol Lvl Plasma <3 <10 mg/ 07/07/2022 MMC LAB
dL 8:41 PM
EDT

Emily Rowlands LAB BLOOD ORDERABLES
Performing
(07/07/2022 8:04 PM EDT)
WBC 6.21 4.50 - 07/07/2022 MMC LAB
11.00 8:30 PM
10*3/uL EDT
RBC 4.14 (L) 4.20 - 07/07/2022 MMC LAB
5.50 8:30 PM
10*6/uL EDT
16.0 g/ 8:30 PM
dL EDT
% 8:30 PM
EDT
MCV 94 82 - 101 07/07/2022 MMC LAB
fL 8:30 PM
EDT
MCH 31.6 27.0 - 07/07/2022 MMC LAB
34.0 pg 8:30 PM
EDT
MCHC 34 32 - 36 07/07/2022 MMC LAB
g/dL 8:30 PM
EDT
RDW 11.5 11.5 - 07/07/2022 MMC LAB
14.5 % 8:30 PM
EDT
Platelets 154 140 - 07/07/2022 MMC LAB
440 8:30 PM
10*3/uL EDT
MPV 10.8 (H) 7.4 - 07/07/2022 MMC LAB
10.4 fL 8:30 PM
EDT
70.0 % 8:30 PM
EDT
48.0 % 8:30 PM
EDT
12.0 % 8:30 PM
EDT
% 8:30 PM
EDT
% 8:30 PM
EDT
Immature Granulocytes 1.1 (H) 0.0 - 0.4 07/07/2022 MMC LAB
% % 8:30 PM
EDT
10*3/uL 8:30 PM
EDT
10*3/uL 8:30 PM
EDT
Monocytes Absolute 0.4 0.3 - 0.9 07/07/2022 MMC LAB
10*3/uL 8:30 PM
EDT
10*3/uL 8:30 PM
EDT
10*3/uL 8:30 PM
EDT
Absolute 8:30 PM
EDT

Performing
HCG QUALITATIVE, SERUM (HCG, SERUM, QUALITATIVE) - Final result (07/07/2022 8:04 PM EDT)
BHCGQL Negative Negative 07/07/2022 MMC LAB
8:37 PM
EDT


Performing
TSH - Final result (07/07/2022 8:04 PM EDT)

TSH 0.55 0.35 - 07/07/2022 MMC LAB
4.94 9:04 PM
uIU/mL EDT

Performing
T4 FREE (T4, FREE) - Final result (07/07/2022 8:04 PM EDT)

Free T4 1.48 0.89 - 07/07/2022 MMC LAB
1.76 ng/ 9:04 PM
dL EDT


Performing
(ABNORMAL) ACETAMINOPHEN LEVEL - Final result (07/07/2022 8:04 PM EDT)

Acetaminophen Level <2.0 (L) 10.0 - 07/07/2022 MMC LAB
20.0 ug/ 9:04 PM
mL EDT


Performing
SALICYLATE LEVEL - Final result (07/07/2022 8:04 PM EDT)

Salicylate Lvl <3.0 2.0 - 07/07/2022 MMC LAB
25.0 mg/ 9:04 PM
dL EDT

Performing
(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (07/07/2022 8:04 PM EDT)

Sodium 137 136 - 07/07/2022 MMC LAB
145 9:04 PM
mmol/L EDT
Potassium 3.3 (L) 3.5 - 5.1 07/07/2022 MMC LAB
mmol/L 9:04 PM
EDT
Chloride 105 98 - 107 07/07/2022 MMC LAB
mmol/L 9:04 PM
EDT
CO2 24 22 - 29 07/07/2022 MMC LAB
mEq/L 9:04 PM
EDT
Anion Gap 8 5 - 14 07/07/2022 MMC LAB
mmol/L 9:04 PM
EDT
Calcium 9.20 8.50 - 07/07/2022 MMC LAB
10.30 9:04 PM
mg/dL EDT
BUN 7 7 - 19 07/07/2022 MMC LAB
mg/dL 9:04 PM
EDT
Creatinine 0.90 0.55 - 07/07/2022 MMC LAB
1.10 mg/ 9:04 PM
dL EDT
eGFR 85 >60 mL/ 07/07/2022 MMC LAB
min 9:04 PM
EDT
Comment:
Albumin 4.8 3.5 - 5.0 07/07/2022 MMC LAB

g/dL 9:04 PM
EDT
mg/dL 9:04 PM
EDT
U/L 9:04 PM
EDT
g/dL 9:04 PM
EDT
AST 18 5 - 34 U/ 07/07/2022 MMC LAB
L 9:04 PM
EDT
ALT (SGPT) 14 <=55 U/ 07/07/2022 MMC LAB
L 9:04 PM
EDT
mg/dL 9:04 PM
EDT

Performing
SARS AND SARS-COV-2 ANTIGEN FIA, REFLEX TO SARS-COV-2 PCR IF POSITIVE - Final result (07/07/2022 8:03 PM
EDT)
SARS (Covid) Antigen Negative Negative 07/07/2022 MMC LAB
8:51 PM
EDT

Swab Specimen from COVID Collection / 07/07/2022 8:03 PM 07/07/2022 8:26 PM
nasopharyngeal Unknown EDT EDT
structure / Unknown
Narrative
MMC LAB - 07/07/2022 8:51 PM EDT
COVID antigen tests are best utilized in symptomatic patients within 5-7 days of symptoms onset. If
clinical suspicion persists with a negative antigen result, consider collecting a new specimen for PCR
assay.
Testing was performed using the SARS Antigen FIA kit on the Quidel Sofia system. This test has been
authorized by the FDA under an Emergency Use Authorization (EUA). Fact sheets for this Emergency Use
Authorization (EUA) assay can be found at the following link:
For patients: https://www.fda.gov/media/137887/download
For providers: https://www.fda.gov/media/137884/download

Emily Rowlands LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
(ABNORMAL) POCT COVID ANTIGEN (POCT COVID ANTIGEN POCT COVID ANTIGEN) - Final result (06/26/2022 7:23 PM
EDT)
COVID ANTIGEN POCT Positive (A) Negative

Swab 06/26/2022 7:23 PM
EDT

Lindsay Walker POINT OF CARE TEST ORDERABLES
CT MAXILLO FACIAL AREA UNENHANCED W 3D PROCESSING IF INDICATED - Final result (07/03/2021 10:15 PM EDT)
Head Computed Tomography
07/03/2021 10:31 PM
EDT
Impressions
07/03/2021 10:33 PM EDT
IMPRESSION:
No acute findings.
ASSESSMENT:
NEGATIVE report - No abnormal findings.
Report Electronically Signed By: Michael Khalili M.D. - 7/3/2021 10:33 PM
Narrative
07/03/2021 10:33 PM EDT
EXAM: CT Maxillofacial Without Intravenous Contrast
CLINICAL HISTORY: Facial trauma
TECHNIQUE: Axial computed tomography images of the face without intravenous contrast. Number of
previous CT and cardiac nuclear scans in the prior 12 months: 0. Dose reduction technique was used.
3D
reconstructed images were created and reviewed.
COMPARISON: No relevant prior studies available.
FINDINGS:
Bones/joints: No acute fracture.
Soft tissues: Unremarkable.
Orbits: Unremarkable.
Sinuses: No air-fluid levels.

Procedure Note
CPG Urology Physician - Locum - 07/03/2021
EXAM: CT Maxillofacial Without Intravenous Contrast
CLINICAL HISTORY: Facial trauma
TECHNIQUE: Axial computed tomography images of the face without intravenous contrast. Number of
previous CT and cardiac nuclear scans in the prior 12 months: 0. Dose reduction technique was used. 3D
reconstructed images were created and reviewed.
COMPARISON: No relevant prior studies available.
FINDINGS:
Bones/joints: No acute fracture.
Soft tissues: Unremarkable.
Orbits: Unremarkable.
Sinuses: No air-fluid levels.
IMPRESSION:
No acute findings.
ASSESSMENT:
NEGATIVE report - No abnormal findings.
Report Electronically Signed By: Michael Khalili M.D. - 7/3/2021 10:33 PM

Christopher Lyon IMG CT PROCEDURES
SARS-CoV2 RNA by PCR (SARS-COV-2 RNA DIAGNOSTIC BY PCR) - Final result (09/23/2020 9:25 AM EDT)
SARS-CoV-2 Not Detected Not 09/23/2020 MMC LAB
Detected 8:58 PM
EDT
Comment:
Testing was performed using the SARS-CoV-2 assay (Roche Molecular Systems, Inc.) on the Roche Cobas
6800 system. This test has been authorized by the FDA under an Emergency Use Authorization (EUA).
Fact sheets for this Emergency Use Authorization (EUA) assay can be found at the following links:

For Healthcare Providers: https://www.fda.gov/media/136047/download

For Patients: https://www.fda.gov/media/136048/download

Swab Specimen from COVID Collection / 09/23/2020 9:25 AM 09/23/2020 1:56 PM
nasopharyngeal Unknown EDT EDT
structure / Unknown

David F Holsinger LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
POCT INFLUENZA B - Final result (09/22/2020 7:01 PM EDT)

POCT Influenza B Ag Negative Negative EXTERNAL
NON-
INTERFACED
LAB

Swab 09/22/2020 7:01 PM
EDT

David F Holsinger POINT OF CARE TEST ORDERABLES
Performing
EXTERNAL NON-
INTERFACED LAB
POCT INFLUENZA A - Final result (09/22/2020 7:01 PM EDT)

POCT Influenza A Ag Negative Negative EXTERNAL
NON-
INTERFACED
LAB

Swab 09/22/2020 7:01 PM
EDT
David F Holsinger POINT OF CARE TEST ORDERABLES
Performing
EXTERNAL NON-
INTERFACED LAB
XR ANKLE 3+ VW LEFT - Final result (09/08/2020 4:56 PM EDT)

Lower Extremities, Ankle Left Computed Radiography

09/08/2020 5:29 PM 09/08/2020 5:31 PM
EDT EDT
Narrative
09/08/2020 5:33 PM EDT
INDICATION: pain and swelling. no new injury. Hx fracture with surgical repair left ankle pain and
swelling for the past 2 days prior fracture without acute injury.
XR ANKLE 3+ VW LEFT
FINDINGS:
NUMBER OF VIEWS: 3 of the left ankle
JOINT(S):Posttraumatic degenerative changes of the ankle mortise.
BONES: Postsurgical changes with screws present. Intact and unchanged the previous study.
SOFT TISSUES: Interval development of marked soft tissue swelling circumferentially medial greater
than lateral.
ADDITIONAL FINDINGS: None
CONCLUSION: Soft tissue swelling medial greater than lateral with no definite acute fracture.
Posttraumatic degenerative changes of the ankle
TIME OF DICTATION: 9/8/2020 5:29 PM

Procedure Note
Gary S Kramer - 09/08/2020
Procedure Note
INDICATION: pain and swelling. no new injury. Hx fracture with surgical repair left ankle pain and swelling for the past 2 days
prior fracture without acute injury.
XR ANKLE 3+ VW LEFT
FINDINGS:
NUMBER OF VIEWS: 3 of the left ankle
JOINT(S):Posttraumatic degenerative changes of the ankle mortise.
BONES: Postsurgical changes with screws present. Intact and unchanged the previous study.
SOFT TISSUES: Interval development of marked soft tissue swelling circumferentially medial greater than lateral.
ADDITIONAL FINDINGS: None
CONCLUSION: Soft tissue swelling medial greater than lateral with no definite acute fracture. Posttraumatic degenerative
changes of the ankle

Jodi M Rager IMG XR PROCEDURES
US DOPPLER VENOUS LEGS BILATERAL - Final result (09/08/2020 4:16 PM EDT)

Bilateral Ultrasound


Narrative
09/09/2020 5:10 PM EDT
This result has an attachment that is not available.
Narrative
VENOUS DUPLEX WITH SPECTRAL ANALYSIS OF DOPPLER WAVEFORMS WAS PERFORMED
THROUGHOUT THE RIGHT AND LEFT LOWER EXTREMITIES WITH THE FOLLOWING
RESULTS:
THE RIGHT AND LEFT COMMON FEMORAL, FEMORAL, PROFUNDA FEMORIS, POPLITEAL,
GASTROCNEMIUS, TIBIAL AND PERONEAL VEINS WERE INTERROGATED WITH NO ACUTE
DEEP VEIN THROMBOSIS OR CHRONIC POST-THROMBOTIC CHANGES IDENTIFIED. ALL
OF THE AFOREMENTIONED VEINS REACTED NORMALLY TO COMPRESSION AND DOPPLER
MANEUVERS.
THE RIGHT AND LEFT GREAT SAPHENOUS AND SMALL SAPHENOUS VEINS WERE
INTERROGATED WITH NO ACUTE SUPERFICIAL THROMBOPHLEBITIS OR CHRONIC
POST-THROMBOTIC CHANGES IDENTIFIED.
CONCLUSION:
1. BILATERAL LOWER EXTREMITY VENOUS DUPLEX IS NEGATIVE FOR DEEP VEIN
THROMBOSIS.
2. COMPARED TO A PRIOR STUDY PERFORMED 2/28/12 THERE HAS BEEN NO CHANGE.
[9/8/2020 4:19:39 PM - HAYFORD, BART]
Lower Venous
The right common femoral vein was viewed with no evidence of intraluminal thrombus visualilzed.The
right femoral vein was viewed with no evidence of intraluminal thrombus visualized.The right popliteal
vein was viewed with no evidence of intraluminal thrombus visualized.The right post tibial vein was
viewed with no evidence of intraluminal thrombus visualized.The right peroneal vein was viewed with no
evidence of intraluminal thrombus visualized.The right great saphenous vein was viewed with no evidence
of intraluminal thrombus visualized.The left common femoral vein was viewed with no evidence of
intraluminal thrombus visualized.The left femoral vein was viewed with no evidence of intraluminal
thrombus visualized.The left popliteal vein was viewed with no evidence of intraluminal thrombus
visualized.The left post tibial vein was viewed with no evidence of intraluminal thrombus formation.The
left peroneal vein was viewed with no evidence of intraluminal thrombus formation.The left great
saphenous vein was viewed with not evidence of intraluminal thrombus formation.

Jodi M Rager CV VASCULAR PROCEDURES
XR LUMBAR SPINE 2 OR 3 VW (XR SPINE LUMBAR 2 OR 3 VW) - Final result (05/29/2020 1:06 PM EDT)
Spine, L-spine Computed Radiography

05/29/2020 2:01 PM 05/29/2020 2:03 PM
EDT EDT
Narrative
05/29/2020 2:05 PM EDT
PROCEDURE: XR SPINE LUMBAR 2 OR 3 VW
INDICATION: Lumbago with sciatica, left side

Lumbago with sciatica, right side
COMPARISON: Thoracic spine radiographs 05/29/20
FINDINGS:
NUMBER OF VIEWS: 3
BONES: Mild dextroscoliosis at the thoracolumbar junction with the apex of the curvature at L1-2. No
congenital segmentation or fusion anomaly, fracture or suspicious lesion.
DISC SPACES: Normal
JOINTS: Normal
PARASPINOUS: Normal
OTHER: None
CONCLUSION: Mild idiopathic thoracolumbar dextroscoliosis.
Procedure Note
Anthony J Scuderi - 05/29/2020
Procedure Note
PROCEDURE: XR SPINE LUMBAR 2 OR 3 VW
INDICATION: Lumbago with sciatica, left side

Lumbago with sciatica, right side
COMPARISON: Thoracic spine radiographs 05/29/20
FINDINGS:
NUMBER OF VIEWS: 3
BONES: Mild dextroscoliosis at the thoracolumbar junction with the apex of the curvature at L1-2. No congenital segmentation
or fusion anomaly, fracture or suspicious lesion.
DISC SPACES: Normal
JOINTS: Normal
PARASPINOUS: Normal
OTHER: None

Mark McConnell IMG XR PROCEDURES
XR THORACIC SPINE 3 VW (XR SPINE THORACIC 3 VW) - Final result (05/29/2020 1:06 PM EDT)
Spine, T-spine Computed Radiography

05/29/2020 1:59 PM 05/29/2020 2:03 PM
EDT EDT
Narrative
05/29/2020 2:05 PM EDT
PROCEDURE: XR SPINE THORACIC 3 VW
INDICATION: Pain in thoracic spine
COMPARISON: Lumbar spine radiographs 05/29/20
FINDINGS:
NUMBER OF VIEWS: 2
BONES: Mild dextroscoliosis at the thoracolumbar junction with the apex of the curvature at L1-2. No
congenital segmentation or fusion anomaly, fracture or suspicious lesion.
DISC SPACES: Normal
JOINTS: Normal
PARASPINOUS: Normal
OTHER: None
Procedure Note
Procedure Note
PROCEDURE: XR SPINE THORACIC 3 VW
INDICATION: Pain in thoracic spine
COMPARISON: Lumbar spine radiographs 05/29/20
FINDINGS:
NUMBER OF VIEWS: 2
BONES: Mild dextroscoliosis at the thoracolumbar junction with the apex of the curvature at L1-2. No congenital segmentation
or fusion anomaly, fracture or suspicious lesion.
DISC SPACES: Normal
JOINTS: Normal
PARASPINOUS: Normal
OTHER: None

XR CERVICAL SPINE 2 OR 3 VW (XR SPINE CERVICAL 2 OR 3 VW) - Final result (05/29/2020 1:06 PM EDT)
Spine, C-spine Computed Radiography

05/29/2020 2:03 PM 05/29/2020 2:04 PM
EDT EDT
Narrative
05/29/2020 2:06 PM EDT
PROCEDURE: XR SPINE CERVICAL 2 OR 3 VW
INDICATION: Anesthesia of skin
COMPARISON: None
FINDINGS:
NUMBER OF VIEWS: 3
BONES: Normal
DISC SPACES: Normal
JOINTS: Normal
PARASPINOUS: Normal
OTHER: Normal alignment
CONCLUSION: Normal exam
Procedure Note
Procedure Note
PROCEDURE: XR SPINE CERVICAL 2 OR 3 VW
INDICATION: Anesthesia of skin
COMPARISON: None
FINDINGS:
NUMBER OF VIEWS: 3
BONES: Normal
DISC SPACES: Normal
JOINTS: Normal
PARASPINOUS: Normal
OTHER: Normal alignment
CONCLUSION: Normal exam

US PELVIS NON OBSTETRIC COMPLETE - Final result (02/11/2020 5:55 PM EST)

Pelvis Ultrasound

02/11/2020 6:06 PM EST 02/11/2020 6:11 PM EST
Narrative
02/11/2020 6:13 PM EST
INDICATION: heav vag bleeeding, h/o postpartum hemorrhage,.
PROCEDURE: ULTRASOUND FEMALE PELVIS, TRANSABDOMINAL AND ENDOVAGINAL
COMPARISON: Pelvic ultrasound from 02/02/2012.
TECHNIQUE: Pelvic ultrasound using transabdominal technique. Patient declined transvaginal technique.
FINDINGS:
UTERUS: Size is 7.6 x 4.0 x 6.2 cm with unremarkable appearance. Endometrial thickness is 4.5 mm. No
increased color flow in the endometrium.
OVARIES:
* Right ovary measures 2.6 x 2.2 x 2.1 cm, demonstrates normal color flow and normal arterial and
venous waveforms on spectral Doppler analysis without evidence of torsion. No focal right ovarian or
adnexal lesions are seen.
Left ovary measures 2.9 x 1.9 x 2.1 cm, demonstrates normal color flow and normal arterial and venous
waveforms on spectral Doppler analysis without evidence of torsion. No focal left ovarian or adnexal
lesions are seen.
CUL-DE-SAC: Negative.
OTHER: Negative.
CONCLUSION:
Normal sonographic appearance of the uterus and bilateral ovaries. Normal endometrial thickness of 4.5
mm without evidence of increased color flow in the endometrium. Normal arterial and venous waveforms
demonstrated on spectral Doppler analysis of the
bilateral ovaries without evidence of torsion.
Procedure Note
Damian P Clossin - 02/11/2020
Procedure Note
INDICATION: heav vag bleeeding, h/o postpartum hemorrhage,.
PROCEDURE: ULTRASOUND FEMALE PELVIS, TRANSABDOMINAL AND ENDOVAGINAL
COMPARISON: Pelvic ultrasound from 02/02/2012.
TECHNIQUE: Pelvic ultrasound using transabdominal technique. Patient declined transvaginal technique.
FINDINGS:
UTERUS: Size is 7.6 x 4.0 x 6.2 cm with unremarkable appearance. Endometrial thickness is 4.5 mm. No increased color flow in
the endometrium.
OVARIES:
* Right ovary measures 2.6 x 2.2 x 2.1 cm, demonstrates normal color flow and normal arterial and venous waveforms on
spectral Doppler analysis without evidence of torsion. No focal right ovarian or adnexal lesions are seen.
Left ovary measures 2.9 x 1.9 x 2.1 cm, demonstrates normal color flow and normal arterial and venous waveforms on spectral
Doppler analysis without evidence of torsion. No focal left ovarian or adnexal lesions are seen.
CUL-DE-SAC: Negative.
OTHER: Negative.
CONCLUSION:
Normal sonographic appearance of the uterus and bilateral ovaries. Normal endometrial thickness of 4.5 mm without evidence
of increased color flow in the endometrium. Normal arterial and venous waveforms demonstrated on spectral Doppler analysis
of the
bilateral ovaries without evidence of torsion.

Prachi A Bhogan IMG US PROCEDURES
DIRECT ANTIGLOBULIN TEST (ANTI-IGG (DAT)) - Final result (02/11/2020 4:58 PM EST)
Anti-IgG (DAT) NEG 02/11/2020 MMC
6:39 PM BLOOD
EST BANK LAB

Blood Venous blood Venipuncture / 02/11/2020 4:58 PM EST 02/11/2020 5:06 PM EST
specimen / Unknown Unknown

Prachi A Bhogan LAB BLOOD BANK TEST ORDERABLES
Performing
MMC BLOOD BANK 1086 Franklin Street Johnstown, PA 15905
LAB
(02/11/2020 4:58 PM EST)
WBC 5.03 4.50 - 02/11/2020 MMC LAB
11.00 5:08 PM
10*3/uL EST
RBC 4.09 (L) 4.20 - 02/11/2020 MMC LAB
5.50 5:08 PM
10*6/uL EST
16.0 g/ 5:08 PM
dL EST
% 5:08 PM
EST
MCV 94 82 - 101 02/11/2020 MMC LAB
fL 5:08 PM
EST
MCH 30.1 27.0 - 02/11/2020 MMC LAB
34.0 pg 5:08 PM
EST
MCHC 32 32 - 36 02/11/2020 MMC LAB
g/dL 5:08 PM
EST
RDW 13.2 11.5 - 02/11/2020 MMC LAB
14.5 % 5:08 PM
EST
440 5:08 PM
10*3/uL EST
MPV 10.0 7.4 - 02/11/2020 MMC LAB
10.4 fL 5:08 PM
EST
70.0 % 5:08 PM
EST
48.0 % 5:08 PM
EST
12.0 % 5:08 PM
EST
% 5:08 PM
EST
% 5:08 PM
EST
Immature Granulocytes 0.2 0.0 - 0.4 02/11/2020 MMC LAB
% % 5:08 PM
EST
10*3/uL 5:08 PM
EST
10*3/uL 5:08 PM
EST
10*3/uL 5:08 PM
EST
10*3/uL 5:08 PM
EST
10*3/uL 5:08 PM
EST
Absolute 5:08 PM
EST

Prachi A Bhogan LAB BLOOD ORDERABLES
Performing
ANTIBODY IDENTIFICATION - Final result (02/11/2020 4:58 PM EST)

Antibody ID POS, Probable 02/11/2020 MMC
Passive- 6:39 PM BLOOD
Acquired EST BANK LAB
Anti-D


Performing
LAB
TYPE & SCREEN (TYPE AND SCREEN) - Final result (02/11/2020 4:58 PM EST)
ABO/Rh O NEG 02/11/2020 MMC
6:38 PM BLOOD
EST BANK LAB
Antibody Screen POS 02/11/2020 MMC
6:38 PM BLOOD
EST BANK LAB
Comment:
@02/11/20 18:38 by ANG:
Critical result reported from Darlene Fox and read back by Lindsay Crist on
2/11/2020 at 1635.


Performing
LAB
(ABNORMAL) BASIC METABOLIC PANEL - Final result (02/11/2020 4:58 PM EST)

Sodium 139 136 - 02/11/2020 MMC LAB
145 5:24 PM
mmol/L EST
mmol/L 5:24 PM
EST
Chloride 111 (H) 98 - 107 02/11/2020 MMC LAB
mmol/L 5:24 PM
EST
CO2 21 (L) 22 - 29 02/11/2020 MMC LAB
mEq/L 5:24 PM
EST
Anion Gap 7 5 - 14 02/11/2020 MMC LAB
mmol/L 5:24 PM
EST
Calcium 9.2 8.5 - 02/11/2020 MMC LAB
10.3 mg/ 5:24 PM
dL EST
BUN 13 7 - 19 02/11/2020 MMC LAB
mg/dL 5:24 PM
EST
Creatinine 0.8 0.6 - 1.1 02/11/2020 MMC LAB
mg/dL 5:24 PM
EST
eGFR 82 >60 mL/ 02/11/2020 MMC LAB
min 5:24 PM
EST
Comment:
Multiply by 1.210 if African American.

mg/dL 5:24 PM
EST


Prachi A Bhogan LAB BLOOD ORDERABLES
Performing
ECG 12-LEAD - Final result (02/11/2020 2:42 PM EST)

02/11/2020 2:42 PM EST
Narrative
EPIPHANY - 02/12/2020 4:54 PM EST
Interpretive Statements
Normal sinus rhythm
Normal QRS amplitude for age group
There are no significant ST, T wave changes
There are no significant changes when compared to prior ECG performed on
8/23/2018
Electronically Signed On 2-12-2020 16:54:56 EST by Lou Mastrine, D.O.
Procedure Note
Lou Mastrine - 02/12/2020
Normal sinus rhythm
Normal QRS amplitude for age group
There are no significant ST, T wave changes
There are no significant changes when compared to prior ECG performed on
8/23/2018
Electronically Signed On 2-12-2020 16:54:56 EST by Lou Mastrine, D.O.

Jennifer Savino ECG ORDERABLES
Performing
EPIPHANY
RHOGAM EVALUATION (POST DELIVERY) (RHOGAM (POST DELIVERY) IF FETAL SCREEN POSITIVE, REFLEX TO
KLEIHAUER-BETKE) - Final result (12/24/2019 5:21 AM EST)
6:30 AM BLOOD
EST BANK LAB
Fetal Bleed Screen NEG 12/24/2019 MMC
6:30 AM BLOOD
EST BANK LAB

specimen / Unknown Unknown EST EST

Adib N Khouzami LAB BLOOD BANK TEST ORDERABLES
Performing
LAB
(12/24/2019 5:21 AM EST)
WBC 7.5 4.5 - 12/24/2019 MMC LAB
11.0 5:57 AM
10*3/uL EST
RBC 3.06 (L) 4.20 - 12/24/2019 MMC LAB
5.50 5:57 AM
10*6/uL EST
Hemoglobin 9.8 (L) 11.5 - 12/24/2019 MMC LAB
16.0 gm/ 5:57 AM
dL EST
Hematocrit 29 (L) 37 - 47 12/24/2019 MMC LAB
% 5:57 AM
EST
MCV 93 82 - 101 12/24/2019 MMC LAB
fL 5:57 AM
EST
MCH 32.0 27.0 - 12/24/2019 MMC LAB
34.0 pg 5:57 AM
EST
MCHC 34 32 - 36 12/24/2019 MMC LAB
g/dL 5:57 AM
EST
RDW 12.4 11.5 - 12/24/2019 MMC LAB
14.5 % 5:57 AM
EST
440 5:57 AM
10*3/uL EST
MPV 7.5 7.4 - 12/24/2019 MMC LAB
10.4 fL 5:57 AM
EST
Neutrophils % 56 38 - 70 12/24/2019 MMC LAB
% 5:57 AM
EST
Lymphocytes % 35 20 - 48 12/24/2019 MMC LAB
% 5:57 AM
EST
Monocytes % 8 4 - 12 % 12/24/2019 MMC LAB
5:57 AM
EST
Eosinophils % 2 0-6% 12/24/2019 MMC LAB
5:57 AM
EST
Basophils % 0 0-2% 12/24/2019 MMC LAB
5:57 AM
EST
10*3/uL 5:57 AM
EST
10*3/uL 5:57 AM
EST
10*3/uL 5:57 AM
EST
10*3/uL 5:57 AM
EST
10*3/uL 5:57 AM
EST

Adib N Khouzami LAB BLOOD ORDERABLES
Performing
ANESTHESIA SPINAL BLOCK (Spinal Block) - Edited Result - FINAL (12/23/2019 9:21 AM EST)
Other

Eric R Ponte ANESTHESIA ORDERABLES
TISSUE EXAM (PATHOLOGY) (TISSUE EXAM) - Final result (12/23/2019 8:49 AM EST)
Case Report Surgical 12/26/2019 MMC LAB
Pathology 12:41 PM
EST

Case:
S19-16756

Authorizing
Provider:
Adib N
Khouzami, MD

Collected:

12/23/2019
0859

Ordering
Location:
Memorial
Medical Center
Received:

12/23/2019
1456

Maternity

Pathologist:
James
J Pisano, MD

Specimens:
A) - Placenta,
placenta and
portion of
cord 39weeks 0
days.

