[.Collected: 17/02/05Run: 4396-13

Printed: 21/02/05 13:01Page: 1 I 4 ,S 0 S IP-athology .'

Urgent 0 Ring patient 0 Make appointment 0 Note in chart 0 File 0 Sydney Diagnost.ic Services(NSW) Pty Limited (APA) ACN 003 4 J 7 60S

DR ANDRZEJ KAZMIERCZAKSHOP 3A

,~ 135-137 POPONDETTA ROADEMERTON 2770

- -

Clinical Notes: tiredaess F.I.

MATOLOGY mrrHAEPULL BLOoD 001'7/02/05

5- .. 831850

1585.54

0.4,8888.128.532413.96.13.32.10.30.20.1236

3

HaemoglobinRecHaematocritMCVMeHMeHeRDWWhite cellsNeutrophilsLymphocytesMonocytesEosino{JhilsBasophl1sl'lateletsESR

&-318505 Blood count essentially normal.

BIOCHEMrSTRYGENERAL CHEMI STRY

17/02/058318505Random

Dr Cod'e: K7172ph: 98321160

,SodiumPotassiumChlorideBicarbonateAnion gapUric AciaCreatinineUreaPhos]?hateCalcIumCorrected CaAlbuminProteinBi IirubinAlk PhosGamma GTASTALT

GlucoseCholesterolTriglycerides

WST

KRSMANOVICMARKO19 VALLINGBY AVENUEHEBERSHAM 2770Ph:DO'H,:26/04/89 Se~:MReference: E413373Lab #: 05-8318505

10 Lyon Park RoadPO Box 122 North Ryde NSW 1670

Telephone 02 99 416 416Facsimile 02 9887 2154www.sdspathology.com.au

First established 1928

Clinical Pathologists

Range

130 - 180) giL4.20 - 5.60) x10 12/L0.380 - 0.520)80.0 - 100.0) fL28.0 - 34.0) pg310 - 360) gIL12.0 - 15.0) %4.0 - 11.0) x10 9/L2.0 - 7.5l "1.0 - 4.0 "0.2 - 1.0 "< 0.6) "< 0.2) II

150 - 400) xl0 9/L< 14) mm/h

~ ------ ..::.-.~------= -::-~.---: ._~-:-'"- - .::;.. -

.. 1424.51032717

0.54 *0.083

4.31.072.382.15

497817

165102322

135 - 150) mmol/L3.5 - 5.0) mmol/L95 - 110) mmol/L23 - 33) mmol/L12 - 22) mmol/L0.13 - 0.48) mmol/L0.060 - 0.120)mmol/L3.6 - 9.3) mmol/L0.80 - 1.50l mmol/L2.10 - 2.65 mmol/L2.13 - 2.63 mmol/L35 - 52) giL60 - 85) giLo - 17) umol/L52 - 171) V/L< 66) U/L5 - 40) U/L5 - 40) U/L

Fasting Random(3.0-5.5) (3.3-7.8)mmoI/L

(3.0 - 5.5) mmol/L(0.60 - 2.00) mmol/L

4.93.4

0.63

.,.0604 RPOO1 ~_

NATA/RCPA RegisteredS. Medical LaboratoryA Number 2012

./"Collected: 17/