B)
- Fallopian
Tube, Left

C)
- Fallopian
Tube, Right

Surgical Pathology Final A: Placenta 12/26/2019 MMC LAB Electronically signed by
Diagnosis (668 g), 12:41 PM James J Pisano, MD on
39weeks 0 EST 12/26/2019 at 12:41 PM
days,
membranes and
umbilical cord
showing.
·
Histologically
unremarkable 3
blood vessel
umbilical
cord.
·
Histologically
unremarkable
chorioamnionic
membranes.
· Cotyledons
composed of
mature
chorionic
villi.
B: Fallopian
Tube, Left,
· Complete
cross section
of
histologically
unremarkable
fallopian
tube, left.
C: Fallopian
Tube, Right,
· Complete
cross section
of
histologically
unremarkable
fallopian
tube, right.
Gross Description A. The 12/26/2019 MMC LAB

specimen on 12:41 PM
patient: EST
Candace P
Deihl, Medical
Record #:
3169509,
labeled:
Placenta, is
received in
formalin and
consists of a
discoid
placenta that
weighs 668 g
when trimmed
of membranes
and cord and
measures
approximately
19.9 x 19.5 x
3.6 cm. The
membranes are
yellow-gray
and semi-
translucent
with minimal
adherent blood
clot and
inserts
marginally.
The 38.0 cm in
length by up
to 1.5 cm in
diameter
yellow-tan,
edematous,
trivascular
umbilical cord
inserts
eccentrically,
6.0 cm from
the nearest
placental disc
edge. Also
received in
the container
is an
additional
portion of
yellow-tan and
umbilical cord
which measures
17 cm in
length. The
fetal surface
is gray-blue
with the usual
distribution
of
vasculature.
Maternal
surface is
moderately
disrupted and
completeness
cannot be
determined.
The cut
surface shows
a beefy red
parenchyma
with no
discrete
lesions or
masses
identified.
Representative
sections to
include
placenta,
membranes, and
cord are
submitted in
cassettes A1
through A3.
B. The
specimen on
patient:
Candace P
Deihl, Medical
Record #:
3169509,
labeled:
Fallopian
Tube, Left, is
received in
formalin and
consists of a
5.5 cm in
length by up
to 0.9 cm in
diameter
fimbriated
fallopian
tube. The
serosal
surfaces
purple-tan,
smooth and
glistening.
The specimen
is serially
sectioned to
reveal a
stellate
lumen.
Representative
sections to
include the
entire
fimbriated end
are submitted
in cassette
B1.
C. The
specimen on
patient:
Candace P
Deihl, Medical
Record #:
3169509,
labeled:
Fallopian
Tube, Right,
is received in
formalin and
consists of a
6.0 cm in
length by up
to 0.8 cm in
diameter
fimbriated
fallopian
tube. The
serosal
surfaces
purple-tan,
smooth and
glistening and
displays a 0.9
x 0.6 x 0.6 cm
paratubal
cyst. The
specimen is
serially
sectioned to
reveal a
stellate
lumen.
Representative
sections to
include the
entire
fimbriated end
and cyst are
submitted in
cassette C1.
Clinical Information Pre-op 12/26/2019 MMC LAB
diagnosis: 12:41 PM
History of EST
cesarean
delivery,
currently
pregnant
[O34.219]
Disclaimer Diagnosis is 12/26/2019 MMC LAB
based on tissue 12:41 PM
and information EST
received. Please
notify
pathologist if
discrepant with
clinical data.
Tissue Structure of left 12/23/2019 8:59 AM 12/23/2019 2:56 PM EST
fallopian tube / EST
Unknown
Comment: Pre-op diagnosis:
History of cesarean delivery, currently pregnant [O34.219]
Body tissue structure Structure of left 12/23/2019 8:49 AM 12/23/2019 2:56 PM EST
(body structure) fallopian tube / EST
Unknown
Body tissue structure Structure of right 12/23/2019 8:49 AM 12/23/2019 2:56 PM EST
(body structure) fallopian tube / EST
Unknown

Adib N Khouzami LAB PATHOLOGY/CYTOLOGY ORDERABLES
Performing
(ABNORMAL) DRUG SCREEN, URINE - Final result (12/23/2019 7:39 AM EST)

Amphetamine Screen, None None 12/23/2019 MMC LAB
Urine detected detected 8:07 AM
EST
detected detected 8:07 AM
EST
EST
EST
EST
EST
Opiate Screen, Ur Positive (A) None 12/23/2019 MMC LAB
detected 8:07 AM
EST
EST
EST
EST
Urine Urine specimen Non-blood Collection / 12/23/2019 7:39 AM 12/23/2019 7:45 AM
obtained by clean catch Unknown EST EST
procedure / Unknown
Narrative
MMC LAB - 12/23/2019 8:07 AM EST

Adib N Khouzami LAB URINE ORDERABLES
Performing
POCT URINALYSIS,NON-AUTOMATED WITH MICROSCOPY (POCT URINALYSIS, NON-AUTOMATED WITH

MICROSCOPY) - Final result (12/20/2019 11:29 AM EST)
POCT Glucose, UA Negative Negative
POCT Protein, UA Negative Negative
Urine 12/20/2019 11:29 AM
EST

Adib N Khouzami POINT OF CARE TEST ORDERABLES
(12/12/2019 2:38 PM EST)
WBC 8.8 4.5 - 12/12/2019 MMC LAB
11.0 2:49 PM
10*3/uL EST
RBC 3.97 (L) 4.20 - 12/12/2019 MMC LAB
5.50 2:49 PM
10*6/uL EST
16.0 gm/ 2:49 PM
dL EST
% 2:49 PM
EST
MCV 93 82 - 101 12/12/2019 MMC LAB
fL 2:49 PM
EST
MCH 31.0 27.0 - 12/12/2019 MMC LAB
34.0 pg 2:49 PM
EST
MCHC 33 32 - 36 12/12/2019 MMC LAB
g/dL 2:49 PM
EST
RDW 12.1 11.5 - 12/12/2019 MMC LAB
14.5 % 2:49 PM
EST
440 2:49 PM
10*3/uL EST
MPV 7.6 7.4 - 12/12/2019 MMC LAB
10.4 fL 2:49 PM
EST
Neutrophils % 73 (H) 38 - 70 12/12/2019 MMC LAB
% 2:49 PM
EST
% 2:49 PM
EST
2:49 PM
EST
2:49 PM
EST
2:49 PM
EST
10*3/uL 2:49 PM
EST
10*3/uL 2:49 PM
EST
10*3/uL 2:49 PM
EST
10*3/uL 2:49 PM
EST
10*3/uL 2:49 PM
EST

Megan B Mesaros LAB BLOOD ORDERABLES
Performing
(ABNORMAL) CBC WITHOUT DIFF (CBC) - Final result (12/12/2019 2:38 PM EST)
WBC 8.8 4.5 - 12/12/2019 MMC LAB
11.0 2:49 PM
10*3/uL EST
RBC 3.97 (L) 4.20 - 12/12/2019 MMC LAB
5.50 2:49 PM
10*6/uL EST
16.0 gm/ 2:49 PM
dL EST
% 2:49 PM
EST
MCV 93 82 - 101 12/12/2019 MMC LAB
fL 2:49 PM
EST
MCH 31.0 27.0 - 12/12/2019 MMC LAB
34.0 pg 2:49 PM
EST
MCHC 33 32 - 36 12/12/2019 MMC LAB
g/dL 2:49 PM
EST
RDW 12.1 11.5 - 12/12/2019 MMC LAB
14.5 % 2:49 PM
EST
440 2:49 PM
10*3/uL EST
MPV 7.6 7.4 - 12/12/2019 MMC LAB
10.4 fL 2:49 PM
EST

Performing
URIC ACID - Final result (12/12/2019 2:38 PM EST)

Uric Acid 3.6 2.7 - 6.1 12/12/2019 MMC LAB
mg/dL 3:05 PM
EST


Performing
ALT - Final result (12/12/2019 2:38 PM EST)

ALT (SGPT) 17 <=55 U/ 12/12/2019 MMC LAB
L 3:05 PM
EST


Performing
AST - Final result (12/12/2019 2:38 PM EST)

AST 13 5 - 34 U/ 12/12/2019 MMC LAB
L 3:05 PM
EST


Performing
LIPASE - Final result (12/12/2019 2:38 PM EST)

Lipase 13 8 - 78 U/ 12/12/2019 MMC LAB
L 3:05 PM
EST


Performing
LACTATE DEHYDROGENASE - Final result (12/12/2019 2:38 PM EST)

LD 175 125 - 12/12/2019 MMC LAB
243 U/L 3:05 PM
EST


Performing
CREATININE SERUM (CREATININE, SERUM) - Final result (12/12/2019 2:38 PM EST)

mg/dL 3:05 PM
EST
eGFR 96 >60 mL/ 12/12/2019 MMC LAB
min 3:05 PM
EST
Comment:

Performing
AMYLASE - Final result (12/12/2019 2:38 PM EST)

Amylase 45 25 - 125 12/12/2019 MMC LAB
U/L 3:05 PM
EST


Performing
(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (12/12/2019 2:38 PM EST)

Sodium 135 (L) 136 - 12/12/2019 MMC LAB
145 3:05 PM
mmol/L EST
mmol/L 3:05 PM
EST
Chloride 107 98 - 107 12/12/2019 MMC LAB
mmol/L 3:05 PM
EST
CO2 18 (L) 22 - 29 12/12/2019 MMC LAB
mEq/L 3:05 PM
EST
Anion Gap 10 5 - 14 12/12/2019 MMC LAB
mmol/L 3:05 PM
EST
Calcium 9.0 8.5 - 12/12/2019 MMC LAB
10.3 mg/ 3:05 PM
dL EST
BUN 9 7 - 19 12/12/2019 MMC LAB
mg/dL 3:05 PM
EST
mg/dL 3:05 PM
EST
eGFR 96 >60 mL/ 12/12/2019 MMC LAB
min 3:05 PM
EST
Comment:
Albumin 3.3 (L) 3.5 - 5.0 12/12/2019 MMC LAB

g/dL 3:05 PM
EST
mg/dL 3:05 PM
EST
U/L 3:05 PM
EST
g/dL 3:05 PM
EST
AST 13 5 - 34 U/ 12/12/2019 MMC LAB
L 3:05 PM
EST
ALT (SGPT) 17 <=55 U/ 12/12/2019 MMC LAB
L 3:05 PM
EST
mg/dL 3:05 PM
EST

Performing
FETAL NONSTRESS TEST (UNSCHEDULED FETAL NONSTRESS TEST) - Final result (12/12/2019 2:33 PM EST)
Megan B Mesaros OB GYNE ORDERABLES
(ABNORMAL) Buprenorphine Conf (BUPRENORPHINE CONFIRMATION, URINE) - Final result (12/12/2019 2:14 PM EST)
Analysis Performed
Component Value Ref Range Test Method Time At Pathologist Signature
Buprenorphine Positive (A) 12/18/2019 LABCORP
2:08 PM
EST
Comment: Confirmation performed by Mass Spectrometry
Buprenorphine Negative Cutoff=10 12/18/2019 LABCORP
2:08 PM
EST
Norbuprenorphine Positive (A) 12/18/2019 LABCORP
2:08 PM
EST
Norbuprenorphine 13 Cutoff=10 12/18/2019 LABCORP
Confirmation ng/mL 2:08 PM
EST
Urine Urine specimen Non-blood Collection / 12/12/2019 2:14 PM EST 12/12/2019 2:24 PM EST
obtained by clean catch Unknown
procedure / Unknown
Narrative
LABCORP - 12/18/2019 2:08 PM EST
Performed at: 01 - LabCorp OTS RTP
1904 TW Alexander Drive, RTP, NC 277090153
Lab Director: Ntei Abudu PhD, Phone: 8008333984

Megan B Mesaros LAB URINE ORDERABLES
Performing
LABCORP
(ABNORMAL) BUPRENORPHINE WITH REFLEX TO CONFIRMATION IF POSITIVE, U (BUPRENORPHINE WITH REFLEX TO

CONFIRMATION IF POSITIVE, U) - Final result (12/12/2019 2:14 PM EST)
Buprenorphine Qual Positive (A) None 12/12/2019 MMC LAB
Urine detected 3:24 PM
ng/mL EST

procedure / Unknown

Performing
(ABNORMAL) URINALYSIS WITH REFLEX CULTURE - Final result (12/12/2019 2:14 PM EST)
3:58 PM
EST
Clarity, Urine Cloudy (A) Clear 12/12/2019 MMC LAB
3:58 PM
EST
pH, Urine 8.0 5.0 - 8.0 12/12/2019 MMC LAB
pH 3:58 PM
EST
Leukocytes, Urine Trace Negative, 12/12/2019 MMC LAB
Trace 3:58 PM
EST
3:58 PM
EST
mg/dL 3:58 PM
EST
3:58 PM
EST
RBC, Urine 0-2 0-2/ 12/12/2019 MMC LAB
HPF 3:58 PM
EST
WBC, Urine 0-5 0-5/ 12/12/2019 MMC LAB
HPF 3:58 PM
EST
Squamous Epithelial, 21-30 (A) 0-5/ 12/12/2019 MMC LAB
Urine HPF 3:58 PM
EST
Bacteria, Urine 2+ (A) Negative, 12/12/2019 MMC LAB
Trace / 3:58 PM
HPF EST
1.030 3:58 PM
EST
Ketones, Urine Small (A) Negative 12/12/2019 MMC LAB
mg/dL 3:58 PM
EST
mg/dL 3:58 PM
EST
3:58 PM
EST
Hyaline Casts, Urine 0-8 (A) None 12/12/2019 MMC LAB
Seen / 3:58 PM
LPF EST
Protein, Ur Trace Negative, 12/12/2019 MMC LAB
Trace 3:58 PM
mg/dl EST
procedure / Unknown

Performing
(ABNORMAL) DRUG SCREEN, URINE - Final result (12/12/2019 2:14 PM EST)

Amphetamine Screen, None None 12/12/2019 MMC LAB
EST
EST
EST
EST
EST
EST
Opiate Screen, Ur Positive (A) None 12/12/2019 MMC LAB
detected 2:46 PM
EST
EST
EST
EST
procedure / Unknown
Narrative
MMC LAB - 12/12/2019 2:46 PM EST

Performing
(ABNORMAL) PROTEIN/CREAT RATIO,URINE (PROTEIN / CREATININE RATIO, URINE) - Final result (12/12/2019 2:14 PM
EST)
Protein Urine Random 18 mg/dl 12/12/2019 MMC LAB
3:35 PM
EST
Creatinine, Urine 161.89 mg/dL 12/12/2019 MMC LAB
3:35 PM
EST
URINE PROTEIN/ 0.11 (H) 0.00 - 12/12/2019 MMC LAB
CREATININE RATIO 0.10 3:35 PM
EST
procedure / Unknown

Performing
URINE CULTURE - Final result (12/12/2019 2:14 PM EST)

Urine Culture Mixed 12/14/2019 MMC LAB
organisms 5:20 AM
recovered, EST
considered
collection
contaminants

procedure / Unknown

Megan B Mesaros LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing

MICROSCOPY) - Final result (12/09/2019 1:33 PM EST)
POCT Ketones, UA Negative Negative

Urine 12/09/2019 1:33 PM EST

FETAL NONSTRESS TEST - Final result (12/08/2019 8:58 AM EST)

Adib N Khouzami OB GYNE ORDERABLES
FETAL NONSTRESS TEST - Final result (12/07/2019 6:16 PM EST)


US RENAL COMPLETE - Final result (12/06/2019 7:21 AM EST)

Body Ultrasound

12/06/2019 7:25 AM 12/06/2019 7:40 AM
EST EST
Narrative
12/06/2019 7:43 AM EST
INDICATION: Unspecified abdominal pain. .
PROCEDURE: US RENAL COMPLETE
COMPARISON: None.
FINDINGS:
RIGHT KIDNEY:10 x 6 x 6 cm. Minimal collecting system dilation/caliectasis. No calculus or focal
abnormality is seen.
LEFT KIDNEY: 11 x 6 x 6 cm. Minimal to mild collecting system dilation/caliectasis. No nephrolithiasis
or focal abnormality is seen.
BLADDER: Poorly distended and limited in evaluation but no discrete bladder stone is identified.
OTHER: Negative.
CONCLUSION: Minimal to mild dilation of the calyces/collecting systems of both kidneys (left greater
than right). No nephrolithiasis is seen.
Procedure Note
Stanley Golden - 12/06/2019
INDICATION: Unspecified abdominal pain. .
PROCEDURE: US RENAL COMPLETE
COMPARISON: None.
FINDINGS:
RIGHT KIDNEY:10 x 6 x 6 cm. Minimal collecting system dilation/caliectasis. No calculus or focal abnormality is seen.
LEFT KIDNEY: 11 x 6 x 6 cm. Minimal to mild collecting system dilation/caliectasis. No nephrolithiasis or focal abnormality is
seen.
BLADDER: Poorly distended and limited in evaluation but no discrete bladder stone is identified.
OTHER: Negative.
CONCLUSION: Minimal to mild dilation of the calyces/collecting systems of both kidneys (left greater than right). No
nephrolithiasis is seen.

Megan B Mesaros IMG US PROCEDURES
(ABNORMAL) URINALYSIS WITH REFLEX CULTURE - Final result (12/05/2019 7:50 PM EST)
8:34 PM
EST
Clarity, Urine Turbid (A) Clear 12/05/2019 MMC LAB
8:34 PM
EST
pH, Urine 6.0 5.0 - 8.0 12/05/2019 MMC LAB
pH 8:34 PM
EST
Leukocytes, Urine Moderate Negative, 12/05/2019 MMC LAB
(A) Trace 8:34 PM
EST
8:34 PM
EST
mg/dL 8:34 PM
EST
8:34 PM
EST
Calcium Oxalate Moderate None 12/05/2019 MMC LAB
Crystals, Urine (A) Seen / 8:34 PM
HPF EST
RBC, Urine 0-2 0-2/ 12/05/2019 MMC LAB
HPF 8:34 PM
EST
WBC, Urine 41-50 (A) 0-5/ 12/05/2019 MMC LAB
HPF 8:34 PM
EST
Squamous Epithelial, 6-10 (A) 0-5/ 12/05/2019 MMC LAB
Urine HPF 8:34 PM
EST
Trace / 8:34 PM
HPF EST
1.030 8:34 PM
EST
Ketones, Urine Trace (A) Negative 12/05/2019 MMC LAB
mg/dL 8:34 PM
EST
mg/dL 8:34 PM
EST
8:34 PM
EST
Seen / 8:34 PM
LPF EST
Protein, Ur Trace Negative, 12/05/2019 MMC LAB
Trace 8:34 PM
mg/dl EST
procedure / Unknown

Performing
PROTEIN/CREAT RATIO,URINE (PROTEIN / CREATININE RATIO, URINE) - Final result (12/05/2019 7:50 PM EST)
Protein Urine Random 24 mg/dl 12/05/2019 MMC LAB
8:20 PM
EST
8:20 PM
EST
URINE PROTEIN/ 0.09 0.00 - 12/05/2019 MMC LAB
EST

procedure / Unknown

Performing
RAPID INFLUENZA A/B ANTIGENS - Final result (12/05/2019 7:50 PM EST)

Influenza A Ag, EIA Negative Negative 12/05/2019 MMC LAB
8:27 PM
EST
Influenza B Ag, EIA Negative Negative 12/05/2019 MMC LAB
8:27 PM
EST

Swab Nasopharyngeal swab / Non-blood Collection / 12/05/2019 7:50 PM EST 12/05/2019 8:03 PM EST
Unknown Unknown

Performing
URINE CULTURE - Final result (12/05/2019 7:50 PM EST)
Urine Culture Mixed 12/07/2019 MMC LAB
organisms 10:49 AM
recovered, EST
considered
collection
contaminants

procedure / Unknown

Performing
(12/05/2019 7:47 PM EST)
WBC 8.3 4.5 - 12/05/2019 MMC LAB
11.0 8:01 PM
10*3/uL EST
RBC 3.81 (L) 4.20 - 12/05/2019 MMC LAB
5.50 8:01 PM
10*6/uL EST
16.0 gm/ 8:01 PM
dL EST
% 8:01 PM
EST
MCV 92 82 - 101 12/05/2019 MMC LAB
fL 8:01 PM
EST
MCH 32.0 27.0 - 12/05/2019 MMC LAB
34.0 pg 8:01 PM
EST
MCHC 35 32 - 36 12/05/2019 MMC LAB
g/dL 8:01 PM
EST
RDW 12.3 11.5 - 12/05/2019 MMC LAB
14.5 % 8:01 PM
EST
440 8:01 PM
10*3/uL EST
MPV 7.5 7.4 - 12/05/2019 MMC LAB
10.4 fL 8:01 PM
EST
% 8:01 PM
EST
% 8:01 PM
EST
8:01 PM
EST
8:01 PM
EST
8:01 PM
EST
10*3/uL 8:01 PM
EST
10*3/uL 8:01 PM
EST
10*3/uL 8:01 PM
EST
10*3/uL 8:01 PM
EST
10*3/uL 8:01 PM
EST

Performing

Uric Acid 4.1 2.7 - 6.1 12/05/2019 MMC LAB
mg/dL 8:16 PM
EST


Performing

ALT (SGPT) 17 <=55 U/ 12/05/2019 MMC LAB
L 8:16 PM
EST

Performing

AST 15 5 - 34 U/ 12/05/2019 MMC LAB
L 8:16 PM
EST


Performing

LD 173 125 - 12/05/2019 MMC LAB
243 U/L 8:16 PM
EST


Performing

mg/dL 8:16 PM
EST
eGFR 96 >60 mL/ 12/05/2019 MMC LAB
min 8:16 PM
EST
Comment:


Performing
(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (12/05/2019 7:47 PM EST)

Sodium 134 (L) 136 - 12/05/2019 MMC LAB
145 8:16 PM
mmol/L EST
mmol/L 8:16 PM
EST
Chloride 107 98 - 107 12/05/2019 MMC LAB
mmol/L 8:16 PM
EST
CO2 18 (L) 22 - 29 12/05/2019 MMC LAB
mEq/L 8:16 PM
EST
Anion Gap 9 5 - 14 12/05/2019 MMC LAB
mmol/L 8:16 PM
EST
Calcium 8.8 8.5 - 12/05/2019 MMC LAB
10.3 mg/ 8:16 PM
dL EST
BUN 9 7 - 19 12/05/2019 MMC LAB
mg/dL 8:16 PM
EST
mg/dL 8:16 PM
EST
eGFR 96 >60 mL/ 12/05/2019 MMC LAB
min 8:16 PM
EST
Comment:
Albumin 3.4 (L) 3.5 - 5.0 12/05/2019 MMC LAB
g/dL 8:16 PM
EST
mg/dL 8:16 PM
EST
Alkaline Phosphatase 152 (H) 40 - 150 12/05/2019 MMC LAB
U/L 8:16 PM
EST
g/dL 8:16 PM
EST
AST 15 5 - 34 U/ 12/05/2019 MMC LAB
L 8:16 PM
EST
ALT (SGPT) 17 <=55 U/ 12/05/2019 MMC LAB
L 8:16 PM
EST
mg/dL 8:16 PM
EST

Performing
(ABNORMAL) Glucose Tolerance (Gestational Diabetes Screen) (OBSTETRIC GTT 1 HOUR (GESTATIONAL DIABETES
SCREEN)) - Final result (12/03/2019 1:17 PM EST)
GLUCOSE, GTT 1 HOUR 187 (H) 70 - 180 12/03/2019 MMC LAB
mg/dL 1:55 PM
EST


Performing
RHOGAM EVALUATION (PRENATAL) (RHOGAM (PRENATAL) IF ANTIBODY SCREEN POSITIVE, REFLEX TO TESTING
REQUIRED FOR ANTIBODY IDENTIFICATION) - Final result (12/03/2019 12:09 PM EST)
Antibody Screen NEG 12/03/2019 MMC
1:56 PM BLOOD
EST BANK LAB

Performing
LAB
ANTICARDIOLIP AB, IGA/G/M, QN - Final result (12/03/2019 12:09 PM EST)

Anticardiolipin <9 0 - 14 12/04/2019 LABCORP
Ab,IgG,Qn GPL U/ 4:07 PM
mL EST
Comment:
Negative: <15
Indeterminate: 15 - 20
Low-Med Positive: >20 - 80
High Positive: >80
Anticardiolipin 10 0 - 12 12/04/2019 LABCORP
Ab,IgM,Qn MPL U/ 4:07 PM
mL EST
Comment:
Negative: <13
High Positive: >80
Ab,IgA,Qn APL U/ 4:07 PM
mL EST
Comment:
Negative: <12
High Positive: >80

Narrative
LABCORP - 12/04/2019 4:07 PM EST
Performed at: 01 - LabCorp Dublin
6370 Wilcox Road, Dublin, OH 430161269
Lab Director: Vincent Ricchiuti PhD, Phone: 8002827300

Performing
LABCORP
LUPUS ANTICOAGULANT RATIO REFLEX TO LUPUS ANTICOAGULANT, IF PRESENT - Final result (12/03/2019 12:09
PM EST)
DRVVT, Lupus 1.04 0.80 - 12/05/2019 MMC LAB
Anticoagulant 1.19 4:32 PM
EST
Comment: Lupus Anticoagulant is not present.


Performing
BETA-2-GLYCOPROTEIN I AB, IGG/IGM - Final result (12/03/2019 12:09 PM EST)

Beta-2 Glycoprotein I <9 0 - 20 12/05/2019 LABCORP
Ab, IgG GPI IgG 4:06 AM
units EST
Comment:
The reference interval reflects a 3SD or 99th percentile interval,
which is thought to represent a potentially clinically significant
result in accordance with the International Consensus Statement on
the classification criteria for definitive antiphospholipid syndrome
(APS). J Thromb Haem 2006;4:295-306.
Beta-2 Glycoprotein I 12 0 - 32 12/05/2019 LABCORP
Ab, IgM GPI IgM 4:06 AM
units EST
Comment:
(APS). J Thromb Haem 2006;4:295-306.

Narrative
LABCORP - 12/05/2019 4:06 AM EST
Performed at: 01 - LabCorp Burlington

Performing
LABCORP
(ABNORMAL) HEMOGLOBIN AND HEMATOCRIT, BLOOD - Final result (12/03/2019 12:09 PM EST)
16.0 gm/ 12:27 PM
dL EST
% 12:27 PM
EST


Performing
(ABNORMAL) TSH - Final result (12/03/2019 12:09 PM EST)

TSH 0.09 (L) 0.35 - 12/03/2019 MMC LAB
4.94 1:03 PM
uIU/mL EST


Performing
(ABNORMAL) POCT URINALYSIS,NON-AUTOMATED WITH MICROSCOPY (POCT URINALYSIS, NON-AUTOMATED WITH

MICROSCOPY) - Final result (12/03/2019 10:42 AM EST)
POCT Protein, UA 30 mg/dL (A) Negative

Urine 12/03/2019 10:42 AM
EST

(ABNORMAL) STREP B CULTURE - Final result (12/03/2019 10:34 AM EST)

Strep Group B Ag Streptococcus MIC 12/07/2019 MMC LAB
agalactiae 11:36 AM
group B (A) EST
Swab (Vaginal/Rectal) Non-blood Collection / 12/03/2019 10:34 AM 12/03/2019 10:34 AM
Unknown EST EST

Adib N Khouzami LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
(ABNORMAL) STREP B, DNA, AMP PROBE (STREP B DNA PROBE, AMPLIFICATION) - Final result (12/03/2019 10:34 AM
EST)
Group B Strep DNA Positive (A) Negative 12/04/2019 MMC LAB
Probe 12:22 PM
EST

Unknown EST EST
Narrative
MMC LAB - 12/04/2019 12:22 PM EST
Method Limitation: A positive test result does not necessarily indicate the presence of viable
organisms. It is presumptive for the presence of Group B Streptococcus DNA.

Adib N Khouzami LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing
US MI OB US, LEVEL II, SINGLE FETUS - Final result (08/19/2019 3:42 PM EDT)
Ultrasound

08/19/2019 2:46 PM
EDT
Narrative
08/19/2019 4:22 PM EDT

CONEMAUGH PRENATAL DIAGNOSTIC CENTER
OBSTETRICAL ULTRASOUND REPORT
TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
Pat. Name: DEIHL, CANDACE P Study Date: 08/19/2019 2:46pm
Pat. No: 3169509 Referring MD: Khouzami, Adib
LMP: Unknown Sonographer: Kate F. Wilson, RDMS
GA by US: 21w0d EDD: 12/30/2019 DOB, Age: 10/31/1985, 33
Hist/Ind: Fetal Survey
Narrative
Antiphospholipid Antibody Syndrome
GA Selected: 21w0d (From Known E)
EDD: 12/30/2019
--------------------------------------------------------------------------------
MEASUREMENTS & FETAL AGE FETAL GROWTH EVALUATION
Measurement GA Range Source % 21w0d Ratios
----------- ----- ------------- ------- ---------- ----------------------------
BPD 5.1 cm 21w3d (19w5d-23w0d) Hadlock BPD 63% FL/BPD 0.68
HC 18.9 cm 21w1d (19w5d-22w5d) Hadlock HC 50% FL/AC 0.20
AC 17.1 cm 22w0d (19w6d-24w1d) Hadlock AC 76% HC/AC 1.11 (1.05 - 1.24)
FL 3.4 cm 20w6d (19w0d-22w4d) Hadlock FL 33% CI 0.74 (0.70 - 0.86)
HL 3.5 cm 21w6d (19w1d-24w4d) Jeanty HL 63%
CER 2.2 cm 20w6d (19w0d-22w4d) Hill CER 46%
GA for sonogram 21w0d (19w4d-22w3d) Fetal Weight Estimate:
based on (BPD,HC,AC,FL) Hadlock Weight: 424 gm (362-486gm) Hadlock
: 0lbs, 14oz
Normal: 399 gm (299-499gm) Hadlock
Wt% 69% for 21w0d
Markers for Chromosomal Abnormality:
NF 5.6 mm (Normal)
Fetal Heart Rate: 140 bpm
--------------------------------------------------------------------------------
PROCEDURE, TECHNIQUE
Procedure: Level II OB ultrasound
Technique: Transabdominal
--------------------------------------------------------------------------------
FETAL EVAL, PLACENTA
Presentation: Variable
Umbilical Cord: 3 Vessels
Placenta: Posterior
Grade: Grade 0
Previa: No previa seen
Appearance: No placental masses are seen on today's study
Cord Insert: Mid insertion
Gender: Male
Amniotic Fluid Volume: Normal
--------------------------------------------------------------------------------
DOPPLER
Right Uterine Artery Left Uterine Artery
-------------------------- --------------------------
PI 1.13 (0.42 - 1.31) PI 1.09 (0.42 - 1.31)
Fetal Anatomy!Normal!Abnormal!Suboptimal!Previously !Comments
--------------------------------------------------------------------------------
Cranium Integ! x ! ! ! !
Cavum ! x ! ! ! !
Cerebellum ! x ! ! ! !
Lateral Ventr! x ! ! ! !
Choroid Plexu! x ! ! ! !
Midline Flax ! x ! ! ! !
Brain Parench! x ! ! ! !
Cisterna Magn! x ! ! ! !
Nuchal Fold ! x ! ! ! !
Coronal Face ! x ! ! ! !
Profile ! x ! ! ! !
Upper Lip ! x ! ! ! !
Nasal Bone ! x ! ! ! !
Orbits ! x ! ! ! !
Neck ! x ! ! ! !
Abdomen ! x ! ! ! !
Abdominal Wal! x ! ! ! !
Abdominal Umb! x ! ! ! !
Placental cor! x ! ! ! !
Stomach (pres! x ! ! ! !
Kidneys ! x ! ! ! !
Urinary Bladd! x ! ! ! !
Liver ! x ! ! ! !
Diaphragm ! x ! ! ! !
3 Vessel Cord! x ! ! ! !
Thorax ! x ! ! ! !
Lungs ! x ! ! ! !
Heart Situs ! x ! ! ! !
Heart Motion ! x ! ! ! !
Cardiac Rhyth! x ! ! ! !
4 CH ! x ! ! ! !
RVOT ! x ! ! ! !
LVOT ! x ! ! ! !
3 V V ! x ! ! ! !
3VTV ! x ! ! ! !
Aortic arch ! x ! ! ! !
Bicaval view ! x ! ! ! !
Transverse Sp! x ! ! ! !
Narrative
Sagittal Spin! x ! ! ! !
Upper Extremi! x ! ! ! !
Lower Extremi! x ! ! ! !
Hands ! x ! ! ! !
Feet ! x ! ! ! !
Fetal limb an! x ! ! ! !
Maternal Uter! x ! ! ! !
Maternal Adne! x ! ! ! !
Maternal Cerv! x ! ! ! !
Maternal Ovar! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton
THE FETAL SURVEY:
is complete.
FETAL GROWTH:
There is appropriate fetal growth.
DOPPLER OF THE UTERINE ARTERIES:
The Pulsatility Index is Normal bilaterally.
Adib Khouzami MD, FACOG
-----------------------
<Electronic Signature> 08/19/2019 04:22pm
Procedure Note
Adib N Khouzami - 08/19/2019

TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
Pat. Name: DEIHL, CANDACE P Study Date: 08/19/2019 2:46pm
LMP: Unknown Sonographer: Kate F. Wilson, RDMS
GA by US: 21w0d EDD: 12/30/2019 DOB, Age: 10/31/1985, 33
Antiphospholipid Antibody Syndrome
GA Selected: 21w0d (From Known E)
EDD: 12/30/2019
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
: 0lbs, 14oz
Wt% 69% for 21w0d
NF 5.6 mm (Normal)
--------------------------------------------------------------------------------
Procedure: Level II OB ultrasound
--------------------------------------------------------------------------------
Presentation: Variable
Placenta: Posterior
Grade: Grade 0
Procedure Note
Cord Insert: Mid insertion
Gender: Male
--------------------------------------------------------------------------------
DOPPLER
-------------------------- --------------------------
PI 1.13 (0.42 - 1.31) PI 1.09 (0.42 - 1.31)
--------------------------------------------------------------------------------
Cavum ! x ! ! ! !
Profile ! x ! ! ! !
Orbits ! x ! ! ! !
Neck ! x ! ! ! !
Abdomen ! x ! ! ! !
Kidneys ! x ! ! ! !
Liver ! x ! ! ! !
Thorax ! x ! ! ! !
Lungs ! x ! ! ! !
4 CH ! x ! ! ! !
RVOT ! x ! ! ! !
LVOT ! x ! ! ! !
3VV!x!!!!
3VTV ! x ! ! ! !
Hands ! x ! ! ! !
Feet ! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton
THE FETAL SURVEY:
is complete.
FETAL GROWTH:
Procedure Note
-----------------------

Adib N Khouzami IMG OB US PROCEDURES

MICROSCOPY) - Final result (08/06/2019 11:29 AM EDT)

Urine 08/06/2019 11:29 AM
EDT


T3, Free 2.69 1.71 - 06/19/2019 MMC LAB
3.71 pg/ 5:23 PM
mL EDT
Comment: Blood specimen already drawnBlood specimen already

Narrative
MMC LAB - 06/19/2019 5:23 PM EDT
Blood specimen already drawn

Performing

Free T4 0.94 0.70 - 06/19/2019 MMC LAB
1.48 ng/ 5:23 PM
dL EDT
Comment: Blood specimen already drawnBlood specimen already
Narrative
MMC LAB - 06/19/2019 5:23 PM EDT

Performing
(ABNORMAL) POCT URINALYSIS,NON-AUTOMATED WITH MICROSCOPY (POCT URINALYSIS, NON-AUTOMATED WITH

MICROSCOPY) - Final result (06/19/2019 11:20 AM EDT)
POCT Color, UA Yellow Yellow
POCT Clarity, UA Clear Clear
POCT Blood, UA Negative Negative
POCT Protein, UA Trace (A) Negative
POCT Leukocytes, UA Negative Negative
POCT Nitrite, UA Negative Negative

Urine 06/19/2019 11:20 AM
EDT

(ABNORMAL) POCT PERFORM URINE PREGNANCY (POCT PREGNANCY, URINE) - Final result (06/19/2019 11:20 AM
EDT)
POCT Preg Test, Ur Positive

Urine 06/19/2019 11:20 AM
EDT

(ABNORMAL) URINALYSIS AUTO ONLY (URINALYSIS) - Final result (06/19/2019 10:23 AM EDT)
Color, Urine Dark Yellow Yellow 06/19/2019 MMC LAB
(A) 11:56 AM
EDT
Clarity, Urine Turbid (A) Clear 06/19/2019 MMC LAB
11:56 AM
EDT
pH, Urine 6.0 5.0 - 8.0 06/19/2019 MMC LAB
pH 11:56 AM
EDT
Leukocytes, Urine Small (A) Negative, 06/19/2019 MMC LAB
Trace 11:56 AM
EDT
11:56 AM
EDT
mg/dL 11:56 AM
EDT
11:56 AM
EDT
Specific Gravity, Urine 1.034 (H) 1.005 - 06/19/2019 MMC LAB
1.030 11:56 AM
EDT
mg/dL 11:56 AM
EDT
mg/dL 11:56 AM
EDT
11:56 AM
EDT
Trace 11:56 AM
mg/dl EDT
RBC, Urine 0-2 0-2/ 06/19/2019 MMC LAB
HPF 11:56 AM
EDT
WBC, Urine 0-5 0-5/ 06/19/2019 MMC LAB
HPF 11:56 AM
EDT
Squamous Epithelial, 0-5 0-5/ 06/19/2019 MMC LAB
Urine HPF 11:56 AM
EDT
Trace / 11:56 AM
HPF EDT
Seen / 11:56 AM
LPF EDT
Calcium Oxalate Few (A) None 06/19/2019 MMC LAB
Crystals, Urine Seen / 11:56 AM
HPF EDT
procedure / Unknown

Performing
URINE CULTURE - Final result (06/19/2019 10:23 AM EDT)
Urine Culture Mixed MIC 06/21/2019 MMC LAB
organisms 8:20 AM
recovered, EDT
considered
collection
contaminants

procedure / Unknown

Performing
SYPHILIS IGG AB WITH REFLEX TO RPR IF POSITIVE - Final result (06/19/2019 10:22 AM EDT)
Syphilis IgG AB Non-Reactive Non- 06/19/2019 MMC LAB
Reactive 11:59 AM
EDT


Performing
ANTICARDIOLIP AB, IGA/G/M, QN - Final result (06/19/2019 10:22 AM EDT)

mL EDT
Comment:
Negative: <15
High Positive: >80
mL EDT
Comment:
Negative: <13
High Positive: >80
mL EDT
Comment:
Negative: <12
High Positive: >80
Narrative
LABCORP - 06/20/2019 2:08 PM EDT

Performing
LABCORP
HIV 1&2 ANTIGEN/ANTIBODY REFLEX TO HIV 1&2 DIFFERENTIATION/CONFIRMATION, IF POSITIVE - Final result
(06/19/2019 10:22 AM EDT)
HIV ANTIGEN/ Negative Negative 06/19/2019 MMC LAB
ANTIBODY 1:02 PM
EDT


Performing
BETA-2-GLYCOPROTEIN I AB, IGG/IGM - Final result (06/19/2019 10:22 AM EDT)

Ab, IgG GPI IgG 4:06 AM
units EDT
Comment:
(APS). J Thromb Haem 2006;4:295-306.
Beta-2 Glycoprotein I 17 0 - 32 06/21/2019 LABCORP
Ab, IgM GPI IgM 4:06 AM
units EDT
Comment:
(APS). J Thromb Haem 2006;4:295-306.
Narrative
LABCORP - 06/21/2019 4:06 AM EDT

Performing
LABCORP
HEPATITIS C ANTIBODY REFLEX TO HCV QUANTITATIVE PCR, IF BORDERLINE OR POSITIVE (HEPATITIS C ANTIBODY
REFLEX TO HCV QUANTITATIVE PCR, IF BORDERLINE) - Final result (06/19/2019 10:22 AM EDT)
Analysis Performed
Hepatitis C Ab Negative Negative, 06/19/2019 MMC LAB
Borderline 12:57 PM
EDT


Performing
RUBELLA Ab IgG (RUBELLA ANTIBODY, IGG) - Final result (06/19/2019 10:22 AM EDT)
Rubella IgG Positive 06/20/2019 MMC LAB
9:32 AM
EDT
Rubella IgG AB Index 2.5 06/20/2019 MMC LAB
9:32 AM
EDT

Performing
HEPATITIS B SURFACE ANTIGEN - Final result (06/19/2019 10:22 AM EDT)

Hepatitis B Surface Ag Negative Negative 06/19/2019 MMC LAB
12:57 PM
EDT


Performing
(ABNORMAL) CBC WITHOUT DIFF (CBC) - Final result (06/19/2019 10:22 AM EDT)
WBC 5.0 4.5 - 06/19/2019 MMC LAB
11.0 11:24 AM
10*3/uL EDT
RBC 4.36 4.20 - 06/19/2019 MMC LAB
5.50 11:24 AM
10*6/uL EDT
16.0 gm/ 11:24 AM
dL EDT
% 11:24 AM
EDT
MCV 94 82 - 101 06/19/2019 MMC LAB
fL 11:24 AM
EDT
MCH 33.0 27.0 - 06/19/2019 MMC LAB
34.0 pg 11:24 AM
EDT
MCHC 35 32 - 36 06/19/2019 MMC LAB
g/dL 11:24 AM
EDT
RDW 10.8 (L) 11.5 - 06/19/2019 MMC LAB
14.5 % 11:24 AM
EDT
440 11:24 AM
10*3/uL EDT
MPV 8.1 7.4 - 06/19/2019 MMC LAB
10.4 fL 11:24 AM
EDT

Performing
(ABNORMAL) TSH - Final result (06/19/2019 10:22 AM EDT)

TSH 0.09 (L) 0.35 - 06/19/2019 MMC LAB
4.94 11:54 AM
uIU/mL EDT


Performing
DIRECT ANTIGLOBULIN TEST (ANTI-IGG (DAT)) - Final result (06/19/2019 10:21 AM EDT)
Anti-IgG (DAT) NEG 06/19/2019 MMC
1:22 PM BLOOD
EDT BANK LAB


Performing
LAB
IMMUNOHEMATOLOGY CONSULTATION - Final result (06/19/2019 10:21 AM EDT)

Immunohematology A specimen was 06/27/2019 MMC Electronically signed by
Pathologist submitted for 9:59 AM BLOOD Sharif A Ali, MD on
Interpretation an antibody EDT BANK LAB 6/27/2019 at 9:59 AM
screen on June
19, 2019. The
antibody
screen was
positive, and
with antibody
identification
determined the
antibody had D
specificity.
The anti-D
detected is
most likely
passively
acquired due
to Rh immune
globulin
administration
on May 12,
2019.
The half-life
of Rh immune
globulin is
approximately
3 weeks, but
it will be
detectable in
the antibody
screen for
several
months.
Passively
acquired anti-
D levels will
fall with
time, but
alloimmune
anti-D levels
will remain
stable for
years.
Comment:
Sharif A Ali, MD
06/27/19 9:59 AM

Performing
LAB
LUPUS ANTICOAGULANT RATIO REFLEX TO LUPUS ANTICOAGULANT, IF PRESENT - Final result (06/19/2019 10:21
AM EDT)
EDT
Comment:
Lupus Anticoagulant is not present.


Performing
ANTIBODY IDENTIFICATION - Final result (06/19/2019 10:21 AM EDT)

Antibody ID POS, Probable 06/19/2019 MMC
Passive- 1:33 PM BLOOD
Acquired EDT BANK LAB
Anti-D


Performing
LAB
ABO/RH - Final result (06/19/2019 10:21 AM EDT)

12:24 PM BLOOD
EDT BANK LAB


Performing
LAB
ANTIBODY SCREEN REFLEX TO ANTIBODY IDENTIFICATION, IF POSITIVE - Final result (06/19/2019 10:21 AM EDT)
Antibody Screen POS 06/19/2019 MMC
12:24 PM BLOOD
EDT BANK LAB


Performing
LAB
KOH PREP, PERCUTANEOUS - Final result (05/12/2019 8:38 PM EDT)

KOH Prep No fungal 05/12/2019 MMC LAB
elements 8:59 PM
seen EDT

Swab Vaginal structure / Non-blood Collection / 05/12/2019 8:38 PM 05/12/2019 8:43 PM
Unknown Unknown EDT EDT

Brennen T Puryear LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
GRAM STAIN - Final result (05/12/2019 8:38 PM EDT)

Gram Stain Result Few 05/12/2019 MMC LAB
Polymorphonuclear 9:00 PM
leukocytes EDT
Gram Stain Result Moderate Epithelial 05/12/2019 MMC LAB
Cells 9:00 PM
EDT
Gram Stain Result Many Gram 05/12/2019 MMC LAB
positive bacilli 9:00 PM
EDT
Gram Stain Result Scoring of the 05/12/2019 MMC LAB
gram smear reveals 9:00 PM
organisms EDT
(Lactobacillus)
which are not
consistent with
bacterial vaginosis
(score 0 to 3)
Swab Vaginal structure / Non-blood Collection / 05/12/2019 8:38 PM 05/12/2019 8:42 PM

Brennen T Puryear LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
US PELVIS PREG ULTRASOUND < 14 WEEKS - Final result (05/12/2019 8:20 PM EDT)
Pelvis Ultrasound

05/12/2019 9:10 PM
EDT
Impressions
05/12/2019 9:41 PM EDT
Impression:
1. Single live intrauterine gestation measuring 6w6d with fetal heart rate equals 145 bpm.
2. 3.1 x 1.7 x 0.8 cm subchronic hemorrhage.
3. 3.5 x 3.5 x 3.2 cm right ovarian cyst.
Report Electronically Signed By: Pervez Siddiqui M.D. - 5/12/2019 9:41 PM
Narrative
05/12/2019 9:41 PM EDT
Exam: OB Ultrasound
Priors: None
Clinical Indication: Cramping
Technique:
Limited OB transabdominal and transvaginal pelvic ultrasound are performed.
Findings:
Exam shows a single live intrauterine gestation measuring 6w6d. FHR equals 145 bpm. CRL equals 8.6
mm.
Subchronic hemorrhage measures 3.1 x 1.7 x 0.8 cm. The left ovary is normal. Right ovarian cyst
measures 3.5 x 3.5 x 3.2 cm. Flow is seen to both ovaries on Doppler study.?There is no pelvic free
fluid.
Right ovary measures: 4.2 x 4.2 x 3.8 cm.

Left ovary measures: 2.1 x 2 x 1.9 cm.

Procedure Note
Pervez Siddiqui - 05/12/2019
Procedure Note
Exam: OB Ultrasound
Priors: None
Clinical Indication: Cramping
Technique:
Limited OB transabdominal and transvaginal pelvic ultrasound are performed.
Findings:
Exam shows a single live intrauterine gestation measuring 6w6d. FHR equals 145 bpm. CRL equals 8.6 mm.
Subchronic hemorrhage measures 3.1 x 1.7 x 0.8 cm. The left ovary is normal. Right ovarian cyst
measures 3.5 x 3.5 x 3.2 cm. Flow is seen to both ovaries on Doppler study.?There is no pelvic free
fluid.
Right ovary measures: 4.2 x 4.2 x 3.8 cm.

Left ovary measures: 2.1 x 2 x 1.9 cm.
Impression:
1. Single live intrauterine gestation measuring 6w6d with fetal heart rate equals 145 bpm.
2. 3.1 x 1.7 x 0.8 cm subchronic hemorrhage.
3. 3.5 x 3.5 x 3.2 cm right ovarian cyst.
Report Electronically Signed By: Pervez Siddiqui M.D. - 5/12/2019 9:41 PM

Brennen T Puryear IMG US PROCEDURES
ABO/RH - Final result (05/12/2019 8:04 PM EDT)

9:14 PM BLOOD
EDT BANK LAB


Brennen T Puryear LAB BLOOD BANK TEST ORDERABLES
Performing
LAB
ANTIBODY SCREEN REFLEX TO ANTIBODY IDENTIFICATION, IF POSITIVE - Final result (05/12/2019 8:04 PM EDT)
9:22 PM BLOOD
EDT BANK LAB

Brennen T Puryear LAB BLOOD BANK TEST ORDERABLES
Performing
LAB
URINALYSIS AUTO ONLY (URINALYSIS) - Final result (05/12/2019 7:40 PM EDT)

7:52 PM
EDT
7:52 PM
EDT
pH, Urine 7.0 5.0 - 8.0 05/12/2019 MMC LAB
pH 7:52 PM
EDT
Trace 7:52 PM
EDT
7:52 PM
EDT
mg/dL 7:52 PM
EDT
7:52 PM
EDT
1.030 7:52 PM
EDT
mg/dL 7:52 PM
EDT
mg/dL 7:52 PM
EDT
7:52 PM
EDT
Trace 7:52 PM
mg/dl EDT

procedure / Unknown

Brennen T Puryear LAB URINE ORDERABLES
Performing
(05/12/2019 7:38 PM EDT)
WBC 10.0 4.5 - 05/12/2019 MMC LAB
11.0 7:50 PM
10*3/uL EDT
RBC 4.25 4.20 - 05/12/2019 MMC LAB
5.50 7:50 PM
10*6/uL EDT
16.0 gm/ 7:50 PM
dL EDT
% 7:50 PM
EDT
MCV 95 82 - 101 05/12/2019 MMC LAB
fL 7:50 PM
EDT
MCH 34.0 27.0 - 05/12/2019 MMC LAB
34.0 pg 7:50 PM
EDT
MCHC 35 32 - 36 05/12/2019 MMC LAB
g/dL 7:50 PM
EDT
RDW 11.0 (L) 11.5 - 05/12/2019 MMC LAB
14.5 % 7:50 PM
EDT
440 7:50 PM
10*3/uL EDT
MPV 8.1 7.4 - 05/12/2019 MMC LAB
10.4 fL 7:50 PM
EDT
% 7:50 PM
EDT
% 7:50 PM
EDT
7:50 PM
EDT
7:50 PM
EDT
7:50 PM
EDT
10*3/uL 7:50 PM
EDT
10*3/uL 7:50 PM
EDT

Brennen T Puryear LAB BLOOD ORDERABLES
Performing
PROGESTERONE - Final result (05/12/2019 7:38 PM EDT)

Progesterone 6.5 ng/mL 05/12/2019 MMC LAB
8:23 PM
EDT
Comment:
Normal Menstruating Females:

Follicular phase: < or = 0.3 ng/mL
Luteal phase: 1.2-15.9 ng/mL
Menopausal Females:
Menopause: < or = 0.2 ng/mL
Pregnant Females:
First trimester: 2.8-147.3 ng/mL
Second trimester: 22.5-95.3 ng/mL
Third trimester: 27.9-242.5 ng/mL


Performing
HCG QUANTITATIVE PREGNANCY (HCG, SERUM QUANTITATIVE) - Final result (05/12/2019 7:38 PM EDT)
HCG Quant 44,300.2 mIU/mL 05/12/2019 MMC LAB
8:23 PM
EDT
Comment: Results reported <25mIU/ml but >5mIU/ml are not definitive for a diagnosis of pregnancy. An additional specimen
may need to be obtained after 48 hrs and tested. This result is NOT to be used for the diagnosis of any condition unrelated to
pregnancy.


Performing
(ABNORMAL) BASIC METABOLIC PANEL - Final result (05/12/2019 7:38 PM EDT)
Sodium 136 136 - 05/12/2019 MMC LAB
145 8:01 PM
mmol/L EDT
mmol/L 8:01 PM
EDT
Chloride 106 98 - 107 05/12/2019 MMC LAB
mmol/L 8:01 PM
EDT
CO2 20 (L) 22 - 29 05/12/2019 MMC LAB
mEq/L 8:01 PM
EDT
Anion Gap 10 5 - 14 05/12/2019 MMC LAB
mmol/L 8:01 PM
EDT
Calcium 9.9 8.5 - 05/12/2019 MMC LAB
10.3 mg/ 8:01 PM
dL EDT
BUN 11 7 - 19 05/12/2019 MMC LAB
mg/dL 8:01 PM
EDT
mg/dL 8:01 PM
EDT
eGFR 72 >60 mL/ 05/12/2019 MMC LAB
min 8:01 PM
EDT
Comment:

mg/dL 8:01 PM
EDT


Performing
(ABNORMAL) POCT PERFORM URINE PREGNANCY (POCT PREGNANCY, URINE) - Edited Result - FINAL (04/18/2019
11:16 AM EDT)
POCT Preg Test, Ur Positive
Urine 04/18/2019 11:16 AM
EDT

Dr Rohanna POINT OF CARE TEST ORDERABLES
(08/26/2018 7:24 AM EDT)
WBC 7.0 4.5 - 08/26/2018 MMC LAB
11.0 7:37 AM
10*3/uL EDT
RBC 4.06 (L) 4.20 - 08/26/2018 MMC LAB
5.50 7:37 AM
10*6/uL EDT
16.0 gm/ 7:37 AM
dL EDT
% 7:37 AM
EDT
MCV 95 82 - 101 08/26/2018 MMC LAB
fL 7:37 AM
EDT
MCH 31.0 27.0 - 08/26/2018 MMC LAB
34.0 pg 7:37 AM
EDT
MCHC 33 32 - 36 08/26/2018 MMC LAB
g/dL 7:37 AM
EDT
RDW 12.4 11.5 - 08/26/2018 MMC LAB
14.5 % 7:37 AM
EDT
440 7:37 AM
10*3/uL EDT
MPV 8.1 7.4 - 08/26/2018 MMC LAB
10.4 fL 7:37 AM
EDT
% 7:37 AM
EDT
% 7:37 AM
EDT
7:37 AM
EDT
7:37 AM
EDT
7:37 AM
EDT
10*3/uL 7:37 AM
EDT
10*3/uL 7:37 AM
EDT

Safwat Nasrat LAB BLOOD ORDERABLES
Performing
RAPID INFLUENZA A/B ANTIGENS - Final result (08/25/2018 5:37 PM EDT)

Influenza A Ag, EIA Negative Negative 08/25/2018 MMC LAB
7:34 PM
EDT
Influenza B Ag, EIA Negative Negative 08/25/2018 MMC LAB
7:34 PM
EDT

Swab Nasopharyngeal swab / Non-blood Collection / 08/25/2018 5:37 PM 08/25/2018 5:37 PM

Safwat Nasrat LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
(ABNORMAL) INFLUENZA A/B AB, QUANT - Final result (08/25/2018 3:51 PM EDT)
Influenza A Abs, CF 1:64 (H) Neg:<1:8 08/29/2018 LABCORP
10:05 PM
EDT
Influenza B Abs, CF 1:32 (H) Neg:<1:8 08/29/2018 LABCORP
10:05 PM
EDT

Narrative
LABCORP - 08/29/2018 10:05 PM EDT
Lab Director: William F Hancock MD, Phone: 8007624344

Performing
LABCORP
(08/25/2018 3:51 PM EDT)
WBC 10.3 4.5 - 08/25/2018 MMC LAB
11.0 3:58 PM
10*3/uL EDT
RBC 4.47 4.20 - 08/25/2018 MMC LAB
5.50 3:58 PM
10*6/uL EDT
16.0 gm/ 3:58 PM
dL EDT
% 3:58 PM
EDT
MCV 95 82 - 101 08/25/2018 MMC LAB
fL 3:58 PM
EDT
MCH 32.0 27.0 - 08/25/2018 MMC LAB
34.0 pg 3:58 PM
EDT
MCHC 34 32 - 36 08/25/2018 MMC LAB
g/dL 3:58 PM
EDT
RDW 12.5 11.5 - 08/25/2018 MMC LAB
14.5 % 3:58 PM
EDT
440 3:58 PM
10*3/uL EDT
MPV 8.4 7.4 - 08/25/2018 MMC LAB
10.4 fL 3:58 PM
EDT
% 3:58 PM
EDT
Lymphocytes % 6 (L) 22 - 44 08/25/2018 MMC LAB
% 3:58 PM
EDT
3:58 PM
EDT
3:58 PM
EDT
3:58 PM
EDT
Absolute Neutrophils 9.1 (H) 2.0 - 8.1 08/25/2018 MMC LAB
10*3/uL 3:58 PM
EDT
Lymphocytes Absolute 0.6 (L) 0.9 - 4.8 08/25/2018 MMC LAB
10*3/uL 3:58 PM
EDT


Performing

Sodium 137 136 - 08/25/2018 MMC LAB
145 4:14 PM
mmol/L EDT
mmol/L 4:14 PM
EDT
Chloride 107 98 - 107 08/25/2018 MMC LAB
mmol/L 4:14 PM
EDT
CO2 20 (L) 22 - 29 08/25/2018 MMC LAB
mEq/L 4:14 PM
EDT
Anion Gap 10 5 - 14 08/25/2018 MMC LAB
mmol/L 4:14 PM
EDT
Calcium 9.9 8.5 - 08/25/2018 MMC LAB
10.3 mg/ 4:14 PM
dL EDT
BUN 14 7 - 19 08/25/2018 MMC LAB
mg/dL 4:14 PM
EDT
mg/dL 4:14 PM
EDT
eGFR 83 >60 mL/ 08/25/2018 MMC LAB
min 4:14 PM
EDT
Comment:
Glucose, Fasting 148 (H) 70 - 105 08/25/2018 MMC LAB

mg/dL 4:14 PM
EDT


Performing
(ABNORMAL) MI UNIT - Final result (08/25/2018 5:24 AM EDT)

Total CK 18 (L) 30 - 190 08/25/2018 MMC LAB
U/L 6:39 AM
EDT
Comment: With troponin
Troponin I <0.01 0.00 - 08/25/2018 MMC LAB
0.05 ng/ 6:39 AM
mL EDT
CK-MB 0.4 0.0 - 6.6 08/25/2018 MMC LAB
ng/mL 6:39 AM
EDT
CK-MB Index 2.2 0.0 - 2.2 08/25/2018 MMC LAB
% 6:39 AM
EDT
Comment:
With troponin
CK Index is not meaningful when CK is at or below the normal range.
Narrative
MMC LAB - 08/25/2018 6:39 AM EDT
With troponin

Martin Bolinger LAB BLOOD ORDERABLES
Performing
(08/25/2018 5:24 AM EDT)
WBC 8.4 4.5 - 08/25/2018 MMC LAB
11.0 6:31 AM
10*3/uL EDT
RBC 4.27 4.20 - 08/25/2018 MMC LAB
5.50 6:31 AM
10*6/uL EDT
16.0 gm/ 6:31 AM
dL EDT
% 6:31 AM
EDT
MCV 94 82 - 101 08/25/2018 MMC LAB
fL 6:31 AM
EDT
MCH 31.0 27.0 - 08/25/2018 MMC LAB
34.0 pg 6:31 AM
EDT
MCHC 33 32 - 36 08/25/2018 MMC LAB
g/dL 6:31 AM
EDT
RDW 12.5 11.5 - 08/25/2018 MMC LAB
14.5 % 6:31 AM
EDT
440 6:31 AM
10*3/uL EDT
MPV 8.9 7.4 - 08/25/2018 MMC LAB
10.4 fL 6:31 AM
EDT
% 6:31 AM
EDT
% 6:31 AM
EDT
6:31 AM
EDT
6:31 AM
EDT
6:31 AM
EDT
10*3/uL 6:31 AM
EDT
10*3/uL 6:31 AM
EDT

Dennis R Glover LAB BLOOD ORDERABLES
Performing
(ABNORMAL) BASIC METABOLIC PANEL - Final result (08/25/2018 5:24 AM EDT)

Sodium 136 136 - 08/25/2018 MMC LAB
145 6:32 AM
mmol/L EDT
mmol/L 6:32 AM
EDT
Chloride 106 98 - 107 08/25/2018 MMC LAB
mmol/L 6:32 AM
EDT
CO2 18 (L) 22 - 29 08/25/2018 MMC LAB
mEq/L 6:32 AM
EDT
Anion Gap 12 5 - 14 08/25/2018 MMC LAB
mmol/L 6:32 AM
EDT
Calcium 9.7 8.5 - 08/25/2018 MMC LAB
10.3 mg/ 6:32 AM
dL EDT
BUN 14 7 - 19 08/25/2018 MMC LAB
mg/dL 6:32 AM
EDT
mg/dL 6:32 AM
EDT
eGFR 83 >60 mL/ 08/25/2018 MMC LAB
min 6:32 AM
EDT
Comment:

mg/dL 6:32 AM
EDT
Comment:
If the patient is non-fasting the reference range can be extended to 200 mg/dL.
With troponin
Narrative
MMC LAB - 08/25/2018 6:32 AM EDT
With troponin

Dennis R Glover LAB BLOOD ORDERABLES
Performing
(ABNORMAL) POCT GLUCOSE METER - Final result (08/24/2018 5:24 PM EDT)

POCT Glucose 171 (H) 70 - 105 08/24/2018 MMC LAB
mg/dL 5:29 PM
EDT

Blood 08/24/2018 5:24 PM 08/24/2018 5:29 PM
EDT EDT

Martin Bolinger LAB POCT ORDERABLES - DEVICE
Performing
(08/24/2018 6:35 AM EDT)
WBC 4.7 4.5 - 08/24/2018 MMC LAB
11.0 7:04 AM
10*3/uL EDT
RBC 4.46 4.20 - 08/24/2018 MMC LAB
5.50 7:04 AM
10*6/uL EDT
16.0 gm/ 7:04 AM
dL EDT
% 7:04 AM
EDT
MCV 93 82 - 101 08/24/2018 MMC LAB
fL 7:04 AM
EDT
MCH 31.0 27.0 - 08/24/2018 MMC LAB
34.0 pg 7:04 AM
EDT
MCHC 33 32 - 36 08/24/2018 MMC LAB
g/dL 7:04 AM
EDT
RDW 12.6 11.5 - 08/24/2018 MMC LAB
14.5 % 7:04 AM
EDT
440 7:04 AM
10*3/uL EDT
MPV 9.0 7.4 - 08/24/2018 MMC LAB
10.4 fL 7:04 AM
EDT
% 7:04 AM
EDT
% 7:04 AM
EDT
7:04 AM
EDT
7:04 AM
EDT
7:04 AM
EDT
10*3/uL 7:04 AM
EDT
10*3/uL 7:04 AM
EDT


Performing
PHOSPHORUS - Final result (08/24/2018 6:35 AM EDT)

Phosphorus 3.4 2.3 - 4.7 08/24/2018 MMC LAB
mg/dL 7:19 AM
EDT


Performing
MAGNESIUM - Final result (08/24/2018 6:35 AM EDT)

Magnesium 2.3 1.6 - 2.6 08/24/2018 MMC LAB
mg/dL 7:19 AM
EDT


Performing
(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (08/24/2018 6:35 AM EDT)

Sodium 135 (L) 136 - 08/24/2018 MMC LAB
145 7:19 AM
mmol/L EDT
mmol/L 7:19 AM
EDT
Chloride 104 98 - 107 08/24/2018 MMC LAB
mmol/L 7:19 AM
EDT
CO2 20 (L) 22 - 29 08/24/2018 MMC LAB
mEq/L 7:19 AM
EDT
Anion Gap 11 5 - 14 08/24/2018 MMC LAB
mmol/L 7:19 AM
EDT
Calcium 9.6 8.5 - 08/24/2018 MMC LAB
10.3 mg/ 7:19 AM
dL EDT
BUN 7 7 - 19 08/24/2018 MMC LAB
mg/dL 7:19 AM
EDT
mg/dL 7:19 AM
EDT
eGFR 97 >60 mL/ 08/24/2018 MMC LAB
min 7:19 AM
EDT
Comment:
Albumin 4.1 3.5 - 5.0 08/24/2018 MMC LAB

g/dL 7:19 AM
EDT
mg/dL 7:19 AM
EDT
U/L 7:19 AM
EDT
g/dL 7:19 AM
EDT
AST 20 5 - 34 U/ 08/24/2018 MMC LAB
L 7:19 AM
EDT
ALT (SGPT) 26 0 - 55 U/ 08/24/2018 MMC LAB
L 7:19 AM
EDT
mg/dL 7:19 AM
EDT

Performing
CT MAXILLO FACIAL AREA ENHANCED W 3D PROCESSING IF INDICATED - Edited Result - FINAL (08/23/2018 7:32
PM EDT)
08/23/2018 7:42 PM 08/23/2018 8:07 PM
EDT EDT
Addenda
Addendum on 08/23/2018 8:09 PM EDT
There is lucency around the root of the right mandibular first molar.
Adjacent to the root there is a defect in the buccal cortex of the
mandible which is best seen on axial image 18. Adjacent to this there is
soft tissue swelling and edema. Upper
cervical lymph nodes are increased in number and the vast majority are
normal in size. There is one enlarged lymph node on the right, posterior
to the mandibular angle.
Narrative
08/23/2018 7:50 PM EDT
Described INDICATIONS: pain right orbit with movement and surrounding swelling and pain, molar with
fistula right mandible.
Pt to ER with complaints of Right orbital pain, symptoms started on Sunday. Pt
initially thought she had pink eye in her Rt eye, her son recently had pink eye.
Rt eye red and painful, pt tried erythromycin ointment but redness progressed.
Pt noticed swelling on Monday and gradually worsening. Yesterday she started to
have pain in her jaw and throat, tender/sore throat feeling. Pt describes he
The patient had 0 prior CT and/or cardiac nuclear medicine examinations in the past 12 months within
the Conemaugh Health System.
CT MAXILLO FACIAL AREA ENHANCED W 3D PROCESSING IF INDICATED
COMPARISON: No prior face CT scans are available..
FINDINGS:
BONES: Normal.
PARANASAL SINUSES : Unremarkable.
SOFT TISSUES: There is bilateral preseptal orbital hyperdensity, likely due to enhancement. This is
slightly more prominent on the right. There is right periorbital soft tissue swelling. No abscess, mass
or nodule is identified. The ocular globes,
extraocular muscles, optic nerve sheath complexes, lacrimal glands and superior ophthalmic veins all
appear normal.
ADDITIONAL FINDINGS:None
CONCLUSION: Right periorbital soft tissue swelling is present. In the absence of any history of trauma
this is likely due to cellulitis.
Up-to-date CT equipment and radiation dose reduction techniques were employed. CTDIvol: 13.4 mGy. DLP:
273 mGy-cm.

Procedure Note
Howard I Forman - 08/23/2018
Procedure Note
Described INDICATIONS: pain right orbit with movement and surrounding swelling and pain, molar with fistula right mandible.
Pt to ER with complaints of Right orbital pain, symptoms started on Sunday. Pt
initially thought she had pink eye in her Rt eye, her son recently had pink eye.
Rt eye red and painful, pt tried erythromycin ointment but redness progressed.
Pt noticed swelling on Monday and gradually worsening. Yesterday she started to
have pain in her jaw and throat, tender/sore throat feeling. Pt describes he
The patient had 0 prior CT and/or cardiac nuclear medicine examinations in the past 12 months within the Conemaugh Health
System.
CT MAXILLO FACIAL AREA ENHANCED W 3D PROCESSING IF INDICATED
COMPARISON: No prior face CT scans are available..
FINDINGS:
BONES: Normal.
PARANASAL SINUSES : Unremarkable.
SOFT TISSUES: There is bilateral preseptal orbital hyperdensity, likely due to enhancement. This is slightly more prominent on
the right. There is right periorbital soft tissue swelling. No abscess, mass or nodule is identified. The ocular globes,
extraocular muscles, optic nerve sheath complexes, lacrimal glands and superior ophthalmic veins all appear normal.
ADDITIONAL FINDINGS:None
CONCLUSION: Right periorbital soft tissue swelling is present. In the absence of any history of trauma this is likely due to
cellulitis.
Up-to-date CT equipment and radiation dose reduction techniques were employed. CTDIvol: 13.4 mGy. DLP: 273 mGy-cm.

Augusta Czysz IMG CT PROCEDURES
POCT RAPID STREP A (ED POCT RAPID STREP A SCREEN) - Final result (08/23/2018 6:01 PM EDT)
POCT Rapid Strep A Negative - Negative
Screen Internal
Control Valid

Swab 08/23/2018 6:01 PM
EDT

Alicia Wells POINT OF CARE TEST ORDERABLES
CULTURE, THROAT (THROAT CULTURE) - Final result (08/23/2018 5:54 PM EDT)

Analysis Performed
Throat Culture Negative for Negative for 08/25/2018 MMC LAB
Group A Beta Group A Beta 8:23 AM
Streptococcus Streptococcus EDT
Swab Throat swab / Unknown Non-blood Collection / 08/23/2018 5:54 PM 08/23/2018 6:00 PM
Unknown EDT EDT

Alicia Wells LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
BHCGQL Negative Negative 08/23/2018 MMC LAB
7:01 PM
EDT

Blood Venous blood 08/23/2018 5:48 PM 08/23/2018 5:49 PM
specimen / Unknown EDT EDT

Alicia Wells LAB BLOOD ORDERABLES
Performing
(08/23/2018 5:43 PM EDT)
WBC 5.9 4.5 - 08/23/2018 MMC LAB
11.0 6:18 PM
10*3/uL EDT
RBC 4.47 4.20 - 08/23/2018 MMC LAB
5.50 6:18 PM
10*6/uL EDT
16.0 gm/ 6:18 PM
dL EDT
% 6:18 PM
EDT
MCV 94 82 - 101 08/23/2018 MMC LAB
fL 6:18 PM
EDT
MCH 32.0 27.0 - 08/23/2018 MMC LAB
34.0 pg 6:18 PM
EDT
MCHC 34 32 - 36 08/23/2018 MMC LAB
g/dL 6:18 PM
EDT
RDW 12.7 11.5 - 08/23/2018 MMC LAB
14.5 % 6:18 PM
EDT
440 6:18 PM
10*3/uL EDT
MPV 8.6 7.4 - 08/23/2018 MMC LAB
10.4 fL 6:18 PM
EDT
% 6:18 PM
EDT
% 6:18 PM
EDT
6:18 PM
EDT
6:18 PM
EDT
6:18 PM
EDT
10*3/uL 6:18 PM
EDT
10*3/uL 6:18 PM
EDT

Performing
LACTIC ACID, SERUM (LACTIC ACID) - Final result (08/23/2018 5:43 PM EDT)
Lactate 0.9 0.5 - 2.2 08/23/2018 MMC LAB
mmol/L 5:52 PM
EDT

Narrative
MMC LAB - 08/23/2018 5:52 PM EDT
Discontinue when previous value is less than 2.

Performing
BASIC METABOLIC PANEL - Final result (08/23/2018 5:43 PM EDT)

Sodium 138 136 - 08/23/2018 MMC LAB
145 6:10 PM
mmol/L EDT
mmol/L 6:10 PM
EDT
Chloride 104 98 - 107 08/23/2018 MMC LAB
mmol/L 6:10 PM
EDT
CO2 27 22 - 29 08/23/2018 MMC LAB
mEq/L 6:10 PM
EDT
Anion Gap 7 5 - 14 08/23/2018 MMC LAB
mmol/L 6:10 PM
EDT
Calcium 9.5 8.5 - 08/23/2018 MMC LAB
10.3 mg/ 6:10 PM
dL EDT
BUN 8 7 - 19 08/23/2018 MMC LAB
mg/dL 6:10 PM
EDT
mg/dL 6:10 PM
EDT
eGFR 83 >60 mL/ 08/23/2018 MMC LAB
min 6:10 PM
EDT
Comment:

mg/dL 6:10 PM
EDT

Performing
ECG 12-LEAD - Final result (08/23/2018 5:38 PM EDT)

08/23/2018 5:38 PM
EDT
Narrative
EPIPHANY - 08/24/2018 5:50 PM EDT
Normal sinus rhythm
Normal EKG
No significant changes compared to the last available tracing
Electronically Signed On 8-24-2018 17:50:12 EDT by Robert Stenberg, M. D.
Procedure Note
Robert G Stenberg - 08/24/2018
Normal sinus rhythm
Normal EKG
No significant changes compared to the last available tracing
Electronically Signed On 8-24-2018 17:50:12 EDT by Robert Stenberg, M. D.

Alicia Wells ECG ORDERABLES
Performing
EPIPHANY

Lower Extremities, Ankle Left Computed Radiography

07/16/2018 5:07 PM 07/16/2018 5:09 PM
EDT EDT
Impressions
07/16/2018 5:11 PM EDT
IMPRESSION: Degenerative bone changes.
Narrative
07/16/2018 5:11 PM EDT
ACCESSION NUMBER: 100462612
MRN NUMBER: 3169509
EXAM TITLE: XR ANKLE 3+ VW LEFT
INDICATION: Pain in left ankle and joints of left foot
COMPARISON: None.
FINDINGS: Screws visualized internally fixating the distal tibia, distal fibula demonstrates
unremarkable alignment. Degenerative changes visualized with slight decrease in the height of the
tibiotalar joint, degenerative changes visualized with bone
density is visualized in both anterior and posterior aspect of the tibiotalar joint. Mild overlying
soft tissue prominence is seen, most prominent overlying the anterior bursa. No evidence of acute
fracture seen. The tarsal and tarsal bases are
unremarkable.

Procedure Note
Sami Elsayed - 07/16/2018
Procedure Note
MRN NUMBER: 3169509
EXAM TITLE: XR ANKLE 3+ VW LEFT
INDICATION: Pain in left ankle and joints of left foot
COMPARISON: None.
FINDINGS: Screws visualized internally fixating the distal tibia, distal fibula demonstrates unremarkable alignment. Degenerative
changes visualized with slight decrease in the height of the tibiotalar joint, degenerative changes visualized with bone
density is visualized in both anterior and posterior aspect of the tibiotalar joint. Mild overlying soft tissue prominence is seen,
most prominent overlying the anterior bursa. No evidence of acute fracture seen. The tarsal and tarsal bases are
unremarkable.
IMPRESSION: Degenerative bone changes.

Juan C Barra IMG XR PROCEDURES
RHEUMATOID FACTOR SCREEN WITH REFLEX TO TITER (RHEUMATOID FACTOR SCREEN REFLEX TO RHEUMATOID
FACTOR TITER, IF POSITIVE) - Final result (04/30/2018)
Blood Venous blood 04/30/2018
specimen / Unknown
Narrative


Dr Rohanna LAB BLOOD ORDERABLES
LYME DISEASE ANTIBODIES REFLEX TO LYME DISEASE LINE BLOT, IF POSITIVE OR EQUIVOCAL (LYME IGG AND IGM
ANTIBODIES REFLEX TO LYME DISEASE WESTERN BLOT, IF POSITIVE OR EQUIVOCAL) - Final result (04/25/2018)
Blood Venous blood 04/25/2018
specimen / Unknown
Narrative


Hannah M Clevenger LAB BLOOD ORDERABLES
POCT PERFORM HEMACUE/HEMAGLOBIN, BLOOD (POCT HEMOGLOBIN) - Final result (03/05/2018 1:23 PM EST)
POCT HEMOGLOBIN 11.5

Blood 03/05/2018 1:23 PM EST
HUMAN PAPILLOMAVIRUS (HPV) GENOTYPES 16,18 AND OTHER (HIGH RISK) ((HPV) DNA DETECTION WITH
GENOTYPING, HIGH-RISK TYPES BY PCR, SUREPATH) - Final result (03/05/2018)
Swab Swab of endocervix / 03/05/2018
Unknown
Narrative


LIQUID BASED PAP SMEAR SCREEN REFLEX TO HPV DNA DETECTION, IF ABNORMAL - Final result (03/05/2018)
Swab Swab of endocervix / 03/05/2018
Unknown
Narrative


T3 FREE (T3, FREE) - Final result (02/06/2018 4:34 PM EST)

T3, Free 3.15 1.71 - 02/06/2018 MMC LAB
3.71 pg/ 5:09 PM
mL EST


Performing
T4 FREE (T4, FREE) - Final result (02/06/2018 4:34 PM EST)

Free T4 0.94 0.70 - 02/06/2018 MMC LAB
1.48 ng/ 5:09 PM
dL EST

Performing
(ABNORMAL) PROTIME-INR - Final result (02/06/2018 1:46 PM EST)

Protime 20.3 (H) 9.0 - 02/06/2018 MMC LAB
12.0 3:21 PM
seconds EST
INR 2.0 02/06/2018 MMC LAB
3:21 PM
EST
Comment:
Reference Range: 0.9-1.1 Therapeutic Range (Prophylaxis of Venous and Systemic Thromboembolism or
Aortic Valve Replacement): 2.0-3.0 Therapeutic Range (Mitral Valve Replacement): 2.5-3.5


Natalie M Kukucka LAB BLOOD ORDERABLES
Performing

TSH 0.07 (L) 0.35 - 02/06/2018 MMC LAB
4.94 4:15 PM
uIU/mL EST


Performing
(ABNORMAL) PROTIME-INR - Final result (01/29/2018 2:21 PM EST)

Protime 20.1 (H) 9.0 - 01/29/2018 MMC LAB
12.0 8:28 PM
seconds EST
INR 2.0 01/29/2018 MMC LAB
8:28 PM
EST
Comment:

Performing
(ABNORMAL) PROTIME-INR - Final result (01/22/2018 11:17 AM EST)

Protime 16.0 (H) 9.0 - 01/22/2018 MMC LAB
12.0 3:37 PM
seconds EST
INR 1.6 01/22/2018 MMC LAB
3:37 PM
EST
Comment:


Performing

Protime 15.0 (H) 9.0 - 01/16/2018 MMC LAB
12.0 4:01 PM
seconds EST
INR 1.5 01/16/2018 MMC LAB
4:01 PM
EST
Comment:

Performing
(01/15/2018 10:38 AM EST)
WBC 7.2 4.5 - 01/15/2018 MMC LAB
11.0 10:52 AM
10*3/uL EST
RBC 3.41 (L) 4.20 - 01/15/2018 MMC LAB
5.50 10:52 AM
10*6/uL EST
16.0 gm/ 10:52 AM
dL EST
% 10:52 AM
EST
MCV 96 82 - 101 01/15/2018 MMC LAB
fL 10:52 AM
EST
MCH 33.0 27.0 - 01/15/2018 MMC LAB
34.0 pg 10:52 AM
EST
MCHC 35 32 - 36 01/15/2018 MMC LAB
g/dL 10:52 AM
EST
RDW 12.9 11.5 - 01/15/2018 MMC LAB
14.5 % 10:52 AM
EST
440 10:52 AM
10*3/uL EST
MPV 6.6 (L) 7.4 - 01/15/2018 MMC LAB
10.4 fL 10:52 AM
EST
% 10:52 AM
EST
% 10:52 AM
EST
10:52 AM
EST
10:52 AM
EST
10:52 AM
EST
10*3/uL 10:52 AM
EST
10*3/uL 10:52 AM
EST

Courtney D Cuppett LAB BLOOD ORDERABLES
Performing

Protime 12.7 (H) 9.0 - 01/15/2018 MMC LAB
12.0 11:06 AM
seconds EST
INR 1.2 01/15/2018 MMC LAB
11:06 AM
EST
Comment:


Performing
(ABNORMAL) CBC WITHOUT DIFF (CBC) - Final result (01/14/2018 6:08 AM EST)
WBC 6.9 4.5 - 01/14/2018 MMC LAB
11.0 6:23 AM
10*3/uL EST
RBC 3.28 (L) 4.20 - 01/14/2018 MMC LAB
5.50 6:23 AM
10*6/uL EST
16.0 gm/ 6:23 AM
dL EST
% 6:23 AM
EST
MCV 96 82 - 101 01/14/2018 MMC LAB
fL 6:23 AM
EST
MCH 33.0 27.0 - 01/14/2018 MMC LAB
34.0 pg 6:23 AM
EST
MCHC 35 32 - 36 01/14/2018 MMC LAB
g/dL 6:23 AM
EST
RDW 13.3 11.5 - 01/14/2018 MMC LAB
14.5 % 6:23 AM
EST
440 6:23 AM
10*3/uL EST
MPV 6.7 (L) 7.4 - 01/14/2018 MMC LAB
10.4 fL 6:23 AM
EST

Performing
PROTIME-INR - Final result (01/14/2018 6:07 AM EST)

Protime 10.7 9.0 - 01/14/2018 MMC LAB
12.0 6:37 AM
seconds EST
INR 1.0 01/14/2018 MMC LAB
6:37 AM
EST
Comment:


Performing
RHOGAM EVALUATION (POST DELIVERY) (RHOGAM (POST DELIVERY) IF FETAL SCREEN POSITIVE, REFLEX TO
KLEIHAUER-BETKE) - Final result (01/13/2018 7:22 AM EST)
8:12 AM BLOOD
EST BANK LAB
Fetal Bleed Screen NEG 01/13/2018 MMC
8:12 AM BLOOD
EST BANK LAB


Performing
LAB
(01/13/2018 7:22 AM EST)
WBC 8.3 4.5 - 01/13/2018 MMC LAB
11.0 7:44 AM
10*3/uL EST
RBC 3.39 (L) 4.20 - 01/13/2018 MMC LAB
5.50 7:44 AM
10*6/uL EST
16.0 gm/ 7:44 AM
dL EST
% 7:44 AM
EST
MCV 96 82 - 101 01/13/2018 MMC LAB
fL 7:44 AM
EST
MCH 33.0 27.0 - 01/13/2018 MMC LAB
34.0 pg 7:44 AM
EST
MCHC 35 32 - 36 01/13/2018 MMC LAB
g/dL 7:44 AM
EST
RDW 13.2 11.5 - 01/13/2018 MMC LAB
14.5 % 7:44 AM
EST
440 7:44 AM
10*3/uL EST
MPV 7.1 (L) 7.4 - 01/13/2018 MMC LAB
10.4 fL 7:44 AM
EST
% 7:44 AM
EST
% 7:44 AM
EST
7:44 AM
EST
7:44 AM
EST
7:44 AM
EST
10*3/uL 7:44 AM
EST
10*3/uL 7:44 AM
EST

Performing
POCT GLUCOSE METER - Final result (01/13/2018 6:18 AM EST)

POCT Glucose 84 70 - 105 01/13/2018 MMC LAB
mg/dL 6:20 AM
EST

Blood 01/13/2018 6:18 AM 01/13/2018 6:20 AM
EST EST

Adib N Khouzami LAB POCT ORDERABLES - DEVICE
Performing
TISSUE EXAM (PATHOLOGY) (TISSUE EXAM) - Final result (01/12/2018 8:38 AM EST)
Case Report Surgical 01/15/2018 MMC LAB
Pathology 11:00 AM
EST

Case:
S18-00487

Authorizing
Provider:
Adib N
Khouzami, MD

Collected:

01/12/2018
0838

Ordering
Location:
Memorial
Medical
Center
Received:

01/12/2018
1126

Maternity

Pathologist:

Lian Qian, MD

Specimen:
Placenta,
placenta and
cord-39 w 0 d

Surgical Pathology Final A: Placenta, 01/15/2018 MMC LAB Electronically signed by
Diagnosis placenta and 11:00 AM Lian Qian, MD on
cord-39 w 0 d EST 1/15/2018 at 11:00 AM
Third
Trimester
placenta
(weight: 522
gms) with
focal
infarction
and
calcification
(less than
5%) .
Umbilical
with 3
vessels.
Gross Description A. The 01/15/2018 MMC LAB
specimen on 11:00 AM
patient: EST
Candace Patrice
Gray, Medical
Record #:
3169509,
labeled:
Placenta, is
received in
formalin and
consists of a
placenta and
umbilical cord.
The placenta
weighs 522 g
and measures
20.9 x 16.8 x 2.1
cm. The
umbilical cord
is 56.2 cm in
length and 1.2
cm in diameter.
The
eccentrically
located
umbilical cord
has 3 vessels
and inserts 6.6
cm from the
nearest margin.
The
membranes are
tan-pink and
translucent. The
fetal surface is
dark purple and
shiny with 5%
tan-white firm
plaques. The
maternal
surface is red-
brown with less
than 5% tan-
white
calcifications.
Sectioning
reveals a red-
brown, spongy
parenchyma.
Representative
sections are
submitted in
cassettes A1-
A3.
Comment: I reviewed the gross description and it is consistent with the microscopic findings. Lian Qian, MD
Clinical Information Pre-op 01/15/2018 MMC LAB
diagnosis: 11:00 AM
Breech EST
presentation,
single or
unspecified
fetus
[O32.1XX0]
Disclaimer Diagnosis is 01/15/2018 MMC LAB
based on tissue 11:00 AM
and EST
information
received. Please
notify
pathologist if
discrepant with
clinical data.
Embedded Images 01/15/2018 MMC LAB
11:00 AM
EST
Tissue Placental structure / 01/12/2018 8:38 AM 01/12/2018 11:26 AM
Unknown EST EST
Breech presentation, single or unspecified fetus [O32.1XX0]

Performing
APTT - Final result (01/12/2018 7:14 AM EST)

aPTT 28 23 - 35 01/12/2018 MMC LAB
Seconds 7:56 AM
EST


Performing
WBC 9.7 4.5 - 01/12/2018 MMC LAB
11.0 7:30 AM
10*3/uL EST
RBC 3.49 (L) 4.20 - 01/12/2018 MMC LAB
5.50 7:30 AM
10*6/uL EST
16.0 gm/ 7:30 AM
dL EST
% 7:30 AM
EST
MCV 93 82 - 101 01/12/2018 MMC LAB
fL 7:30 AM
EST
MCH 33.0 27.0 - 01/12/2018 MMC LAB
34.0 pg 7:30 AM
EST
MCHC 36 32 - 36 01/12/2018 MMC LAB
g/dL 7:30 AM
EST
RDW 13.0 11.5 - 01/12/2018 MMC LAB
14.5 % 7:30 AM
EST
440 7:30 AM
10*3/uL EST
MPV 7.0 (L) 7.4 - 01/12/2018 MMC LAB
10.4 fL 7:30 AM
EST

Performing
POCT FERN - Final result (01/10/2018 5:34 PM EST)

Fern Test, POCT Absent

Vaginal Fluid 01/10/2018 5:34 PM EST

Courtney D Cuppett POINT OF CARE TEST ORDERABLES
US MI OBSTETRICS, LIMITED, FETUS(S) - Final result (01/10/2018 4:33 PM EST)

Ultrasound

01/10/2018 4:19 PM EST
Narrative
01/10/2018 5:21 PM EST
Narrative

TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
Pat. Name: GRAY, CANDACE Study Date: 01/10/2018 4:19pm
Pat. No: 3169509 Referring MD: CUPPETT, COURTNEY D
LMP: 04/08/2017 Sonographer: Bindie S. Polites, AS, RD
GA by LMP: 39w4d EDD: 01/13/2018 DOB, Age: 10/31/1985, 32
GA by Base:38w5d EDD: 01/19/2018 GA Selected: 38w5d (From Known E)
Hist/Ind:
Possible leakage of amniotic fluid
Antiphospholipid syndrome
EDD: 01/19/2018
--------------------------------------------------------------------------------
Amniotic Fluid Index: 11.1cm (07.2-23.0)
Q1: 2.2cm Q2: 3.0cm Q3: 3.7cm Q4: 2.3cm
Biophysical Profile: 8/8
Breathing:2 Tone:2
Movement: 2 AFV: 2
--------------------------------------------------------------------------------
Procedure: Limited OB ultrasound
--------------------------------------------------------------------------------
Presentation: Breech
Placenta: Posterior
Grade: Grade I
Gender: Male
Fetal Anatomy!Normal!Abnormal!Suboptimal!Prev. seen!Comments
--------------------------------------------------------------------------------
Cranium ! ! ! ! x !
Cavum ! ! ! ! x !
Cerebellum ! ! ! ! x !
Lateral Ventr! ! ! ! x !
Choroid Plexu! ! ! ! x !
Midline Flax ! ! ! ! x !
Cisterna Magn! ! ! ! x !
Profile ! ! ! ! x !
Upper Lip ! ! ! ! x !
Abdomen ! ! ! ! x !
Bowel ! ! ! ! x !
Abdominal Wal! ! ! ! x !
Abdominal Umb! ! ! ! x !
Placental cor! ! ! ! x !
Stomach (pres! ! ! ! x !
Kidneys ! ! ! ! x !
Urinary Bladd! ! ! ! x !
Diaphragm ! ! ! ! x !
3 Vessel Cord! ! ! ! x !
Thorax ! ! ! ! x !
Heart Situs ! ! ! ! x !
Heart Motion ! x ! ! ! x !
Cardiac Rhyth! x ! ! ! x !
4 CH ! ! ! ! x !
RVOT ! ! ! ! x !
LVOT ! ! ! ! x !
3 V V. ! ! ! ! x !
Transverse Sp! ! ! ! x !
Fetal limb an! x ! ! ! x !
Fetal Tone ! x ! ! ! x !
Fetal Breathi! x ! ! ! x !
Maternal Uter! ! ! ! x !
Maternal Adne! ! ! ! x !
Maternal Cerv! ! ! ! x !
Maternal Ovar! ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton.
FETAL ANATOMY VISUALIZED APPEARING SONOGRAPHICALLY ABNORMAL:
nuchal cord
Courtney Cuppett MD, FACOG
--------------------------
Procedure Note
Courtney D Cuppett - 01/10/2018

TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
Pat. Name: GRAY, CANDACE Study Date: 01/10/2018 4:19pm
Pat. No: 3169509 Referring MD: CUPPETT, COURTNEY D
LMP: 04/08/2017 Sonographer: Bindie S. Polites, AS, RD
Hist/Ind:
Possible leakage of amniotic fluid
Antiphospholipid syndrome
EDD: 01/19/2018
--------------------------------------------------------------------------------
Q1: 2.2cm Q2: 3.0cm Q3: 3.7cm Q4: 2.3cm
Breathing:2 Tone:2
Movement: 2 AFV: 2
--------------------------------------------------------------------------------
Procedure: Limited OB ultrasound
--------------------------------------------------------------------------------
Placenta: Posterior
Grade: Grade I
Gender: Male
--------------------------------------------------------------------------------
Cranium ! ! ! ! x !
Cavum ! ! ! ! x !
Cerebellum ! ! ! ! x !
Lateral Ventr! ! ! ! x !
Choroid Plexu! ! ! ! x !
Midline Flax ! ! ! ! x !
Cisterna Magn! ! ! ! x !
Profile ! ! ! ! x !
Abdomen ! ! ! ! x !
Bowel ! ! ! ! x !
Stomach (pres! ! ! ! x !
Kidneys ! ! ! ! x !
Urinary Bladd! ! ! ! x !
Diaphragm ! ! ! ! x !
3 Vessel Cord! ! ! ! x !
Thorax ! ! ! ! x !
Heart Situs ! ! ! ! x !
4 CH ! ! ! ! x !
RVOT ! ! ! ! x !
LVOT ! ! ! ! x !
Procedure Note
3 V V. ! ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton.
nuchal cord
Courtney Cuppett MD, FACOG
--------------------------

Courtney D Cuppett IMG OB US PROCEDURES
POCT URINALYSIS, NON-AUTOMATED WITHOUT MICROSCOPY - Final result (01/10/2018 3:33 PM EST)
POCT Protein, UA Negative 0-
20mg/dL

Urine specimen 01/10/2018 3:33 PM EST
(specimen)

WBC 8.0 4.5 - 01/05/2018 MMC LAB
11.0 2:14 PM
10*3/uL EST
RBC 3.57 (L) 4.20 - 01/05/2018 MMC LAB
5.50 2:14 PM
10*6/uL EST
16.0 gm/ 2:14 PM
dL EST
% 2:14 PM
EST
MCV 94 82 - 101 01/05/2018 MMC LAB
fL 2:14 PM
EST
MCH 34.0 27.0 - 01/05/2018 MMC LAB
34.0 pg 2:14 PM
EST
MCHC 36 32 - 36 01/05/2018 MMC LAB
g/dL 2:14 PM
EST
RDW 13.2 11.5 - 01/05/2018 MMC LAB
14.5 % 2:14 PM
EST
440 2:14 PM
10*3/uL EST
MPV 7.7 7.4 - 01/05/2018 MMC LAB
10.4 fL 2:14 PM
EST

Performing
T3 FREE (T3, FREE) - Final result (01/05/2018 8:25 AM EST)

T3, Free 3.44 1.71 - 01/06/2018 MMC LAB
3.71 pg/ 10:24 AM
mL EST


Performing
(ABNORMAL) TSH - Final result (01/05/2018 8:25 AM EST)

TSH 0.13 (L) 0.35 - 01/05/2018 MMC LAB
4.94 2:37 PM
uIU/mL EST


Performing
Free T4 1.01 0.70 - 01/06/2018 MMC LAB
1.48 ng/ 10:24 AM
dL EST


Performing

US MI PREGNANCY FOLLOW-UP PER FETUS - Final result (01/03/2018 5:12 PM EST)

Abdomen Ultrasound

01/03/2018 4:27 PM EST
Narrative
01/04/2018 7:10 PM EST

TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
Pat. Name: GRAY, CANDACE PATRICE Study Date: 01/03/2018 4:27pm
LMP: 04/08/2017 Sonographer: Teresa A. Keafer, BS, RDM
GA by US: 37w2d EDD: 01/22/2018 EDD: 01/19/2018
Hist/Ind:
Large for dates
Anticardiolipin cysdrome
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
BPD 9.4 cm 38w2d (35w0d-41w3d) Hadlock BPD 82% FL/BPD 0.77 (0.71 - 0.87)
HC 33.7 cm 38w4d (35w6d-41w2d) Hadlock HC 48% FL/AC 0.22 (0.20 - 0.24)
: 7lbs, 1oz
Wt% 55% for 37w5d
Q1: 3.6cm Q2: 2.2cm Q3: 2.5cm Q4: 3.9cm
Narrative
Breathing:2 Tone:2
Movement: 2 AFV: 2
--------------------------------------------------------------------------------
Procedure: Follow up OB ultrasound
--------------------------------------------------------------------------------
Placenta: Posterior
Grade: Grade 0
Gender: Male
--------------------------------------------------------------------------------
DOPPLER
Umbilical - Mid Cord Right Uterine Artery Left Uterine Artery
-------------------------- -------------------------- --------------------------
PI 0.94 (0.52 - 1.21) PI 0.55 (0.32 - 1.16) PI 0.98 (0.32 - 1.16)
--------------------------------------------------------------------------------
Cranium ! x ! ! ! x !
Cavum ! x ! ! ! x !
Cerebellum ! x ! ! ! x !
Lateral Ventr! x ! ! ! x !
Choroid Plexu! x ! ! ! x !
Midline Flax ! x ! ! ! x !
Cisterna Magn! x ! ! ! x !
Profile ! x ! ! ! x !
Upper Lip ! x ! ! ! x !
Abdomen ! x ! ! ! x !
Bowel ! x ! ! ! x !
Stomach (pres! x ! ! ! x !
Kidneys ! x ! ! ! x !
Urinary Bladd! x ! ! ! x !
Diaphragm ! x ! ! ! x !
3 Vessel Cord! x ! ! ! x !
Thorax ! x ! ! ! x !
Heart Situs ! x ! ! ! x !
4 CH ! x ! ! ! x !
RVOT ! x ! ! ! x !
LVOT ! x ! ! ! x !
3 V V. ! x ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton.
FETAL GROWTH:
There is appropriate fetal growth..
Nuchal Cord.
The Pulsatility Index is Normal bilaterally..
DOPPLER OF THE UMBILICAL ARTERIES:
The PI is Normal .
-----------------------
Procedure Note

Procedure Note
TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
GA by US: 37w2d EDD: 01/22/2018 EDD: 01/19/2018
Hist/Ind:
Large for dates
Anticardiolipin cysdrome
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
: 7lbs, 1oz
Wt% 55% for 37w5d
Q1: 3.6cm Q2: 2.2cm Q3: 2.5cm Q4: 3.9cm
Breathing:2 Tone:2
Movement: 2 AFV: 2
--------------------------------------------------------------------------------
Procedure: Follow up OB ultrasound
--------------------------------------------------------------------------------
Placenta: Posterior
Grade: Grade 0
Gender: Male
--------------------------------------------------------------------------------
DOPPLER
-------------------------- -------------------------- --------------------------
PI 0.94 (0.52 - 1.21) PI 0.55 (0.32 - 1.16) PI 0.98 (0.32 - 1.16)
--------------------------------------------------------------------------------
Cavum ! x ! ! ! x !
Profile ! x ! ! ! x !
Bowel ! x ! ! ! x !
Procedure Note
4 CH ! x ! ! ! x !
RVOT ! x ! ! ! x !
LVOT ! x ! ! ! x !
3 V V. ! x ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton.
FETAL GROWTH:
Nuchal Cord.
The Pulsatility Index is Normal bilaterally..
The PI is Normal .
-----------------------

20mg/dL

(specimen)

Natalie M Kukucka OB GYNE ORDERABLES
20mg/dL

(specimen)


20mg/dL

(specimen)

STREP B CULTURE - Final result (12/20/2017 3:33 PM EST)

Swab (Vaginal/Rectal) Non-blood Collection / 12/20/2017 3:33 PM EST 12/20/2017 3:33 PM EST
Unknown
Narrative
MMC LAB - 12/24/2017 9:50 AM EST
Positive for Group B Strep by DNA Amplification. Unable to recover Group B Strep from culture for
susceptibility studies.

Performing
(ABNORMAL) STREP B, DNA, AMP PROBE (STREP B DNA PROBE, AMPLIFICATION) - Final result (12/20/2017 3:33 PM
EST)
Group B Strep DNA Positive (A) Negative 12/22/2017 MMC LAB
Probe 1:03 PM
EST
Swab (Vaginal/Rectal) Non-blood Collection / 12/20/2017 3:33 PM EST 12/20/2017 3:33 PM EST
Unknown

Adib N Khouzami LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing
US MI PREGNANCY FOLLOW-UP PER FETUS - Final result (12/04/2017 3:52 PM EST)

Abdomen Ultrasound

12/04/2017 3:20 PM EST
Narrative
12/04/2017 5:06 PM EST

TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
LMP: 04/08/2017 Sonographer: Heather Beerbower, AS, RD
GA by US: 34w1d EDD: 01/14/2018 EDD: 01/19/2018
Hist/Ind:
Anticardolipin antibody
Recent Pyelonephritis
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
: 5lbs, 4oz
Wt% 70% for 33w3d
Q1: 4.6cm Q2: 4.8cm Q4: 3.1cm
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
DOPPLER
-------------------------- --------------------------
PI 0.64 (0.34 - 1.19) PI 0.82 (0.34 - 1.19)
--------------------------------------------------------------------------------
Cavum ! x ! ! ! x !
Narrative
Profile ! ! ! x ! x !
Bowel ! x ! ! ! x !
Abdominal Wal! x ! ! ! x !
4 CH ! x ! ! ! x !
RVOT ! x ! ! ! x !
LVOT ! x ! ! ! x !
3 V V. ! x ! ! ! x !
Fetal Breathi! x ! ! ! !
Maternal Uter! x ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
Transabdominal OB ultrasound was performed
TYPE OF GESTATION:
Singleton
PRESENTATION:
Breech
PLACENTAL LOCATION:
Posterior
PLACENTA GRADE and APPEARANCE:
Grade I
THE AMNIOTIC FLUID is:
Normal
FETAL GROWTH:
-----------------------
Procedure Note

TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
LMP: 04/08/2017 Sonographer: Heather Beerbower, AS, RD
GA by US: 34w1d EDD: 01/14/2018 EDD: 01/19/2018
Hist/Ind:
Anticardolipin antibody
Recent Pyelonephritis
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
Procedure Note
: 5lbs, 4oz
Wt% 70% for 33w3d
Q1: 4.6cm Q2: 4.8cm Q4: 3.1cm
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
DOPPLER
-------------------------- --------------------------
PI 0.64 (0.34 - 1.19) PI 0.82 (0.34 - 1.19)
--------------------------------------------------------------------------------
Cavum ! x ! ! ! x !
Profile ! ! ! x ! x !
Bowel ! x ! ! ! x !
Abdominal Wal! x ! ! ! x !
4 CH ! x ! ! ! x !
RVOT ! x ! ! ! x !
LVOT ! x ! ! ! x !
3 V V. ! x ! ! ! x !
Fetal Breathi! x ! ! ! !
Maternal Uter! x ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
Transabdominal OB ultrasound was performed
TYPE OF GESTATION:
Singleton
PRESENTATION:
Breech
PLACENTAL LOCATION:
Posterior
Procedure Note
Grade I
Normal
FETAL GROWTH:
-----------------------

20mg/dL

(specimen)



BILE ACIDS,TOTAL (BILE ACIDS, TOTAL) - Final result (11/30/2017 11:23 AM EST)
Bile Acids 5.4 4.7 - 12/02/2017 LABCORP
24.5 7:06 PM
umol/L EST
Comment:
Pregnant female reference interval
(15 - 45 years): 3.7 - 14.5

Narrative
LABCORP - 12/02/2017 7:06 PM EST

Performing
LABCORP
(ABNORMAL) HEPATIC FUNCTION PANEL - Final result (11/30/2017 11:23 AM EST)

mg/dL 12:20 PM
EST
Bilirubin, Direct 0.2 0.0 - 0.5 11/30/2017 MMC LAB
mg/dL 12:20 PM
EST
U/L 12:20 PM
EST
AST 8 5 - 34 U/ 11/30/2017 MMC LAB
L 12:20 PM
EST
ALT (SGPT) 14 0 - 55 U/ 11/30/2017 MMC LAB
L 12:20 PM
EST
Total Protein 5.5 (L) 6.0 - 8.3 11/30/2017 MMC LAB
g/dL 12:20 PM
EST
Albumin 2.5 (L) 3.5 - 5.0 11/30/2017 MMC LAB
g/dL 12:20 PM
EST


Performing
WBC 7.3 4.5 - 11/29/2017 MMC LAB
11.0 11:46 AM
10*3/uL EST
RBC 2.46 (L) 4.20 - 11/29/2017 MMC LAB
5.50 11:46 AM
10*6/uL EST
16.0 gm/ 11:46 AM
dL EST
% 11:46 AM
EST
MCV 98 82 - 101 11/29/2017 MMC LAB
fL 11:46 AM
EST
MCH 33.0 27.0 - 11/29/2017 MMC LAB
34.0 pg 11:46 AM
EST
MCHC 34 32 - 36 11/29/2017 MMC LAB
g/dL 11:46 AM
EST
RDW 12.4 11.5 - 11/29/2017 MMC LAB
14.5 % 11:46 AM
EST
440 11:46 AM
10*3/uL EST
MPV 8.1 7.4 - 11/29/2017 MMC LAB
10.4 fL 11:46 AM
EST

Performing
(ABNORMAL) CBC WITHOUT DIFF (CBC) - Final result (11/28/2017 1:42 PM EST)
WBC 12.1 (H) 4.5 - 11/28/2017 MMC LAB
11.0 2:23 PM
10*3/uL EST
RBC 2.82 (L) 4.20 - 11/28/2017 MMC LAB
5.50 2:23 PM
10*6/uL EST
16.0 gm/ 2:23 PM
dL EST
% 2:23 PM
EST
MCV 98 82 - 101 11/28/2017 MMC LAB
fL 2:23 PM
EST
MCH 34.0 27.0 - 11/28/2017 MMC LAB
34.0 pg 2:23 PM
EST
MCHC 34 32 - 36 11/28/2017 MMC LAB
g/dL 2:23 PM
EST
RDW 12.6 11.5 - 11/28/2017 MMC LAB
14.5 % 2:23 PM
EST
440 2:23 PM
10*3/uL EST
MPV 7.3 (L) 7.4 - 11/28/2017 MMC LAB
10.4 fL 2:23 PM
EST

Performing
GENTAMICIN LEVEL TROUGH (GENTAMICIN LEVEL, TROUGH) - Final result (11/28/2017 1:42 PM EST)
Gentamicin Trough 0.8 0.0 - 2.0 11/28/2017 MMC LAB
ug/mL 2:57 PM
EST
Comment: Draw lab 30 minutes prior to dose due (due at 13:0

Narrative
MMC LAB - 11/28/2017 2:57 PM EST
Draw lab 30 minutes prior to dose due (due at 13:00)

Performing
INSERT PERIPHERAL IV - Final result (11/28/2017 10:09 AM EST)

Cynthia Stallings IV THERAPY ORDERABLES
(ABNORMAL) CBC WITH AUTO DIFFERENTIAL REFLEX TO MANUAL DIFFERENTIAL, IF ABNORMAL (CBC WITH AUTO
DIFFERENTIAL) - Final result (11/28/2017 6:55 AM EST)
WBC 14.7 (H) 4.5 - 11/28/2017 MMC LAB
11.0 8:48 AM
10*3/uL EST
RBC 2.52 (L) 4.20 - 11/28/2017 MMC LAB
5.50 8:48 AM
10*6/uL EST
16.0 gm/ 8:48 AM
dL EST
% 8:48 AM
EST
MCV 97 82 - 101 11/28/2017 MMC LAB
fL 8:48 AM
EST
MCH 33.0 27.0 - 11/28/2017 MMC LAB
34.0 pg 8:48 AM
EST
MCHC 34 32 - 36 11/28/2017 MMC LAB
g/dL 8:48 AM
EST
RDW 12.4 11.5 - 11/28/2017 MMC LAB
14.5 % 8:48 AM
EST
440 8:48 AM
10*3/uL EST
MPV 8.0 7.4 - 11/28/2017 MMC LAB
10.4 fL 8:48 AM
EST
Narrative
MMC LAB - 11/28/2017 8:48 AM EST
Automated 5-part differential results were indeterminate, see manual differential results.

Performing
(ABNORMAL) MANUAL DIFFERENTIAL (LAB USE ONLY) - Final result (11/28/2017 6:55 AM EST)
% 9:56 AM
EST
Bands % 4 0-5% 11/28/2017 MMC LAB
9:56 AM
EST
% 9:56 AM
EST
9:56 AM
EST
Eosinophils % 0-6% 11/28/2017 MMC LAB
9:56 AM
EST
Basophils % 0-2% 11/28/2017 MMC LAB
9:56 AM
EST
10*3/uL 9:56 AM
EST
Absolute Lymphocytes 0.9 0.9 - 4.8 11/28/2017 MMC LAB
10*3/uL 9:56 AM
EST
Total Counted 100 11/28/2017 MMC LAB
9:56 AM
EST
RBC Morphology Normal 11/28/2017 MMC LAB
9:56 AM
EST
WBC Morphology Normal 11/28/2017 MMC LAB
9:56 AM
EST
Platelet Estimate Decreased 11/28/2017 MMC LAB
9:56 AM
EST

Performing
CREATININE SERUM (CREATININE, SERUM) - Final result (11/28/2017 6:55 AM EST)

mg/dL 7:44 AM
EST
Comment: Draw lab 30 minutes from the end of gentamicin inf
eGFR 83 >60 mL/ 11/28/2017 MMC LAB
min 7:44 AM
EST
Comment:

Narrative
MMC LAB - 11/28/2017 7:44 AM EST
Draw lab 30 minutes from the end of gentamicin infusion (dose due at 05:00 and to infuse over 30
minutes)

Performing
(ABNORMAL) GENTAMICIN LEVEL PEAK (GENTAMICIN LEVEL, PEAK) - Final result (11/28/2017 6:55 AM EST)
Gentamicin Pk 4.7 (L) 5.0 - 11/28/2017 MMC LAB
12.0 ug/ 7:44 AM
mL EST
Comment: Draw lab 30 minutes from the end of gentamicin inf

Narrative
MMC LAB - 11/28/2017 7:44 AM EST
Draw lab 30 minutes from the end of gentamicin infusion (dose due at 05:00 and to infuse over 30
minutes)

Performing
BUN - Final result (11/27/2017 12:30 PM EST)

BUN 7 7 - 19 11/27/2017 MMC LAB
mg/dL 1:26 PM
EST


Charles Camacho LAB BLOOD ORDERABLES
Performing

TSH 0.06 (L) 0.35 - 11/27/2017 MMC LAB
4.94 1:47 PM
uIU/mL EST


Performing

mg/dL 1:26 PM
EST
eGFR 73 >60 mL/ 11/27/2017 MMC LAB
min 1:26 PM
EST
Comment:


Performing
RUPTURE OF FETAL MEMBRANES - Final result (11/27/2017 11:53 AM EST)

RUPTURE OF FETAL Negative Negative 11/27/2017 MMC LAB
MEMBRANE 12:13 PM
EST

Body Fluid Non-blood Collection / 11/27/2017 11:53 AM 11/27/2017 11:53 AM
Unknown EST EST

Charles Camacho LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing
STREP B, DNA, AMP PROBE (STREP B DNA PROBE, AMPLIFICATION) - Final result (11/27/2017 11:43 AM EST)
Group B Strep DNA Negative Negative 11/28/2017 MMC LAB
Probe 11:11 AM
EST
Unknown EST EST

Charles Camacho LAB BODY FLUIDS AND STOOLS ORDERABLES
Performing
US RENAL COMPLETE (US RENAL COMPLETE W/DOPPLER IF INDICATED) - Final result (11/27/2017 9:03 AM EST)
Body Ultrasound

11/27/2017 9:04 AM 11/27/2017 9:10 AM
EST EST
Impressions
11/27/2017 9:13 AM EST
IMPRESSION: Mild to moderate pelvic caliectasis on the left side. Size discrepancy of the kidneys is
stable dating back to 2013. Otherwise negative study

Narrative
11/27/2017 9:13 AM EST
MRN NUMBER: 3169509
EXAM TITLE: US RENAL COMPLETE W/DOPPLER IF INDICATED
INDICATION: 32 weeks gestation of pregnancy

Unspecified abdominal pain
COMPARISON: CT from 05/04/2013
FINDINGS: Sonographic images of the kidneys were obtained. The right kidney measures 10.7 cm in length.
Left kidney measures 13.5 cm in length. There is moderate pelvic caliectasis on the left side. This is
new since the comparison CT.
The urinary bladder is incompletely distended. The contents of the bladder are anechoic. The ureteral
jets are not observed.

Procedure Note
Owen M Stark - 11/27/2017
Procedure Note
MRN NUMBER: 3169509
EXAM TITLE: US RENAL COMPLETE W/DOPPLER IF INDICATED
INDICATION: 32 weeks gestation of pregnancy

Unspecified abdominal pain
COMPARISON: CT from 05/04/2013
FINDINGS: Sonographic images of the kidneys were obtained. The right kidney measures 10.7 cm in length. Left kidney
measures 13.5 cm in length. There is moderate pelvic caliectasis on the left side. This is new since the comparison CT.
The urinary bladder is incompletely distended. The contents of the bladder are anechoic. The ureteral jets are not observed.
IMPRESSION: Mild to moderate pelvic caliectasis on the left side. Size discrepancy of the kidneys is stable dating back to 2013.
Otherwise negative study

Natalie M Kukucka IMG US PROCEDURES
DIFFERENTIAL) - Final result (11/27/2017 2:50 AM EST)
WBC 10.5 4.5 - 11/27/2017 MMC LAB
11.0 3:00 AM
10*3/uL EST
RBC 3.16 (L) 4.20 - 11/27/2017 MMC LAB
5.50 3:00 AM
10*6/uL EST
16.0 gm/ 3:00 AM
dL EST
% 3:00 AM
EST
MCV 95 82 - 101 11/27/2017 MMC LAB
fL 3:00 AM
EST
MCH 33.0 27.0 - 11/27/2017 MMC LAB
34.0 pg 3:00 AM
EST
MCHC 35 32 - 36 11/27/2017 MMC LAB
g/dL 3:00 AM
EST
RDW 12.1 11.5 - 11/27/2017 MMC LAB
14.5 % 3:00 AM
EST
440 3:00 AM
10*3/uL EST
MPV 6.6 (L) 7.4 - 11/27/2017 MMC LAB
10.4 fL 3:00 AM
EST
% 3:00 AM
EST
% 3:00 AM
EST
3:00 AM
EST
3:00 AM
EST
3:00 AM
EST
10*3/uL 3:00 AM
EST
10*3/uL 3:00 AM
EST

Performing
(ABNORMAL) URINALYSIS WITH REFLEX CULTURE - Final result (11/27/2017 2:20 AM EST)
2:54 AM
EST
2:54 AM
EST
pH, Urine 6.5 5.0 - 8.0 11/27/2017 MMC LAB
pH 2:54 AM
EST
Leukocytes, Urine Small (A) Negative, 11/27/2017 MMC LAB
Positive 2:54 AM
EST
Nitrite, Urine Positive (A) Negative 11/27/2017 MMC LAB
2:54 AM
EST
mg/dL 2:54 AM
EST
2:54 AM
EST
RBC, Urine 3-5 (A) 0-2/ 11/27/2017 MMC LAB
HPF 2:54 AM
EST
WBC, Urine 11-20 (A) 0-5/ 11/27/2017 MMC LAB
HPF 2:54 AM
EST
Squamous Epithelial, 0-5 (A) (none) / 11/27/2017 MMC LAB
Urine HPF 2:54 AM
EST
Trace / 2:54 AM
HPF EST
1.030 2:54 AM
EST
Ketones, Urine Moderate Negative 11/27/2017 MMC LAB
(A) mg/dL 2:54 AM
EST
mg/dL 2:54 AM
EST
Blood, Urine Small (A) Negative 11/27/2017 MMC LAB
2:54 AM
EST
Seen / 2:54 AM
LPF EST
Protein, Ur Negative Negative 11/27/2017 MMC LAB
mg/dl 2:54 AM
EST
procedure / Unknown

Performing
(ABNORMAL) URINE CULTURE - Final result (11/27/2017 2:20 AM EST)

Urine Culture >100,000 MIC 11/29/2017 MMC LAB
CFU/mL 7:55 AM
Escherichia EST
coli (A)

procedure / Unknown

Performing
(ABNORMAL) URINALYSIS AUTO ONLY (URINALYSIS) - Final result (11/24/2017 7:49 PM EST)
8:34 PM
EST
8:34 PM
EST
pH, Urine 5.5 5.0 - 8.0 11/24/2017 MMC LAB
pH 8:34 PM
EST
Leukocytes, Urine Trace (A) Negative, 11/24/2017 MMC LAB
Positive 8:34 PM
EST
8:34 PM
EST
mg/dL 8:34 PM
EST
8:34 PM
EST
1.030 8:34 PM
EST
mg/dL 8:34 PM
EST
mg/dL 8:34 PM
EST
8:34 PM
EST
mg/dl 8:34 PM
EST
procedure / Unknown
Narrative
MMC LAB - 11/24/2017 8:34 PM EST
Add on

Cynthia Stallings LAB URINE ORDERABLES
Performing
(ABNORMAL) PROTEIN/CREAT RATIO,URINE (PROTEIN / CREATININE RATIO, URINE) - Final result (11/24/2017 7:35 PM
EST)
Protein Urine Random <7 mg/dl 11/24/2017 MMC LAB
8:10 PM
EST
8:10 PM
EST
URINE PROTEIN/ <0.20 (H) 0.00 - 11/24/2017 MMC LAB
EST
procedure / Unknown

Cynthia Stallings LAB URINE ORDERABLES
Performing
PLATELET COUNT - Final result (11/24/2017 6:46 PM EST)

440 6:59 PM
10*3/uL EST


Cynthia Stallings LAB BLOOD ORDERABLES
Performing
(ABNORMAL) HEMATOCRIT - Final result (11/24/2017 6:46 PM EST)

% 6:59 PM
EST


Performing

Uric Acid 4.0 2.7 - 6.1 11/24/2017 MMC LAB
mg/dL 7:15 PM
EST

Performing

ALT (SGPT) 22 0 - 55 U/ 11/24/2017 MMC LAB
L 7:15 PM
EST


Performing

AST 14 5 - 34 U/ 11/24/2017 MMC LAB
L 7:15 PM
EST


Performing

LD 144 125 - 11/24/2017 MMC LAB
243 U/L 7:15 PM
EST

Performing

mg/dL 7:15 PM
EST
eGFR 97 >60 mL/ 11/24/2017 MMC LAB
min 7:15 PM
EST
Comment:


Performing
Natalie M Kukucka OB GYNE ORDERABLES
URINALYSIS AUTO ONLY (URINALYSIS) - Final result (11/09/2017 10:02 AM EST)

12:40 PM
EST
12:40 PM
EST
pH, Urine 8.0 5.0 - 8.0 11/09/2017 MMC LAB
pH 12:40 PM
EST
Positive 12:40 PM
EST
12:40 PM
EST
mg/dL 12:40 PM
EST
12:40 PM
EST
1.030 12:40 PM
EST
mg/dL 12:40 PM
EST
mg/dL 12:40 PM
EST
12:40 PM
EST
mg/dl 12:40 PM
EST
procedure / Unknown

Performing
URINE CULTURE - Final result (11/09/2017 10:02 AM EST)

organisms 8:54 AM
recovered, EST
considered
collection
contaminants

procedure / Unknown

Performing

T3, Free 2.67 1.71 - 11/09/2017 MMC LAB
3.71 pg/ 12:46 PM
mL EST

Blood Blood specimen / Venipuncture / 11/09/2017 10:02 AM 11/09/2017 10:02 AM
Unknown Unknown EST EST

Performing

Free T4 0.94 0.70 - 11/09/2017 MMC LAB
1.48 ng/ 12:46 PM
dL EST

Unknown Unknown EST EST

Performing
(ABNORMAL) POCT URINALYSIS, NON-AUTOMATED WITHOUT MICROSCOPY - Final result (11/09/2017 9:23 AM EST)
POCT Blood, UA Moderate Negative
(2+) (A)
20mg/dL

Urine specimen 11/09/2017 9:23 AM
(specimen) EST

URINALYSIS AUTO ONLY (URINALYSIS) - Final result (10/23/2017 11:28 AM EDT)
11:57 AM
EDT
11:57 AM
EDT
pH, Urine 6.5 5.0 - 8.0 10/23/2017 MMC LAB
pH 11:57 AM
EDT
Positive 11:57 AM
EDT
11:57 AM
EDT
mg/dL 11:57 AM
EDT
11:57 AM
EDT
1.030 11:57 AM
EDT
mg/dL 11:57 AM
EDT
mg/dL 11:57 AM
EDT
11:57 AM
EDT
mg/dl 11:57 AM
EDT

procedure / Unknown

Performing
(ABNORMAL) URINE CULTURE - Final result (10/23/2017 11:28 AM EDT)

Urine Culture >100,000 MIC 10/25/2017 MMC LAB
CFU/mL 9:04 AM
Escherichia EDT
coli (A)
procedure / Unknown

Performing
US MI PREGNANCY FOLLOW-UP PER FETUS - Final result (10/23/2017 10:56 AM EDT)

Abdomen Ultrasound

10/23/2017 10:05 AM
EDT
Narrative
10/23/2017 1:22 PM EDT

TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
Pat. Name: GRAY, CANDACE PATRICE Study Date: 10/23/2017 10:05am
Pat. No: 3169509 Referring MD: Khouzami^Adib
GA by LMP: 28w2d DOB, Age: 10/31/1985, 31
GA by 1st: 27w3d GA Selected: 28w2d (LMP)
GA by US: 27w5d EDD: 01/13/2018
Hist/Ind: Anticardiolipin
Low lying placenta
Bleeding this past weekend.
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
BPD 7.5 cm 30w1d (27w0d-33w1d) Hadlock BPD 76% FL/BPD 0.67 (0.71 - 0.87)*
AC 22.7 cm 27w1d (24w6d-29w2d) Hadlock AC 25% HC/AC 1.18 (0.99 - 1.18)*
based on (BPD,HC,AC,FL) Hadlock Weight: 1072 gm (915-1228) Hadlock
: 2lbs, 5oz
Normal: 1261 gm (946-1576) Hadlock
Wt% 22% for 28w2d
Q1: 3.5cm Q2: 4.0cm Q3: 2.2cm Q4: 3.0cm
--------------------------------------------------------------------------------
DOPPLER
-------------------------- --------------------------
PI 0.79 (0.36 - 1.23) PI 1.08 (0.36 - 1.23)
--------------------------------------------------------------------------------
Cranium ! x ! ! ! !
Cavum ! x ! ! ! x !
Profile ! ! ! ! x !
Narrative
Bowel ! x ! ! ! !
4 CH ! x ! ! ! x !
RVOT ! x ! ! ! x !
LVOT ! x ! ! ! x !
3 V V. ! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
Transabdominal and transvaginal OB ultrasound were performed
TYPE OF GESTATION:
Singleton
PRESENTATION:
Vertex
STRUCTURES NOT EXAMINED ON TODAY'S STUDY DUE TO:fetal position
Fetal face
FETAL GENITALIA:
Male
PLACENTAL LOCATION:
Posterior
The placenta ends away from the cervical os.
Grade I
No placental masses are seen on today's study.
Normal
FETAL GROWTH:
CERVICAL LENGTH:
Overall length: 4.29 cm
There is no funneling.
-----------------------
Procedure Note

TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
Pat. Name: GRAY, CANDACE PATRICE Study Date: 10/23/2017 10:05am
Pat. No: 3169509 Referring MD: Khouzami^Adib
GA by 1st: 27w3d GA Selected: 28w2d (LMP)
GA by US: 27w5d EDD: 01/13/2018
Hist/Ind: Anticardiolipin
Low lying placenta
Bleeding this past weekend.
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
Procedure Note
BPD 7.5 cm 30w1d (27w0d-33w1d) Hadlock BPD 76% FL/BPD 0.67 (0.71 - 0.87)*
AC 22.7 cm 27w1d (24w6d-29w2d) Hadlock AC 25% HC/AC 1.18 (0.99 - 1.18)*
: 2lbs, 5oz
Wt% 22% for 28w2d
Q1: 3.5cm Q2: 4.0cm Q3: 2.2cm Q4: 3.0cm
--------------------------------------------------------------------------------
DOPPLER
-------------------------- --------------------------
PI 0.79 (0.36 - 1.23) PI 1.08 (0.36 - 1.23)
--------------------------------------------------------------------------------
Cranium ! x ! ! ! !
Cavum ! x ! ! ! x !
Profile ! ! ! ! x !
Bowel ! x ! ! ! !
4 CH ! x ! ! ! x !
RVOT ! x ! ! ! x !
LVOT ! x ! ! ! x !
3 V V. ! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton
PRESENTATION:
Vertex
STRUCTURES NOT EXAMINED ON TODAY'S STUDY DUE TO:fetal position
Fetal face
FETAL GENITALIA:
Male
PLACENTAL LOCATION:
Posterior
Procedure Note
The placenta ends away from the cervical os.
Grade I
No placental masses are seen on today's study.
Normal
FETAL GROWTH:
CERVICAL LENGTH:
Overall length: 4.29 cm
-----------------------

(ABNORMAL) POCT URINALYSIS, NON-AUTOMATED WITHOUT MICROSCOPY - Final result (10/23/2017 10:05 AM EDT)
20mg/dL
POCT Nitrite, UA Moderate Negative
(2+) (A)

(specimen) EDT

Glucose Tolerance (Gestational Diabetes Screen) (OBSTETRIC GTT 1 HOUR (GESTATIONAL DIABETES SCREEN)) - Final
result (10/23/2017 9:36 AM EDT)
GLUCOSE, GTT 1 HOUR 114 70 - 180 10/23/2017 MMC LAB
mg/dL 9:57 AM
EDT


Performing
RHOGAM EVALUATION (PRENATAL) - Final result (10/23/2017 8:28 AM EDT)

9:42 AM BLOOD
EDT BANK LAB

Performing
LAB

mL EDT
Comment:
Negative: <15
High Positive: >80
mL EDT
Comment:
Negative: <13
High Positive: >80
mL EDT
Comment:
Negative: <12
High Positive: >80

Narrative
LABCORP - 10/24/2017 3:09 PM EDT

Performing
LABCORP
LUPUS ANTICOAGULANT RATIO REFLEX TO LUPUS ANTICOAGULANT, IF PRESENT (LUPUS ANTICOAGULANT RATIO)
- Final result (10/23/2017 8:28 AM EDT)
EDT
Comment:


Performing
(ABNORMAL) BETA-2-GLYCOPROTEIN I AB, IGG/IGM - Final result (10/23/2017 8:28 AM EDT)

Ab, IgG GPI IgG 2:08 PM
units EDT
Comment:
(APS). J Thromb Haem 2006;4:295-306.
Beta-2 Glycoprotein I 52 (H) 0 - 32 10/24/2017 LABCORP
Ab, IgM GPI IgM 2:08 PM
units EDT
Comment:
(APS). J Thromb Haem 2006;4:295-306.

Narrative
LABCORP - 10/24/2017 2:08 PM EDT

Performing
LABCORP
(ABNORMAL) HEMOGLOBIN AND HEMATOCRIT, BLOOD - Final result (10/23/2017 8:28 AM EDT)
16.0 gm/ 8:44 AM
dL EDT
% 8:44 AM
EDT


Performing

9:42 AM BLOOD
EDT BANK LAB


Performing
LAB
RPR reflex to RPR Quantitative and FTA, if reactive (RPR) - Final result (10/23/2017 8:28 AM EDT)
RPR Non-Reactive Non- 10/23/2017 MMC LAB
Reactive 11:32 AM
EDT


Performing
TSH 0.18 (L) 0.35 - 10/23/2017 MMC LAB
4.94 9:28 AM
uIU/mL EDT


Performing
POCT URINALYSIS, NON-AUTOMATED WITHOUT MICROSCOPY - Final result (09/28/2017 10:10 AM EDT)
20mg/dL

(specimen) EDT

US MI OB US, LEVEL II, SINGLE FETUS - Edited Result - FINAL (08/30/2017 3:37 PM EDT)
Ultrasound

08/30/2017 2:39 PM
EDT
Narrative
08/30/2017 3:51 PM EDT

TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
Pat. No: 3169509 Referring MD: Adib Khouzami, MD, FACOG
LMP: 04/08/2017 Sonographer: Sherry A Meyers, RT, RDMS
GA by 1st: 19w5d GA Selected: 19w5d (From Known E)
GA by US: 20w2d EDD: 01/19/2018
Anticardiolipin Positive
Bleeding in pregnancy
--------------------------------------------------------------------------------
Narrative
----------- ----- ------------- ------- ---------- ----------------------------
: 0lbs, 12oz
Wt% 72% for 19w5d
NF 3.8 mm (Normal)
--------------------------------------------------------------------------------
DOPPLER
-------------------------- -------------------------- --------------------------
PI 1.31 (0.96 - 1.72) PI 1.36 (0.45 - 1.34) * PI 1.33 (0.45 - 1.34)
--------------------------------------------------------------------------------
Cavum ! x ! ! ! !
Profile ! x ! ! ! !
Orbits ! x ! ! ! !
Neck ! x ! ! ! !
Abdomen ! x ! ! ! !
Kidneys ! x ! ! ! !
Liver ! x ! ! ! !
Thorax ! x ! ! ! !
Lungs ! x ! ! ! !
4 CH ! x ! ! ! !
RVOT ! x ! ! ! !
LVOT ! x ! ! ! !
3 V V ! x ! ! ! !
3VTV ! x ! ! ! !
Hands ! x ! ! ! !
Feet ! x ! ! ! !
Fetal Tone ! x ! ! ! !
Maternal Cerv! x ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton.
PRESENTATION:
Vertex.
THE FETAL SURVEY:
is complete..
FETAL GENITALIA:
Male.
Narrative
PLACENTAL LOCATION:
Posterior, Low-lying.
Grade 0, No placental masses are seen on today's study..
Normal.
FETAL GROWTH:
The Pulsatility Index is increased in both uterine arteries., There is
notching in the uterine artery doppler waveform bilaterally., Mean PI of the
uterine arteries is 1.34 (normal <1.63 between 20 - 24 weeks).
The PI is Normal .
CERVICAL LENGTH:
Overall length: 4.79cm
-----------------------
Revised
Procedure Note

TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
Pat. No: 3169509 Referring MD: Adib Khouzami, MD, FACOG
LMP: 04/08/2017 Sonographer: Sherry A Meyers, RT, RDMS
GA by 1st: 19w5d GA Selected: 19w5d (From Known E)
GA by US: 20w2d EDD: 01/19/2018
Anticardiolipin Positive
Bleeding in pregnancy
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
: 0lbs, 12oz
Wt% 72% for 19w5d
NF 3.8 mm (Normal)
--------------------------------------------------------------------------------
DOPPLER
-------------------------- -------------------------- --------------------------
PI 1.31 (0.96 - 1.72) PI 1.36 (0.45 - 1.34) * PI 1.33 (0.45 - 1.34)
--------------------------------------------------------------------------------
Cavum ! x ! ! ! !
Procedure Note
Profile ! x ! ! ! !
Orbits ! x ! ! ! !
Neck ! x ! ! ! !
Abdomen ! x ! ! ! !
Kidneys ! x ! ! ! !
Liver ! x ! ! ! !
Thorax ! x ! ! ! !
Lungs ! x ! ! ! !
4 CH ! x ! ! ! !
RVOT ! x ! ! ! !
LVOT ! x ! ! ! !
3VV!x!!!!
3VTV ! x ! ! ! !
Hands ! x ! ! ! !
Feet ! x ! ! ! !
Fetal Tone ! x ! ! ! !
Maternal Cerv! x ! ! ! x !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
TYPE OF GESTATION:
Singleton.
PRESENTATION:
Vertex.
THE FETAL SURVEY:
is complete..
FETAL GENITALIA:
Male.
PLACENTAL LOCATION:
Posterior, Low-lying.
Grade 0, No placental masses are seen on today's study..
Normal.
FETAL GROWTH:
The Pulsatility Index is increased in both uterine arteries., There is
notching in the uterine artery doppler waveform bilaterally., Mean PI of the
uterine arteries is 1.34 (normal <1.63 between 20 - 24 weeks).
The PI is Normal .
Procedure Note
CERVICAL LENGTH:
Overall length: 4.79cm
-----------------------
Revised

POCT URINALYSIS, NON-AUTOMATED WITHOUT MICROSCOPY - Final result (08/30/2017 2:18 PM EDT)
20mg/dL

Urine specimen 08/30/2017 2:18 PM
(specimen) EDT

QUAD SCREEN (SECOND TRIMESTER) MATERNAL, SERUM (ALPHA FETOPROTEIN, MATERNAL) - Final result
(08/17/2017 10:11 AM EDT)
Maternal Age At EDD 32 years 08/18/2017 MAYO
4:07 PM
EDT
Maternal Weight 223 lbs 08/18/2017 MAYO
4:07 PM
EDT
Insulin Dep Diabetes None 08/18/2017 MAYO
4:07 PM
EDT
Black race non-Black 08/18/2017 MAYO
4:07 PM
EDT
EDD by U/S scan 01/19/18 08/18/2017 MAYO
4:07 PM
EDT
GA on collection by U/S 17,6 wk,d 08/18/2017 MAYO
scan 4:07 PM
EDT
Gestat. Age Based On Scan estimate 08/18/2017 MAYO
4:07 PM
EDT
AFP Value SEE 08/18/2017 MAYO
COMMENTS 4:07 PM
EDT
Comment: RESULT: 1.41 MoM ( 48.1 ng/mL )
uE3 SEE 08/18/2017 MAYO
COMMENTS 4:07 PM
EDT
Comment: RESULT: 0.97 MoM ( 1.08 ng/mL )
hCG, TOTAL SEE 08/18/2017 MAYO
COMMENTS 4:07 PM
EDT
Comment: RESULT: 0.97 MoM ( 16.5 IU/mL )
INHIBIN SEE 08/18/2017 MAYO
COMMENTS 4:07 PM
EDT
Comment: RESULT: 0.63 MoM ( 85 pg/mL )
Down syndrome screen <1/50,000 08/18/2017 MAYO
risk estimate 4:07 PM
EDT
Down syndrome 1/560 08/18/2017 MAYO
maternal age risk 4:07 PM
EDT
Trisomy 18 screen risk <1/50,000 08/18/2017 MAYO
estimate 4:07 PM
EDT
INTERPRETATION SEE 08/18/2017 MAYO
COMMENTS 4:07 PM
EDT
Comment:
Screen negative for neural tube defects and Down syndrome.
The risk for trisomy 18 is less than 1%.
RECOMMENDED None. 08/18/2017 MAYO
FOLLOW UP 4:07 PM
EDT
GENERAL TEST SEE 08/18/2017 MAYO
INFORMATION COMMENTS 4:07 PM
EDT
Comment:
This screening provides an estimation of risk, not a
diagnosis. Incorrect or incomplete information may
significantly alter results. Risks are adjusted for donor
eggs, frozen embryos, and IVF.
Results may be unreliable in twin pregnancies with a fetal

demise. Results are not available for pregnancies with
triplets and higher-order multiples.
A positive result occurs when the risk for Down syndrome

equals or exceeds 1 in 270, when the risk for trisomy 18
equals or exceeds 1 in 100, or when the AFP MoM equals or
exceeds 2.5.
Screen results and family history influence individual

risk. If there is a family history of a neural tube defect,
chromosome abnormality, or other inherited condition,
consider the option of a genetic consultation.
For further information, please contact the maternal

screening laboratory at 1-800-533-1710.
Other Information Initial testing 08/18/2017 MAYO
4:07 PM
EDT
Comment:
-------------------ADDITIONAL INFORMATION-------------------
This test was developed and its performance characteristics
determined by Mayo Clinic in a manner consistent with CLIA
requirements. This test has not been cleared or approved by
the U.S. Food and Drug Administration.
Test Performed by:

Mayo Clinic Laboratories - Rochester Superior Drive
200 First Street SW, Rochester, MN 55905
Blood specimen Venous blood Venipuncture / 08/17/2017 10:11 AM 08/17/2017 10:11 AM
(specimen) specimen / Unknown Unknown EDT EDT

Performing
MAYO
20mg/dL

(specimen) EDT

20mg/dL

(specimen) EDT

DIFFERENTIAL) - Final result (07/17/2017 1:57 AM EDT)
WBC 6.8 4.5 - 07/17/2017 MMC LAB
11.0 2:04 AM
10*3/uL EDT
RBC 3.76 (L) 4.20 - 07/17/2017 MMC LAB
5.50 2:04 AM
10*6/µL EDT
16.0 gm/ 2:04 AM
dL EDT
% 2:04 AM
EDT
MCV 96 82 - 101 07/17/2017 MMC LAB
fL 2:04 AM
EDT
MCH 34.0 27.0 - 07/17/2017 MMC LAB
34.0 pg 2:04 AM
EDT
MCHC 35 32 - 36 07/17/2017 MMC LAB
g/dL 2:04 AM
EDT
RDW 10.9 (L) 11.5 - 07/17/2017 MMC LAB
14.5 % 2:04 AM
EDT
440 2:04 AM
10*3/uL EDT
MPV 7.2 (L) 7.4 - 07/17/2017 MMC LAB
10.4 fL 2:04 AM
EDT
% 2:04 AM
EDT
% 2:04 AM
EDT
2:04 AM
EDT
2:04 AM
EDT
2:04 AM
EDT
10*3/uL 2:04 AM
EDT
10*3/uL 2:04 AM
EDT

Matthew Pitzer LAB BLOOD ORDERABLES
Performing
HCG QUANTITATIVE PREGNANCY (HCG, SERUM QUANTITATIVE) - Final result (07/17/2017 1:57 AM EDT)
2:49 AM
EDT
pregnancy.


Performing
T3 FREE (T3, FREE) - Final result (07/17/2017 1:57 AM EDT)

T3, Free 3.27 1.71 - 07/20/2017 MMC LAB
3.71 pg/ 11:43 AM
mL EDT


Performing

TSH 0.05 (L) 0.35 - 07/17/2017 MMC LAB
4.94 2:49 AM
uIU/mL EDT


Performing
Free T4 0.98 0.70 - 07/17/2017 MMC LAB
1.48 ng/ 2:49 AM
dL EDT


Performing
(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (07/17/2017 1:57 AM EDT)

Sodium 137 136 - 07/17/2017 MMC LAB
145 2:26 AM
mmol/L EDT
mmol/L 2:26 AM
EDT
Chloride 105 98 - 107 07/17/2017 MMC LAB
mmol/L 2:26 AM
EDT
CO2 21 (L) 22 - 29 07/17/2017 MMC LAB
mEq/L 2:26 AM
EDT
Anion Gap 11 5 - 14 07/17/2017 MMC LAB
mmol/L 2:26 AM
EDT
Calcium 9.8 8.5 - 07/17/2017 MMC LAB
10.3 mg/ 2:26 AM
dL EDT
BUN 9 7 - 19 07/17/2017 MMC LAB
mg/dL 2:26 AM
EDT
mg/dL 2:26 AM
EDT
eGFR 98 >60 mL/ 07/17/2017 MMC LAB
min 2:26 AM
EDT
Comment:
Albumin 4.1 3.5 - 5.0 07/17/2017 MMC LAB

g/dL 2:26 AM
EDT
mg/dL 2:26 AM
EDT
U/L 2:26 AM
EDT
g/dL 2:26 AM
EDT
AST 24 5 - 34 U/ 07/17/2017 MMC LAB
L 2:26 AM
EDT
ALT (SGPT) 40 0 - 55 U/ 07/17/2017 MMC LAB
L 2:26 AM
EDT
mg/dL 2:26 AM
EDT

Performing

mL EDT
Comment:
Negative: <15
High Positive: >80
mL EDT
Comment:
Negative: <13
High Positive: >80
mL EDT
Comment:
Negative: <12
High Positive: >80

Narrative
LABCORP - 06/13/2017 4:08 PM EDT

Performing
LABCORP
LUPUS ANTICOAGULANT RATIO REFLEX TO LUPUS ANTICOAGULANT, IF PRESENT (LUPUS ANTICOAGULANT RATIO)
- Final result (06/12/2017 11:57 AM EDT)
EDT
Comment:


Performing
HIV 1&2 ANTIGEN/ANTIBODY REFLEX TO HIV 1&2 DIFFERENTIATION/CONFIRMATION, IF POSITIVE (HIV 1&2,
ANTIGEN/ANTIBODY) - Final result (06/12/2017 11:57 AM EDT)
HIV ANTIGEN/ Negative Negative 06/14/2017 MMC LAB
ANTIBODY 7:48 AM
EDT


Performing
(ABNORMAL) BETA-2-GLYCOPROTEIN I AB, IGG/IGM - Final result (06/12/2017 11:57 AM EDT)

Ab, IgG GPI IgG 3:09 PM
units EDT
Comment:
(APS). J Thromb Haem 2006;4:295-306.
Beta-2 Glycoprotein I 109 (H) 0 - 32 06/13/2017 LABCORP
Ab, IgM GPI IgM 3:09 PM
units EDT
Comment:
(APS). J Thromb Haem 2006;4:295-306.
Narrative
LABCORP - 06/13/2017 3:09 PM EDT

Performing
LABCORP
WBC 6.7 4.5 - 06/12/2017 MMC LAB
11.0 2:10 PM
10*3/uL EDT
RBC 4.05 (L) 4.20 - 06/12/2017 MMC LAB
5.50 2:10 PM
10*6/µL EDT
16.0 gm/ 2:10 PM
dL EDT
% 2:10 PM
EDT
MCV 99 82 - 101 06/12/2017 MMC LAB
fL 2:10 PM
EDT
MCH 34.0 27.0 - 06/12/2017 MMC LAB
34.0 pg 2:10 PM
EDT
MCHC 35 32 - 36 06/12/2017 MMC LAB
g/dL 2:10 PM
EDT
RDW 11.0 (L) 11.5 - 06/12/2017 MMC LAB
14.5 % 2:10 PM
EDT
440 2:10 PM
10*3/uL EDT
MPV 7.7 7.4 - 06/12/2017 MMC LAB
10.4 fL 2:10 PM
EDT
% 2:10 PM
EDT
% 2:10 PM
EDT
2:10 PM
EDT
2:10 PM
EDT
2:10 PM
EDT
10*3/uL 2:10 PM
EDT
10*3/uL 2:10 PM
EDT

Performing

4:36 PM BLOOD
EDT BANK LAB


Performing
LAB
RUBELLA Ab IgG (RUBELLA ANTIBODY, IGG) - Final result (06/12/2017 11:57 AM EDT)
Rubella IgG Positive IU/mL 06/13/2017 MMC LAB
11:46 AM
EDT


Performing
RPR reflex to RPR Quantitative and FTA, if reactive (RPR) - Final result (06/12/2017 11:57 AM EDT)
RPR Non-Reactive Non- 06/13/2017 MMC LAB
Reactive 2:51 PM
EDT


Performing
HEPATITIS B SURFACE ANTIGEN - Final result (06/12/2017 11:57 AM EDT)

Analysis Performed
Hepatitis B Surface Ag Negative Negative, 06/14/2017 MMC LAB
Indeterminate 8:24 AM
EDT


Performing
(ABNORMAL) URINALYSIS AUTO ONLY (URINALYSIS) - Final result (06/12/2017 11:57 AM EDT)
Color, Urine Dark Yellow Yellow 06/12/2017 MMC LAB
(A) 1:55 PM
EDT
1:55 PM
EDT
pH, Urine 6.0 5.0 - 8.0 06/12/2017 MMC LAB
pH 1:55 PM
EDT
Positive 1:55 PM
EDT
1:55 PM
EDT
mg/dL 1:55 PM
EDT
1:55 PM
EDT
Specific Gravity, Urine 1.039 (H) 1.005 - 06/12/2017 MMC LAB
1.030 1:55 PM
EDT
mg/dL 1:55 PM
EDT
mg/dL 1:55 PM
EDT
1:55 PM
EDT
Protein, Ur Trace (A) Negative 06/12/2017 MMC LAB
mg/dl 1:55 PM
EDT
Urine specimen Urine specimen Non-blood Collection / 06/12/2017 11:57 AM 06/12/2017 11:57 AM
(specimen) obtained by clean catch Unknown EDT EDT
procedure / Unknown

Performing
ANTIBODY SCREEN REFLEX TO ANTIBODY IDENTIFICATION, IF POSITIVE (ANTIBODY SCREEN) - Final result
(06/12/2017 11:57 AM EDT)
4:36 PM BLOOD
EDT BANK LAB

Performing
LAB
URINE CULTURE - Final result (06/12/2017 11:57 AM EDT)

organisms 12:44 PM
recovered, EDT
considered
collection
contaminants

Urine specimen Urine specimen Non-blood Collection / 06/12/2017 11:57 AM 06/12/2017 11:57 AM
(specimen) obtained by clean catch Unknown EDT EDT
procedure / Unknown

Performing
HEMOGLOBIN A1C - Final result (06/12/2017 11:57 AM EDT)

Hemoglobin A1C 5.1 <=6.0 % 06/13/2017 MMC LAB
8:40 AM
EDT
ESTIMATED AVERAGE 100 mg/dL 06/13/2017 MMC LAB
GLUCOSE 8:40 AM
EDT


Performing
POCT Color, UA Dark Yellow Yellow
(A)
POCT Blood, UA Negative Negative
20mg/dL
POCT Leukocytes, UA Negative Negative
(specimen) EDT

US MI TRANSVAGINAL US, OBSTETRIC - Final result (05/30/2017 12:48 PM EDT)

Pelvis Ultrasound

05/30/2017 12:08 PM
EDT
Narrative
05/30/2017 5:07 PM EDT

TEL:(814) 534-3279 FAX: (814) 534-3335

--------------------------------------------------------------------------------
Pat. No: 3169509 Referring MD: KHOUZAMI, ADIB N
LMP: 04/08/2017 Sonographer: Lindsey M Susko AS, RDMS,
GA by US: 06w4d GA Selected: 06w4d (Sonographic)
Hist/Ind: Pregnancy with history of miscarriage
Viability
25 day cycles
EDD: 01/19/2018
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
Sac 1.9 cm 06w2d (05w3d-07w1d) Hellman Sac 37%
CRL 0.7 cm 06w4d (06w0d-07w0d) Hadlock CRL 50%
GA for sonogram 06w4d (06w0d-07w0d)
based on (CRL) Avg
Cervical Length: 3.6 cm
Fetal Anatomy!Normal!Abnormal!Not present!Prev. Seen!Notes
--------------------------------------------------------------------------------
Gestational S! x ! ! ! !
Fetal Pole ! x ! ! ! !
Yolk Sac ! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
Transvaginal OB ultrasound was performed
TYPE OF GESTATION:
Singleton.
FETAL GROWTH:
Ultrasound dating will be used for this pregnancy..
-----------------------
Procedure Note
Procedure Note

TEL:(814) 534-3279 FAX: (814) 534-3335
--------------------------------------------------------------------------------
Pat. No: 3169509 Referring MD: KHOUZAMI, ADIB N
LMP: 04/08/2017 Sonographer: Lindsey M Susko AS, RDMS,
GA by US: 06w4d GA Selected: 06w4d (Sonographic)
Hist/Ind: Pregnancy with history of miscarriage
Viability
25 day cycles
EDD: 01/19/2018
--------------------------------------------------------------------------------
----------- ----- ------------- ------- ---------- ----------------------------
Sac 1.9 cm 06w2d (05w3d-07w1d) Hellman Sac 37%
CRL 0.7 cm 06w4d (06w0d-07w0d) Hadlock CRL 50%
GA for sonogram 06w4d (06w0d-07w0d)
based on (CRL) Avg
Cervical Length: 3.6 cm
Fetal Anatomy!Normal!Abnormal!Not present!Prev. Seen!Notes
--------------------------------------------------------------------------------
Gestational S! x ! ! ! !
Fetal Pole ! x ! ! ! !
Yolk Sac ! x ! ! ! !
--------------------------------------------------------------------------------
CLINICAL SUMMARY
Transvaginal OB ultrasound was performed
TYPE OF GESTATION:
Singleton.
FETAL GROWTH:
Ultrasound dating will be used for this pregnancy..
-----------------------

PROGESTERONE - Final result (05/19/2017 10:55 AM EDT)

Progesterone 9.3 ng/mL 05/19/2017 MMC LAB
4:16 PM
EDT
Comment:
Normal Menstruating Females:

Follicular phase: < or = 0.3 ng/mL
Luteal phase: 1.2-15.9 ng/mL
Menopausal Females:
Menopause: < or = 0.2 ng/mL
Pregnant Females:
First trimester: 2.8-147.3 ng/mL
Second trimester: 22.5-95.3 ng/mL
Third trimester: 27.9-242.5 ng/mL


Performing
4:16 PM
EDT
pregnancy.


Performing
TSH - Final result (05/19/2017 10:55 AM EDT)

TSH 0.39 0.35 - 05/19/2017 MMC LAB
4.94 4:16 PM
uIU/mL EDT

Performing

Free T4 0.94 0.70 - 05/19/2017 MMC LAB
1.48 ng/ 4:16 PM
dL EDT


Performing
(ABNORMAL) HCG QUALITATIVE, SERUM (HCG, SERUM, QUALITATIVE) - Final result (05/16/2017 11:25 AM EDT)
BHCGQL Positive (A) Negative 05/16/2017 MMC LAB
2:04 PM
EDT


Performing
HCG Quant 880.1 mIU/mL 05/16/2017 MMC LAB
3:53 PM
EDT
pregnancy.

Blood specimen Venous blood Venipuncture / 05/16/2017 11:25 AM 05/16/2017 3:19 PM
Performing
CT HEAD WO CONTRAST - Final result (03/05/2017 2:18 AM EST)


03/05/2017 7:38 AM 03/05/2017 7:39 AM
EST EST
Impressions
03/05/2017 7:43 AM EST
IMPRESSION: No acute intracranial pathology.
The patient had zero prior CT and/or cardiac nuclear medicine examinations in the past 12 months within
the Conemaugh Health System.

Narrative
03/05/2017 7:43 AM EST
INDICATION: head ache / fall. Patient injected heroin and fell. Possible loss of consciousness.
Blurred vision and dizziness. Headache. Amnesia.
CT HEAD, UNENHANCED
COMPARISON: Head CT 03/26/2015
FINDINGS: The paranasal sinuses and mastoid air cells are clear. Osseous structures and bony calvarium
are intact. Subcutaneous soft tissues appear unremarkable. There is no acute intracranial hemorrhage or
fluid collection. Ventricles and sulci are
proportionate, without hydrocephalus or mass effect. The gray-white matter differentiation is
maintained.

Procedure Note
Michelle L Cacek - 03/05/2017
INDICATION: head ache / fall. Patient injected heroin and fell. Possible loss of consciousness. Blurred vision and dizziness.
Headache. Amnesia.
CT HEAD, UNENHANCED
COMPARISON: Head CT 03/26/2015
FINDINGS: The paranasal sinuses and mastoid air cells are clear. Osseous structures and bony calvarium are intact.
Subcutaneous soft tissues appear unremarkable. There is no acute intracranial hemorrhage or fluid collection. Ventricles and
sulci are
proportionate, without hydrocephalus or mass effect. The gray-white matter differentiation is maintained.
IMPRESSION: No acute intracranial pathology.
The patient had zero prior CT and/or cardiac nuclear medicine examinations in the past 12 months within the Conemaugh
Health System.

Abram D Weimer IMG CT PROCEDURES
ECG 12-LEAD - Final result (03/05/2017 1:38 AM EST)
03/05/2017 1:38 AM
EST
Narrative
EPIPHANY - 03/06/2017 4:58 PM EST
base line artifact
sinus tachycardia
Normal axis
Non specific ST T wave changes
compared to prior EKG, rate has increased by 53 bpm
Electronically Signed On 3-6-2017 16:58:04 EST by Gregory Yost
Procedure Note
Gregory Yost - 03/06/2017
base line artifact
sinus tachycardia
Normal axis
Non specific ST T wave changes
compared to prior EKG, rate has increased by 53 bpm
Electronically Signed On 3-6-2017 16:58:04 EST by Gregory Yost

Michael Galuska ECG ORDERABLES
Performing
EPIPHANY
CBC WITH AUTO DIFFERENTIAL REFLEX TO MANUAL DIFFERENTIAL, IF ABNORMAL (CBC WITH AUTO DIFFERENTIAL)
- Edited Result - FINAL (02/01/2017)
Blood specimen Venous blood 02/01/2017
(specimen) specimen / Unknown
Narrative
Faye L - 02/07/2017 9:07 AM EST
See AIC for scanned results

T3 REVERSE (T3, REVERSE) - Edited Result - FINAL (02/01/2017)

Narrative


T3 FREE (T3, FREE) - Edited Result - FINAL (02/01/2017)
Narrative
Faye L - 02/07/2017 9:07 AM EST


TSH - Edited Result - FINAL (02/01/2017)

Narrative
Faye L - 02/07/2017 9:07 AM EST


T4 FREE (T4, FREE) - Edited Result - FINAL (02/01/2017)

Narrative
Faye L - 02/07/2017 9:07 AM EST


HEMOGLOBIN A1C - Edited Result - FINAL (02/01/2017)

Narrative


US FINE NEEDLE ASPIRATION W/IMAGE GUIDE - Final result (07/07/2016 1:50 PM EDT)
Ultrasound
07/07/2016 12:58 PM
EDT
Narrative
07/08/2016 12:06 PM EDT
INDICATION: RIGHT SOLID MID THYROID NODULE MEASURING 1.1 x 0.8 x 1.1 cm
PROCEDURE: ULTRASOUND GUIDED RIGHT THYROID FINE NEEDLE ASPIRATION
ANESTHESIA: LOCAL LIDOCAINE 5 ML 1 PERCENT
CONSENT: The risks, benefits, complications and alternatives were discussed with
the patient and written informed consent had been obtained.
DESCRIPTION: The patient was prepped and draped in a routine, sterile fashion in
a supine position. Thereafter ultrasound was performed identifying the right
thyroid nodule in question. The skin and subcutaneous tissue was anesthetized
with 5 mL of 1 percent Lidocaine. Using a C7 Biosuc system, two passes were
made. The patient tolerated procedure well. Spontaneous hemostasis was achieved.
Post procedure scan revealed no evidence of hematoma.
The entire procedure was performed by Louis Kitsko, PA-C under the direct
supervision of Dr. Owen Stark.
COMPLICATIONS: None.
DISPOSITION: Home.
SPECIMEN: Adequate.
IMPRESSION: Successful ultrasound guided fine needle aspiration of a right

thyroid nodule.
Procedure Note
Owen M Stark - 10/15/2016
INDICATION: RIGHT SOLID MID THYROID NODULE MEASURING 1.1 x 0.8 x 1.1 cm
PROCEDURE: ULTRASOUND GUIDED RIGHT THYROID FINE NEEDLE ASPIRATION
ANESTHESIA: LOCAL LIDOCAINE 5 ML 1 PERCENT
CONSENT: The risks, benefits, complications and alternatives were discussed with
the patient and written informed consent had been obtained.
DESCRIPTION: The patient was prepped and draped in a routine, sterile fashion in
a supine position. Thereafter ultrasound was performed identifying the right
thyroid nodule in question. The skin and subcutaneous tissue was anesthetized
with 5 mL of 1 percent Lidocaine. Using a C7 Biosuc system, two passes were
made. The patient tolerated procedure well. Spontaneous hemostasis was achieved.
Post procedure scan revealed no evidence of hematoma.
The entire procedure was performed by Louis Kitsko, PA-C under the direct
supervision of Dr. Owen Stark.
COMPLICATIONS: None.
DISPOSITION: Home.
SPECIMEN: Adequate.
IMPRESSION: Successful ultrasound guided fine needle aspiration of a right

thyroid nodule.

Dr Rohanna IMG US PROCEDURES
FINE NEEDLE ASPIRATION - Final result (07/07/2016 12:00 AM EDT)

07/07/2016 07/07/2016 1:36 PM
EDT
Comment: FINE NEEDLE ASPIRATION OF RIGHT THYROID SUPERIOR
Narrative
07/08/2016 11:08 AM EDT
Narrative
Memorial Medical Center
Department of Pathology
1086 Franklin Street
Johnstown, Pennsylvania 15905
814-534-9812
814-534-9372 FAX
Fine Needle Aspiration Cytology

Patient Name: GRAY, CANDACE P

Med. Rec. #:255242
Accession #:FNA16-330
Location: US
Collected: 7/7/2016
DOB: 10/31/1985 (Age: 30)
Received: 7/7/2016
Gender: F
Reported: 7/8/2016
Account #:6170364\255242
Physician(s): Owen M. Stark, M.D.
Christine Rohanna, DO
Louis Kitsko, PAC
SPECIMEN(S) RECEIVED:
Fine Needle Aspiration of Right Thyroid Superior
FINAL DIAGNOSIS:
Fine Needle Aspiration of the Right Superior Thyroid:
Satisfactory for evaluation.
BENIGN
CONSISTENT WITH A BENIGN FOLLICULAR NODULE. RULE OUT A BENIGN ADENOMATOID NODULE
MODERATE AMOUNT OF FOLLICULAR EPITHELIAL CELLS, COLLOID AND SCATTERED
LYMPHOCYTES.

GROSS DESCRIPTION:
The specimen is from a single solid nodule of the right superior thyroid
measuring 11mm in largest dimension. Four air-dried slides for Diff- Quik
stain. Four slides fixed in 95% alcohol. Two cytospins are made from the
specimen received in Cytology fixative. No cellblock is made.
Specimen adequacy performed by Dr Pisano . Evaluation episode #1 was

satisfactory.

JJP/JJP
James Pisano, M.D.
Diagnosis is based on specimen and information received. Please notify
pathologist if discrepant with clinical data.
***Electronically Signed Out***
My signature is attestation that I have personally reviewed the submitted

material(s) and the final diagnosis reflects that evaluation.
Cytology is a screening test. False negative cases may occur due to sampling,
processing, screening, interpretation or clinical correlation issues."
CLINICAL INFORMATION HISTORY:

Right Superior Thyroid Nodule

Owen M Stark LAB PATHOLOGY/CYTOLOGY ORDERABLES
Influenza B Ag, EIA NEG (NEG) MIN LAB

05/11/2016 4:20 PM 05/11/2016 4:45 PM
EDT EDT

Miners Self Referral LAB MICROBIOLOGY - GENERAL ORDERABLES
Performing
MIN LAB 290 Haida Avenue Hastings, PA 16646
MIN LAB

Influenza A Ag, EIA NEG (NEG) MIN LAB

05/11/2016 4:20 PM 05/11/2016 4:45 PM
EDT EDT

Performing
MIN LAB
RAPID STREP SCREEN - Final result (05/11/2016 4:20 PM EDT)

Strep A Antigen NEG (NEG) MIN LAB

05/11/2016 4:20 PM 05/11/2016 4:45 PM
EDT EDT

Performing
MIN LAB
CULTURE, THROAT (THROAT CULTURE) - Final result (05/11/2016 4:20 PM EDT)

Specimen THROAT MIN LAB
Additional Information: NONE NOTED MIN LAB
Result GROUP A BETA MIN LAB
STREPTOCOCCUS
RECOVERED
REPORT STATUS FINAL MIN LAB
05/14/2016
Pharyngeal structure / 05/11/2016 4:20 PM 05/11/2016 4:57 PM
Unknown EDT EDT

Performing
MIN LAB
XR CHEST 2 VW - Final result (01/09/2016 9:59 AM EST)

Body Radiographic Imaging

01/09/2016 10:06 AM
EST
Narrative
01/09/2016 7:32 PM EST
INDICATION: PAIN, SHIELDED, LEFT SIDED CHEST PAINS SINCE 1-6
PROCEDURE: XR CHEST, 2 VIEWS, FRONTAL & LATERAL
COMPARISON: Two view chest 08/17/2014
FINDINGS:
LUNGS: No interstitial or alveolar opacities. No consolidation or pulmonary
edema.
CARDIAC: Normal size cardiac silhouette.
MEDIASTINUM: Normal.
PLEURA: No effusion or pleural thickening is seen.
BONES: Normal for age.
OTHER: Negative.
CONCLUSION: Stable appearance of chest with no acute cardiopulmonary disease.
Procedure Note
John Wherthey - 10/14/2016
Procedure Note
INDICATION: PAIN, SHIELDED, LEFT SIDED CHEST PAINS SINCE 1-6
PROCEDURE: XR CHEST, 2 VIEWS, FRONTAL & LATERAL
COMPARISON: Two view chest 08/17/2014
FINDINGS:
LUNGS: No interstitial or alveolar opacities. No consolidation or pulmonary
edema.
CARDIAC: Normal size cardiac silhouette.
MEDIASTINUM: Normal.
PLEURA: No effusion or pleural thickening is seen.
BONES: Normal for age.
OTHER: Negative.
CONCLUSION: Stable appearance of chest with no acute cardiopulmonary disease.

Augusta Czysz IMG XR PROCEDURES
MI UNIT - Final result (01/09/2016 9:46 AM EST)

Total CK 47 (30-190) MMC LAB
IU/L
EXT CPK 0.6 (0-2.2) % MMC LAB
Comment: CK INDEX IS NOT MEANINGFUL WHEN CK IS AT OR BELOW THE NORMAL RANGE
CK-MB 0.3 (0-6.6) MMC LAB
NG/ML
Troponin I <0.01 (0-0.05) MMC LAB
NG/ML

01/09/2016 9:46 AM 01/09/2016 9:51 AM
EST EST

MMC Self Referral LAB BLOOD ORDERABLES
Performing
MMC LAB
Analysis Performed
Differential Type AUTOMATED MMC LAB
DIFFERENTIAL
Neutrophils % 59 (45-74) % MMC LAB
Lymphocytes % 30 (22-44) % MMC LAB
Monocytes 9 (2-10) % MMC LAB
Eosinophils % 1 (0-6) % MMC LAB
Basophils % 1 (0-2) % MMC LAB
Analysis Performed
Absolute Neutrophils 4.07 (2.0-8.1) MMC LAB
THOU/
CUMM
Lymphocytes Absolute 2.09 (0.9-4.8) MMC LAB
THOU/
CUMM
WBC 6.9 (4.5-11.0) MMC LAB
THOU/
CUMM
RBC 3.95 (L) (4.2-5.5) MMC LAB
MILL/
CUMM
Hemoglobin 13.5 (11.5-16.0) MMC LAB
GM/DL
Hematocrit 39 (37-47) % MMC LAB
MCV 98 (82-101) MMC LAB
FL
RDW 11.6 (11.5-14.5) MMC LAB
%
Platelets 265 (140-440) MMC LAB
THOU/
CUMM
MPV 6.6 (L) (7.4-10.4) MMC LAB
FL
01/09/2016 9:46 AM 01/09/2016 9:51 AM
EST EST

Performing
MMC LAB
(ABNORMAL) BASIC METABOLIC PANEL - Final result (01/09/2016 9:46 AM EST)

BUN 22 (H) (7-19) MMC LAB
MG/DL
Calcium 9.4 (9.1-10.4) MMC LAB
MG/DL
Chloride 108 (H) (98-107) MMC LAB
MMOL/L
CO2 19 (L) (22-29) MMC LAB
MEQ/L
Creatinine 0.8 (0.6-1.1) MMC LAB
MG/DL
EXT GFR 84 mL/min MMC LAB
Comment:
VALUES BELOW 60 HAVE CLINICAL IMPLICATIONS FOR MODERATE KIDNEY DISEASE.

IF KIDNEY FUNCTION IS UNSTABLE, RESULT MAY NOT BE ACCURATE.
MULTIPLY BY 1.210 IF AFRICAN AMERICAN.
Glucose, Random 98 (70-105) MMC LAB

MG/DL
Potassium 3.5 (3.5-5.1) MMC LAB
MMOL/L
Sodium 138 (136-145) MMC LAB
MMOL/L
01/09/2016 9:46 AM 01/09/2016 9:51 AM
EST EST

Performing
MMC LAB

Analysis Performed
TSH, POC 0.40 (0.35-4.94) MMC LAB
uIU/ML

09/16/2015 12:48 PM 09/16/2015 3:05 PM
EDT EDT

Performing
MMC LAB

T4 (Thyroxine), Free by 0.89 (0.7-1.48) MMC LAB
Dialysis, S NG/DL

09/16/2015 12:48 PM 09/16/2015 3:05 PM
EDT EDT

Performing
MMC LAB
CONV CYTOLOGY GYN - Final result (05/05/2015 12:00 AM EDT)

05/05/2015 05/07/2015 11:30 AM
EDT
Comment: SUREPATH PAP SMEAR
Narrative
05/09/2015 12:07 PM EDT
Memorial Medical Center
Department of Laboratory Medicine

Johnstown, PA 15905-4398
(814) 534-5227
(814) 534-5861 FAX
Gynecological Cytology Report
Patient Name: GRAY, CANDACE P

Med. Rec. #:68562
Accession #:C15-3191
Location: MILI
Collected: 5/5/2015
DOB: 10/31/1985 (Age: 29)
Received: 5/7/2015
Gender: F
Reported: 5/9/2015
Account #:1578605\68562\
Physician(s): Christine Rohanna, DO
SPECIMEN(S) RECEIVED:
SurePath Pap Smear
FINAL DIAGNOSIS:
SurePath Pap Smear:
Satisfactory for evaluation.
Endocervical material not present.
NEGATIVE FOR INTRAEPITHELIAL LESION OR MALIGNANCY.

5/9/2015
***Electronically Signed Out By Rosalind Servinsky, CT(ASCP)***

My signature is attestation that I have personally reviewed the submitted
material(s) and the final diagnosis reflects that evaluation.
CLINICAL HISTORY:
Date of Last Menstrual Period:4/27/15
Other Clinical Conditions:Pain: after Intercourse
A: 88175
V76.2
The pap smear is only a screening, not a specific diagnostic procedure to aid in
the detection of cervical/uterine cancer and cancer precursors. Both false
positive and false negative results have been experienced with pap smears. The
pap smear should not be used as a sole means to diagnose or exclude malignant
and premalignant lesions. Processed on the BD FocalPoint Slide Profiler/manual
screening performed.


Dr Rohanna LAB PATHOLOGY/CYTOLOGY ORDERABLES
Analysis Performed
Differential Type AUTOMATED MIN LAB
DIFFERENTIAL
Lymphs 27 (20.5-51.1) MIN LAB
%
POCT Monospot 8 (0.0-13.5) MIN LAB
%
Absolute Neutrophils 61 (42.2-75.2) MIN LAB
%
Eos 3 (H) (0-1) % MIN LAB
Baso, CSF 1 (0-1) % MIN LAB
Lymphocytes Absolute 1.2 (1.2-3.4) MIN LAB
THOU/
CUMM
Absolute Neutrophils 2.6 (1.4-6.5) MIN LAB
THOU/
CUMM
WBC 4.3 (4.0-10.8) MIN LAB
THOU/
CUMM
RBC 4.22 (3.8-5.3) MIN LAB
MILL/
CUMM
Hemoglobin 13.8 (12.0-16.0) MIN LAB
GM/DL
Hematocrit 40 (35-48) % MIN LAB
MCV 95 (82-101) MIN LAB
FL
EXT RDW 11.3 (10.5-14.5) MIN LAB
%
Platelets 258 (130-430) MIN LAB
THOU/
CUMM
04/30/2015 11:02 AM 04/30/2015 11:03 AM
EDT EDT

Performing
MIN LAB
FACTOR V LEIDEN MUTATION (FACTOR 5 LEIDEN) - Final result (04/30/2015 11:02 AM EDT)
Factor V Leiden Negative MIN LAB
Comment: Reference range: Negative
Factor V Leiden (NOTE) MIN LAB
Comment:
This individual DOES NOT have the factor V Leiden (R506Q)
mutation. Although the factor V Leiden mutation is absent,
the individual may have other genetic and environmental
risk factors for thrombosis. If clinically indicated,
suggest Coagulation Consultation 83093 (Thrombophilia
Profile) to complete the evaluation for an inherited or
acquired thrombosing disorder (i.e., thrombophilia).
-------------------ADDITIONAL INFORMATION-------------------
This test is a direct mutation analysis using PCR
amplification, signal generation and release by cleavage of
sequence specific alleles (Invader Plus Chemistry, Hologic,
Madison, WI).
F5DNA Reviewed By Dong Chen, MIN LAB

M.D., Ph.D.
Comment:
Test Performed by: Mayo Clinic Dpt of Lab Med and Pathology, 200 First St SW, Rochester, MN 55905,
Lab Director: Franklin R. Cockerill III, M.D.

04/30/2015 11:02 AM 04/30/2015 11:03 AM
EDT EDT

Performing
MIN LAB
T3 - Final result (04/30/2015 11:02 AM EDT)

Analysis Performed
T3, Total 0.84 (0.58-1.59) MIN LAB
NG/ML

04/30/2015 11:02 AM 04/30/2015 11:03 AM
EDT EDT

Performing
MIN LAB

Analysis Performed
TSH 0.22 (L) (0.35-4.94) MIN LAB
uIU/ML
04/30/2015 11:02 AM 04/30/2015 11:03 AM
EDT EDT

Performing
MIN LAB

T4 (Thyroxine), Free by 0.83 (0.7-1.48) MIN LAB
Dialysis, S NG/DL

04/30/2015 11:02 AM 04/30/2015 11:03 AM
EDT EDT

Performing
MIN LAB
GLUCOSE RANDOM (GLUCOSE, RANDOM) - Final result (04/30/2015 11:02 AM EDT)

Glucose, Random 102 (70-105) MIN LAB
MG/DL

04/30/2015 11:02 AM 04/30/2015 11:03 AM
EDT EDT

Performing
MIN LAB
HCG, Total NEG (NEG) MIN LAB
MIU/ML

04/21/2015 12:49 PM 04/21/2015 12:50 PM
EDT EDT
Performing
MIN LAB
CT CERVICAL SPINE WO CONTRAST - Final result (03/26/2015 4:10 PM EDT)

C-spine Computed Tomography

03/26/2015 4:01 PM
EDT
Narrative
03/26/2015 5:16 PM EDT

INDICATION: FELL TWO DAYS AGO STRIKING POSTERIOR HEAD AND NECK. POSITIVE LOC FOR
10-15 SECONDS, BLURRED VISION. GENERALIZED HEADACHE AND NECK PAIN.
CT CERVICAL SPINE UNENHANCED
Cervical spine alignment is normal. No acute cervical spine fracture or

traumatic subluxation is present. Cervical intervertebral disc space heights are
well-preserved. There is no prevertebral soft tissue swelling. The odontoid is
intact. No occipital condylar fracture is visualized. The craniocervical
junction is in normal alignment. The central cervical spinal canal demonstrates
no traumatic narrowing. The foramina transversarium and neural arches are intact
throughout the cervical spine.
IMPRESSION:
1. No acute cervical spine fracture or traumatic subluxation.
2. No traumatic narrowing of the central cervical spinal canal.
The patient had 3 prior CT and/or cardiac nuclear medicine examinations in the
past 12 months within the Conemaugh Health System.
TIME OF DICTATION: 1619

*ALERT REPORT-SPECIAL REPORT*
FROM MEMORIAL MEDICAL CENTER RADIOLOGY DEPT.
REPORT FAXED TO MMC ER ON 03/26/15 AT 1644 HOURS

Procedure Note
William T Herbick - 10/13/2016
Procedure Note
CT CERVICAL SPINE UNENHANCED
Cervical spine alignment is normal. No acute cervical spine fracture or

traumatic subluxation is present. Cervical intervertebral disc space heights are
well-preserved. There is no prevertebral soft tissue swelling. The odontoid is
intact. No occipital condylar fracture is visualized. The craniocervical
junction is in normal alignment. The central cervical spinal canal demonstrates
no traumatic narrowing. The foramina transversarium and neural arches are intact
throughout the cervical spine.
IMPRESSION:
1. No acute cervical spine fracture or traumatic subluxation.
2. No traumatic narrowing of the central cervical spinal canal.


Daniel R Wehner IMG CT PROCEDURES
CT HEAD WO CONTRAST - Final result (03/26/2015 4:10 PM EDT)


03/26/2015 4:01 PM
EDT
Narrative
03/26/2015 5:16 PM EDT

HEAD CT UNENHANCED
The ventricles are normal in size and shape. No acute intracranial bleed is
detected. There is no midline shift or mass effect. The gray-white matter
interface is well demarcated and symmetric bilaterally. The basilar cisterns and
sylvian fissures have a normal symmetric appearance. The skull is intact at bone
windows without evidence of a calvarial fracture. The mastoid air cells, middle
ear cavities and visualized paranasal sinuses are clear and well aerated
bilaterally.
IMPRESSION: No acute intracranial bleed or skull fracture.


Procedure Note
HEAD CT UNENHANCED
The ventricles are normal in size and shape. No acute intracranial bleed is
detected. There is no midline shift or mass effect. The gray-white matter
interface is well demarcated and symmetric bilaterally. The basilar cisterns and
sylvian fissures have a normal symmetric appearance. The skull is intact at bone
windows without evidence of a calvarial fracture. The mastoid air cells, middle
ear cavities and visualized paranasal sinuses are clear and well aerated
bilaterally.
IMPRESSION: No acute intracranial bleed or skull fracture.


Daniel R Wehner IMG CT PROCEDURES
(ABNORMAL) CBC WITHOUT DIFF (CBC) - Final result (03/26/2015 3:43 PM EDT)
Analysis Performed
DIFFERENTIAL
THOU/
CUMM
THOU/
CUMM
WBC 6.7 (4.5-11.0) MMC LAB
THOU/
CUMM
RBC 4.03 (L) (4.2-5.5) MMC LAB
MILL/
CUMM
GM/DL
MCV 98 (82-101) MMC LAB
FL
RDW 11.0 (L) (11.5-14.5) MMC LAB
%
Analysis Performed
THOU/
CUMM
MPV 7.2 (L) (7.4-10.4) MMC LAB
FL
03/26/2015 3:43 PM 03/26/2015 3:53 PM
EDT EDT

Performing
MMC LAB

BUN 21 (H) (7-19) MMC LAB
MG/DL
Calcium 9.5 (9.1-10.4) MMC LAB
MG/DL
MMOL/L
CO2 17 (L) (22-29) MMC LAB
MEQ/L
MG/DL
Comment:

MG/DL
MMOL/L
MMOL/L

03/26/2015 3:43 PM 03/26/2015 3:53 PM
EDT EDT

Performing
MMC LAB
XR THORACIC SPINE 3 VW (XR SPINE THORACIC 3 VW) - Final result (03/26/2015 3:36 PM EDT)
Spine, T-spine Radiographic Imaging
03/26/2015 3:44 PM
EDT
Narrative
03/27/2015 7:53 AM EDT

INDICATION: FALL. PAIN BETWEEN THE SHOULDERS.
THORACIC SPINE, THREE VIEWS
TECHNIQUE: Three views of the thoracic spine.
COMPARISON: None.
FINDINGS: The cervicothoracic junction is grossly anatomically aligned. The

normal thoracic kyphosis is preserved including the vertebral body heights. The
pedicles remain visualized on the anterior view.
IMPRESSION: No definite support for any compression deformities or subluxation

in the thoracic spine.

Procedure Note
Samir Kodsi - 10/13/2016
INDICATION: FALL. PAIN BETWEEN THE SHOULDERS.
THORACIC SPINE, THREE VIEWS
TECHNIQUE: Three views of the thoracic spine.
COMPARISON: None.
FINDINGS: The cervicothoracic junction is grossly anatomically aligned. The

normal thoracic kyphosis is preserved including the vertebral body heights. The
pedicles remain visualized on the anterior view.
IMPRESSION: No definite support for any compression deformities or subluxation

in the thoracic spine.

Daniel R Wehner IMG XR PROCEDURES
XR TIBIA AND FIBULA 2 VW LEFT (XR TIBIA FIBULA 2 VW LEFT) - Final result (10/20/2014 11:36 AM EDT)
Lower Extremities, Leg Left Radiographic Imaging

10/20/2014 11:36 AM
EDT
Narrative
10/20/2014 8:20 PM EDT
Narrative

INDICATION: FOLLOW UP FRACTURE OF THE DISTAL AND PROXIMAL LOWER LEG
LEFT TIBIA AND FIBULA, TWO VIEWS
Two views of the left tibia and fibula were obtained on 10/20/14 and compared to
the previous of 08/16/14.
There has been slight interval progressive callus formation involving the
relatively nondisplaced steeply oblique fracture of the proximal shaft of the
left fibula. There has been no significant change in the overall alignment.
There has been interval fixation of the fractures of the distal tibia which are
traversed by four fixating screws. The alignment is good. No fracture lucency is
apparent. The ankle mortise is maintained.

Procedure Note
Two views of the left tibia and fibula were obtained on 10/20/14 and compared to
the previous of 08/16/14.
There has been slight interval progressive callus formation involving the
relatively nondisplaced steeply oblique fracture of the proximal shaft of the
left fibula. There has been no significant change in the overall alignment.
There has been interval fixation of the fractures of the distal tibia which are
traversed by four fixating screws. The alignment is good. No fracture lucency is
apparent. The ankle mortise is maintained.

Trevor W Yardley IMG XR PROCEDURES
XR ANKLE 2 VW LEFT - Final result (10/20/2014 11:26 AM EDT)

Lower Extremities, Ankle Left Radiographic Imaging

10/20/2014 11:23 AM
EDT
Narrative
10/20/2014 8:20 PM EDT
Narrative

LEFT ANKLE, TWO VIEWS
Comparison: 09/15/14
The distal tibia and fibula appear to be intact. No acute fracture lucency
identified. There is stable appearance of four fixating screws in the distal
tibia, two traversing the medial malleolus. The distal fibula is intact. The
ankle mortise is maintained with normal appearance of the talar articular
surface with no irregularity of the articular surface. There has been interval
removal of the skin staples. No significant joint effusion identified.

Procedure Note
LEFT ANKLE, TWO VIEWS
Comparison: 09/15/14
The distal tibia and fibula appear to be intact. No acute fracture lucency
identified. There is stable appearance of four fixating screws in the distal
tibia, two traversing the medial malleolus. The distal fibula is intact. The
ankle mortise is maintained with normal appearance of the talar articular
surface with no irregularity of the articular surface. There has been interval
removal of the skin staples. No significant joint effusion identified.

XR ANKLE 2 VW LEFT - Final result (09/15/2014 9:59 AM EDT)


09/15/2014 9:54 AM
EDT
Narrative
09/16/2014 8:46 PM EDT

INDICATION: HISTORY OF PAIN.
TWO-VIEW LEFT ANKLE
The patient is status post ORIF of a left ankle fracture with partially threaded
screws in the medial and posterior malleolus. Hardware is intact without backing
out. Surrounding soft tissue swelling is present, as well as overlying skin
staples. The findings are within expected range for postoperative appearance.
Alignment is anatomic.

Procedure Note
Stephanie M Simonson - 10/12/2016
INDICATION: HISTORY OF PAIN.
TWO-VIEW LEFT ANKLE
The patient is status post ORIF of a left ankle fracture with partially threaded
screws in the medial and posterior malleolus. Hardware is intact without backing
out. Surrounding soft tissue swelling is present, as well as overlying skin
staples. The findings are within expected range for postoperative appearance.
Alignment is anatomic.



08/17/2014 2:45 PM
EDT
Narrative
08/17/2014 6:42 PM EDT

INDICATION: INTERNAL FIXATION
LEFT ANKLE, SIX VIEWS
FINDINGS: Six views of the left ankle were obtained. There are fixation screws
in the distal tibia. The alignment appears to be grossly anatomic. One minute
and 58 seconds of fluoro time were used. Please refer to procedure report for
details. There is a fracture of the proximal fibula.

Procedure Note
Michael Hahm - 10/12/2016
INDICATION: INTERNAL FIXATION
LEFT ANKLE, SIX VIEWS
FINDINGS: Six views of the left ankle were obtained. There are fixation screws
in the distal tibia. The alignment appears to be grossly anatomic. One minute
and 58 seconds of fluoro time were used. Please refer to procedure report for
details. There is a fracture of the proximal fibula.

XR CHEST 2 VW - Final result (08/17/2014 7:49 AM EDT)
Body Radiographic Imaging

08/17/2014 7:51 AM
EDT
Narrative
08/17/2014 2:12 PM EDT

INDICATION: PRE-OP.
TWO VIEWS OF THE CHEST:
The heart is normal in size and shape. The lung fields are clear. No acute
alveolar consolidation, pleural effusion or pulmonary congestion is identified.
IMPRESSION: No acute cardiopulmonary disease. No change compared to 05/04/13

chest film.

Procedure Note
INDICATION: PRE-OP.
TWO VIEWS OF THE CHEST:
The heart is normal in size and shape. The lung fields are clear. No acute
alveolar consolidation, pleural effusion or pulmonary congestion is identified.
IMPRESSION: No acute cardiopulmonary disease. No change compared to 05/04/13

chest film.

(ABNORMAL) BUN/CREAT RATIO (CHEMISTRY PROFILE INPATIENT) - Final result (08/17/2014 6:36 AM EDT)
Albumin 4.1 (3.5-5.0) MMC LAB
g/dl
MMOL/L
MMOL/L
MMOL/L
CO2 17 (L) (22-29) MMC LAB
MEQ/L
BUN 12 (7-19) MMC LAB
MG/DL
MG/DL
MG/DL
Total CK 53 (30-190) MMC LAB
IU/L
LD 227 (125-243) MMC LAB
LD
AST 17 (5-34) U/ MMC LAB
L
ALT (SGPT) P5P 19 (0-55) U/ MMC LAB
L
GGT 98 (H) (9-36) IU/ MMC LAB
L
Bilirubin, Total 0.4 (0.2-1.2) MMC LAB
MG/DL
Bilirubin, Direct 0.2 (0.0-0.5) MMC LAB
MG/DL
Alkaline Phosphatase 96 (40-150) MMC LAB
U/L
Calcium 8.7 (L) (9.1-10.4) MMC LAB
MG/DL
Phosphorus 3.7 (2.3-4.7) MMC LAB
MG/DL
Uric Acid 4.9 (2.7-6.1) MMC LAB
MG/DL
Comment:
Cholesterol 123 (<200) MMC LAB

MG/DL
Total Protein 7.3 (6.0-8.3) MMC LAB
GM/DL
Triglycerides 246 (H) (0-150) MMC LAB
MG/DL
08/17/2014 6:36 AM 08/17/2014 6:45 AM
EDT EDT

Trevor W Yardley LAB BLOOD ORDERABLES
Performing
MMC LAB
(ABNORMAL) CBC WITHOUT DIFF (CBC) - Final result (08/17/2014 6:36 AM EDT)
Analysis Performed
DIFFERENTIAL
Analysis Performed
THOU/
CUMM
THOU/
CUMM
WBC 6.7 (4.5-11.0) MMC LAB
THOU/
CUMM
RBC 4.01 (L) (4.2-5.5) MMC LAB
MILL/
CUMM
GM/DL
MCV 96 (82-101) MMC LAB
FL
RDW 11.4 (L) (11.5-14.5) MMC LAB
%
THOU/
CUMM
MPV 7.1 (L) (7.4-10.4) MMC LAB
FL
08/17/2014 6:36 AM 08/17/2014 6:45 AM
EDT EDT

Performing
MMC LAB
HCG QUALITATIVE, SERUM (HCG, SERUM, QUALITATIVE) - Final result (08/17/2014 6:36 AM EDT)
hCG, TOTAL NEG (NEG) MMC LAB

08/17/2014 6:36 AM 08/17/2014 6:45 AM
EDT EDT

Performing
MMC LAB
XR TIBIA AND FIBULA 2 VW LEFT (XR TIBIA FIBULA 2 VW LEFT) - Final result (08/16/2014 11:13 PM EDT)
Lower Extremities, Leg Left Radiographic Imaging
08/16/2014 11:20 PM
EDT
Narrative
08/19/2014 1:52 PM EDT

Note is made of a mildly displaced acute oblique fracture through the proximal
shaft of the left fibula.
Again noted is a moderately displaced acute fracture of the left medial

malleolus as well as an acute vertically oriented fracture in the coronal plane
through the distal posterior left tibia extending through the articular surface.

Procedure Note


Kevin Martin IMG XR PROCEDURES


08/16/2014 11:20 PM
EDT
Narrative
08/17/2014 11:03 AM EDT
Narrative

INDICATION: T WAS JUMPING ON A TRAMPOLINE TODAY AND TWISTED LEFT ANKLE, LIMITED
RANGE OF MOTION, PAIN DISTAL ASPECT LEFT LOWER LEG.
LEFT ANKLE, THREE VIEWS
Note is made of a moderately displaced acute oblique fracture through the left
medial malleolus.
Note is also made of a mildly displaced acute vertically oriented fracture

through the posterior distal left tibia in the coronal plane extending through
the articular surface.
No left lateral malleolar fracture is evident.


REPORT FAXED to Ashman 9 on 08/17/14 at 0746.

Procedure Note
INDICATION: T WAS JUMPING ON A TRAMPOLINE TODAY AND TWISTED LEFT ANKLE, LIMITED
RANGE OF MOTION, PAIN DISTAL ASPECT LEFT LOWER LEG.
LEFT ANKLE, THREE VIEWS
Note is made of a moderately displaced acute oblique fracture through the left
medial malleolus.
Note is also made of a mildly displaced acute vertically oriented fracture

through the posterior distal left tibia in the coronal plane extending through
the articular surface.
No left lateral malleolar fracture is evident.


REPORT FAXED to Ashman 9 on 08/17/14 at 0746.

Kevin Martin IMG XR PROCEDURES
Thyroid Ultrasound (US THYROID) - Final result (07/24/2014 3:14 PM EDT)

Head and Neck Ultrasound
07/24/2014 3:05 PM
EDT
Narrative
07/25/2014 4:38 PM EDT

INDICATION: RECHECK THYROID NODULE.
THYROID ULTRASOUND:
Ultrasonic imaging of the thyroid was performed and is compared with a prior
ultrasound exam of 08/20/13 when a single nodule was reported within the mid
portion of the right lobe, measuring 8 x 13 x 16 mm in size at that time.
Today's exam demonstrates this nodule to be less conspicuous and somewhat
smaller, measuring 8 x 10 x 11 mm in size today. No other thyroid nodules could
be demonstrated. The thyroid again appears approximately top normal in size,
with the right lobe measuring 5.2 cm in length and 2.0 x 1.7 cm in width, the
left lobe measuring 4.8 cm in length and 1.5 x 1.6 cm in width and the isthmus
measuring 3 mm in thickness.
IMPRESSION: When compared with the prior ultrasound exam of 08/20/13, the
thyroid again appears approximately top normal in size. The solitary nodule
within the mid portion of the right lobe is now less conspicuous and also
appears somewhat smaller.

Procedure Note
Alan Stankiewicz - 10/12/2016
INDICATION: RECHECK THYROID NODULE.
THYROID ULTRASOUND:
Ultrasonic imaging of the thyroid was performed and is compared with a prior
ultrasound exam of 08/20/13 when a single nodule was reported within the mid
portion of the right lobe, measuring 8 x 13 x 16 mm in size at that time.
Today's exam demonstrates this nodule to be less conspicuous and somewhat
smaller, measuring 8 x 10 x 11 mm in size today. No other thyroid nodules could
be demonstrated. The thyroid again appears approximately top normal in size,
with the right lobe measuring 5.2 cm in length and 2.0 x 1.7 cm in width, the
left lobe measuring 4.8 cm in length and 1.5 x 1.6 cm in width and the isthmus
measuring 3 mm in thickness.
IMPRESSION: When compared with the prior ultrasound exam of 08/20/13, the
thyroid again appears approximately top normal in size. The solitary nodule
within the mid portion of the right lobe is now less conspicuous and also
appears somewhat smaller.

Diane M Smith IMG US PROCEDURES

Analysis Performed
T3, Free 2.35 (1.71-3.71) MIN LAB
PG/ML
07/24/2014 2:59 PM 07/24/2014 3:00 PM
EDT EDT

Diane M Smith LAB BLOOD ORDERABLES
Performing
MIN LAB

Analysis Performed
TSH 0.41 (0.35-4.94) MIN LAB
uIU/ML

07/24/2014 2:59 PM 07/24/2014 3:00 PM
EDT EDT

Performing
MIN LAB

T4 (Thyroxine), Free by 0.82 (0.7-1.48) MIN LAB
Dialysis, S NG/DL

07/24/2014 2:59 PM 07/24/2014 3:00 PM
EDT EDT

Performing
MIN LAB

Glucose, Random 96 (70-100) MIN LAB
MG/DL
BUN 12 (7-19) MIN LAB
MG/DL
Creatinine 0.83 (0.6-1.1) MIN LAB
MG/DL
Sodium 139 (136-145) MIN LAB
MMOL/L
Potassium 4.0 (3.5-5.1) MIN LAB
MMOL/L
Chloride 110 (98-110) MIN LAB
MMOL/L
EXT CO2 19 (L) (20-27) MIN LAB
MMOL/L
Calcium 9.3 (9.1-10.4) MIN LAB
MG/DL
eGFR 82 ML/MIN MIN LAB
Comment:
CKD Stage 3 GFR 30-59
CKD Stage 4 GFR 15-29
CKD Stage 5 GFR <15 or Dialysis

07/24/2014 2:59 PM 07/24/2014 3:00 PM
EDT EDT

Performing
MIN LAB
CT LUMBAR SPINE WO CONTRAST - Final result (03/31/2014 8:41 PM EDT)

L-spine Computed Tomography

03/31/2014 8:40 PM
EDT
Narrative
04/01/2014 9:22 AM EDT
Narrative

INDICATION: FELL DOWN TWELVE STAIRS SATURDAY, STRUCK POSTERIOR HEAD, BACK PAIN.
LUMBAR SPINE, UNENHANCED
Computed tomography of the lumbar spine is performed in the axial plane with
sagittal and coronal reformatted images obtained. There are five lumber
vertebrae. There is no CT evidence of an acute lumbar compression fracture.
Facets maintain a normal orientation. Intervertebral disc spaces appear to be
maintained. There is no significant relative central canal or foraminal
narrowing. No paraspinous widening or soft tissue density identified. Posterior
elements and posterior soft tissues appear to be intact. Abdominal aorta is not
aneurysmally dilated.
IMPRESSION: No CT evidence of an acute lumbar compression fracture or vertebral

offset.


Procedure Note
LUMBAR SPINE, UNENHANCED
Computed tomography of the lumbar spine is performed in the axial plane with
sagittal and coronal reformatted images obtained. There are five lumber
vertebrae. There is no CT evidence of an acute lumbar compression fracture.
Facets maintain a normal orientation. Intervertebral disc spaces appear to be
maintained. There is no significant relative central canal or foraminal
narrowing. No paraspinous widening or soft tissue density identified. Posterior
elements and posterior soft tissues appear to be intact. Abdominal aorta is not
aneurysmally dilated.
IMPRESSION: No CT evidence of an acute lumbar compression fracture or vertebral

offset.


Paulina Mendoza IMG CT PROCEDURES
Mancini
CT THORACIC SPINE WO CONTRAST - Final result (03/31/2014 8:41 PM EDT)

T-spine Computed Tomography

03/31/2014 8:40 PM
EDT
Narrative
04/01/2014 9:22 AM EDT
Narrative

THORACIC SPINE, UNENHANCED
Computed tomography of the thoracic spine is performed in the axial plane with
sagittal and coronal reformatted images obtained. There are twelve thoracic
vertebrae. There is no paraspinous widening. The intervertebral disc spaces
appear to be maintained. There is no CT evidence of an acute thoracic
compression fracture or vertebral offset. There is no significant relative
central canal or foraminal narrowing. Posterior elements and posterior soft
tissues are maintained. No pleural effusion is demonstrated within the
visualized portions of the lung fields.
IMPRESSION: No CT evidence of an acute thoracic compression fracture.


Procedure Note
THORACIC SPINE, UNENHANCED
Computed tomography of the thoracic spine is performed in the axial plane with
sagittal and coronal reformatted images obtained. There are twelve thoracic
vertebrae. There is no paraspinous widening. The intervertebral disc spaces
appear to be maintained. There is no CT evidence of an acute thoracic
compression fracture or vertebral offset. There is no significant relative
central canal or foraminal narrowing. Posterior elements and posterior soft
tissues are maintained. No pleural effusion is demonstrated within the
visualized portions of the lung fields.
IMPRESSION: No CT evidence of an acute thoracic compression fracture.


Mancini
CT HEAD WO CONTRAST - Final result (03/31/2014 8:32 PM EDT)


03/31/2014 8:40 PM
EDT
Narrative
04/01/2014 9:22 AM EDT
Narrative

CT HEAD, UNENHANCED
There is no abnormal extraaxial fluid collection, midline shift or acute

intracranial hemorrhage. The ventricular system and basilar cisterns are
preserved without herniation or hydrocephalus. The gray-white differentiation is
maintained. There are no diastatic or depressed skull fractures. Visualized
portions of paranasal sinuses and mastoid air cells are well pneumatized.
IMPRESSION: Stable CT brain with no acute intracranial pathology identified.


Procedure Note
CT HEAD, UNENHANCED
There is no abnormal extraaxial fluid collection, midline shift or acute

intracranial hemorrhage. The ventricular system and basilar cisterns are
preserved without herniation or hydrocephalus. The gray-white differentiation is
maintained. There are no diastatic or depressed skull fractures. Visualized
portions of paranasal sinuses and mastoid air cells are well pneumatized.
IMPRESSION: Stable CT brain with no acute intracranial pathology identified.


Mancini
XR SACRUM AND COCCYX - Final result (03/31/2014 8:13 PM EDT)

Body, Spine, Pelvis Radiographic Imaging

03/31/2014 9:02 PM
EDT
Narrative
04/01/2014 11:42 AM EDT
Narrative

INDICATION: FALL INJURY. SACRUM AND COCCYX PAIN.
SACRUM AND COCCYX, THREE VIEWS:
FINDINGS: There is deformity of the mid coccyx with dorsal angulation of the
distal coccyx, new from 05-04-13. The changes are consistent with a mildly
angulated coccygeal fracture.

Procedure Note
Patrick W Wolfe - 10/06/2016
INDICATION: FALL INJURY. SACRUM AND COCCYX PAIN.
SACRUM AND COCCYX, THREE VIEWS:
FINDINGS: There is deformity of the mid coccyx with dorsal angulation of the
distal coccyx, new from 05-04-13. The changes are consistent with a mildly
angulated coccygeal fracture.

Paulina Mendoza IMG XR PROCEDURES
Mancini
XR RIBS 2 VW LEFT - Final result (03/31/2014 8:07 PM EDT)

Body Left Radiographic Imaging

03/31/2014 8:59 PM
EDT
Narrative
04/01/2014 11:42 AM EDT

INDICATION: FALL INJURY. RIB PAIN.
LEFT RIBS, THREE VIEWS
FINDINGS: The left ribs appear intact. There is no left rib fracture. There is
no pneumothorax.
IMPRESSION: No fracture in the left ribs.

Procedure Note
Patrick W Wolfe - 10/06/2016
Procedure Note
INDICATION: FALL INJURY. RIB PAIN.
LEFT RIBS, THREE VIEWS
FINDINGS: The left ribs appear intact. There is no left rib fracture. There is
no pneumothorax.
IMPRESSION: No fracture in the left ribs.

Paulina Mendoza IMG XR PROCEDURES
Mancini
HCG, QUALITATIVE, URINE (PREGNANCY, URINE) - Final result (03/31/2014 7:39 PM EDT)
hCG, TOTAL NEG (NEG) MMC LAB

03/31/2014 7:39 PM 03/31/2014 7:49 PM
EDT EDT

MMC Self Referral LAB URINE ORDERABLES
Performing
MMC LAB
Care Teams
Team Member Relationship Specialty Start Date End Date
NO PCP PCP - General 4/22/22
JOHNSTOWN, PA 15905
Patient Contacts
Contact Name Contact Address Communication Relationship to Patient
William Noel Unknown 814-243-6456 (Mobile) Significant Other, Emergency
Contact
Document Information
Primary Care Provider Other Service Providers Document Coverage Dates
NO PCP (Apr. 22, 2022 - Present) Oct. 31, 1985 - Aug. 02, 2022
JOHNSTOWN, PA 15905
Custodian Organization
Conemaugh Health System
JOHNSTOWN, PA 15905
If you take your Lucy record on a thumb drive to a different doctor, he or she might be able to use his computer to read the
file electronically. Your downloaded, machine-readable Personal Health Summary document is in a format called "CDA." If
your doctor has a computer that understands CDA, your information is a folder on your thumb drive called
MachineReadable_XDMFormat. You might need to enter a password before your doctor can use this file.
Copyright ©2022 Epic

Candace P Deihl "Candie"
Summary of Care, generated on Aug. 02, 2022
Patient Demographics - Female; born Oct. 31, 1985

Patient Address Communication Language Race / Ethnicity Marital Status
712 Blair St (Home) 814-955-5801 (Home) English - Written White / Not Hispanic or Divorced
Portage, PA 15946 814-955-5801 (Mobile) (Preferred) Latino
candacedeihl@gmail.com
Former (Jul. 03, 2021 -
Jan. 10, 2022):
CAMBRIA COUNTY
PRISON (Home)
425 MANOR DR
EBENSBURG, PA 15931
Former (Feb. 11, 2020 -

Jul. 02, 2021):
712 BLAIR ST (Home)
PORTAGE, PA
15946-1577
Note from Conemaugh Health System

This document contains information that was shared with Candace P Deihl. It may not contain the entire record from
Conemaugh Health System.
Reason for Visit

Reason
Routine Prenatal Visit
Encounter Details
Date Type Department Care Team
10/23/2017 Routine Prenatal OB/GYN Adib N Khouzami
1111 Franklin Street, Ste 300 1111 Franklin Street
Johnstown, PA 15905-4330 Suite 300
814-534-9230 Johnstown, PA 15905
814-534-9230 (Work)
814-534-9465 (Fax)
Allergies - documented as of this encounter (statuses as of 08/02/2022)

Active Allergy Reactions Severity Noted Date Comments
Amoxicillin Hives High 06/04/2012
Bee Venom Protein (Honey Hives 06/29/2010
Bee)
Penicillins Anaphylaxis High 06/29/2010
Medications - documented as of this encounter (statuses as of 08/02/2022)
Medication Sig Dispensed Refills Start Date End Date Status
levothyroxine (SYNTHROID, Take 1 tablet (50 mcg 30 tablet 11 02/14/2017 02/14/2018 Discontinued
LEVOTHROID) 50 mcg tablet total) by mouth daily. (System
Auto
Expiration)
PRENATAL VIT Take 1 tablet by mouth 0 03/05/2018 Discontinued
CALC,IRON,FOLIC (PRENATAL daily. (Therapy
VITAMIN ORAL) completed)
aspirin 81 mg chewable tablet Chew 81 mg daily. 0 01/15/2018 Discontinued
(Stop Taking
at Discharge)
ondansetron ODT (ZOFRAN- Take 4 mg by mouth 12 tablet 0 07/17/2017 10/23/2017 Discontinued
ODT) 4 mg disintegrating every 8 (eight) hours as (Therapy
tablet needed for nausea or completed)
vomiting.
enoxaparin (LOVENOX) 40 mg/ Inject 40 mg under the 0 01/03/2018 Discontinued
0.4 mL syringe skin daily. (Therapy
completed)
sulfamethoxazole- Take 1 tablet by mouth 2 14 tablet 0 10/23/2017 10/30/2017 Expired
trimethoprim (BACTRIM DS) (two) times a day for 7
800-160 mg per tablet days
Active Problems - documented as of this encounter (statuses as of 08/02/2022)

Problem Noted Date
Clotting disorder complicating pregnancy or childbirth 07/20/2017
Ankle joint pain 01/31/2017
Mixed anxiety depressive disorder 01/31/2017
Low back pain 01/31/2017
Nontoxic uninodular goiter 01/31/2017
Obesity 01/31/2017
Pregnant Comments
Yes
Immunizations - documented as of this encounter

Name Administration Dates Next Due
Influenza, Seasonal, Injectable, 09/28/2017
Preservative Free
Rho (D) - IG IM 10/23/2017
TST-PPD Intradermal 05/23/2011
Social History - documented as of this encounter

Tobacco Use Types Packs/Day Years Used Date
Former Smoker 10 Quit: 06/15/2016
Smokeless Tobacco: Former Quit: 06/15/2016
User
Alcohol Use Standard Drinks/Week

No 0 (1 standard drink = 0.6 oz pure alcohol)
Pregnant Comments
Yes
Sex Assigned at Birth Date Recorded

Not on file
Job Start Date Occupation Industry

Not on file Not on file Not on file
Last Filed Vital Signs - documented in this encounter
Vital Sign Reading Time Taken Comments
Blood Pressure 120/74 10/23/2017 9:56 AM EDT
Pulse - -
Temperature - -
Respiratory Rate - -
Oxygen Saturation - -
Inhaled Oxygen Concentration - -
Weight 105 kg (231 lb 12 oz) 10/23/2017 9:56 AM EDT
Height - -
Body Mass Index 35.24 07/16/2017 11:22 PM EDT
Ordered Prescriptions - documented in this encounter

Prescription Sig Dispensed Refills Start Date End Date
sulfamethoxazole- Take 1 tablet by mouth 2 (two) 14 tablet 0 10/23/2017 10/30/2017
trimethoprim (BACTRIM DS) times a day for 7 days
800-160 mg per tablet
Plan of Treatment - documented as of this encounter

Upcoming Encounters
Date Type Specialty Care Team
08/15/2022 Office Visit Orthopedic Surgery Kristin Lynn Strannigan
2 Celeste Drive
JOHNSTOWN, PA 15905
814-255-6781 (Work)
814-255-5716 (Fax)
Health Maintenance Due Date Last Done Comments

COVID-19 Vaccine (1) 10/31/1990
Pap Smear 03/05/2021 03/05/2018
Results - documented in this encounter

20mg/dL
POCT Nitrite, UA Moderate Negative
(2+) (A)

(specimen) EDT

Visit Diagnoses - documented in this encounter

Diagnosis
Encounter for supervision of other normal pregnancy
Advance Directives
Latest Code Status on File
Code Status Date Activated Date Inactivated Comments
Full Code 7/8/2022 2:50 AM 7/14/2022 11:48
PM

Full Code 12/23/2019 10:47 12/25/2019 11:59
AM PM

Full Code 8/24/2018 2:45 8/26/2018 9:03
AM PM
Care Teams - documented as of this encounter

Team Member Relationship Specialty Start Date End Date
Dr Rohanna PCP - General 9/25/16 12/23/19
564 Theatre Drive
St. Benedict RHC
Carrolltown, PA 15722
814-344-8477 (Work)
814-344-2205 (Fax)
Patient Contacts
Contact Name Contact Address Communication Relationship to Patient
William Noel Unknown 814-243-6456 (Mobile) Significant Other, Emergency
Contact
Document Information
Primary Care Provider Other Service Providers Document Coverage Dates
Dr Rohanna (Sep. 25, 2016 - Dec. 23, 2019) Oct. 23, 2017
814-344-8477 (Work)
814-344-2205 (Fax)
564 Theatre Drive
St. Benedict RHC
Carrolltown, PA 15722
Family Medicine
JOHNSTOWN, PA 15905
Custodian Organization
JOHNSTOWN, PA 15905
Encounter Providers Encounter Date

Adib N Khouzami (Attending) Oct. 23, 2017
814-534-9230 (Work)
814-534-9465 (Fax)
Suite 300
Johnstown, PA 15905
Obstetrics and Gynecology

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1 of 1 - My Health Summary

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Candace P Deihl "Candie"

Patient Health Summary, generated on Aug. 02, 2022

Patient Demographics - Female; born Oct. 31, 1985

Former (Feb. 11, 2020 -

Note from Conemaugh Health System

Alcohol Use Standard Drinks/Week

Sex Assigned at Birth Date Recorded

Job Start Date Occupation Industry

COVID-19 Exposure Response Date Recorded

Anatomical Location / Collection Method /

IMPRESSION: No positive findings.

Authorizing Provider Result Type

Authorizing Provider Result Type

Authorizing Provider Result Type

Authorizing Provider Result Type

PHOSPHORUS - Final result (07/11/2022 4:25 PM EDT)

Authorizing Provider Result Type

MYOGLOBIN SERUM (MYOGLOBIN, SERUM) - Final result (07/11/2022 4:25 PM EDT)

Anatomical Location / Collection Method /

Authorizing Provider Result Type

MAGNESIUM - Final result (07/11/2022 4:25 PM EDT)

Anatomical Location / Collection Method /

Authorizing Provider Result Type

(ABNORMAL) CK - Final result (07/11/2022 4:25 PM EDT)

Authorizing Provider Result Type

(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (07/11/2022 4:25 PM EDT)

Albumin 4.7 3.5 - 5.0 07/11/2022 MMC LAB

Authorizing Provider Result Type

(ABNORMAL) LIPID SURVEY - Final result (07/08/2022 6:33 AM EDT)

Anatomical Location / Collection Method /

Authorizing Provider Result Type

(ABNORMAL) DRUG SCREEN, URINE - Final result (07/07/2022 8:26 PM EDT)

Authorizing Provider Result Type

URINALYSIS AUTO ONLY (URINALYSIS) - Final result (07/07/2022 8:26 PM EDT)

Authorizing Provider Result Type

ETHANOL LEVEL (ETHANOL, PLASMA) - Final result (07/07/2022 8:04 PM EDT)

Authorizing Provider Result Type

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Anatomical Location / Collection Method /

Authorizing Provider Result Type

TSH - Final result (07/07/2022 8:04 PM EDT)

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T4 FREE (T4, FREE) - Final result (07/07/2022 8:04 PM EDT)

Anatomical Location / Collection Method /

Authorizing Provider Result Type

(ABNORMAL) ACETAMINOPHEN LEVEL - Final result (07/07/2022 8:04 PM EDT)

Anatomical Location / Collection Method /

Authorizing Provider Result Type

SALICYLATE LEVEL - Final result (07/07/2022 8:04 PM EDT)

Anatomical Location / Collection Method /

(ABNORMAL) COMPREHENSIVE METABOLIC PANEL - Final result (07/07/2022 8:04 PM EDT)

Albumin 4.8 3.5 - 5.0 07/07/2022 MMC LAB

Authorizing Provider Result Type

Anatomical Location / Collection Method /

Authorizing Provider Result Type

Anatomical Location / Collection Method /

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CLINICAL HISTORY: Facial trauma

COMPARISON: No relevant prior studies available.

CLINICAL HISTORY: Facial trauma

COMPARISON: No relevant prior studies available.

Report Electronically Signed By: Michael Khalili M.D. - 7/3/2021 10:33 PM

Authorizing Provider Result Type

Anatomical Location / Collection Method /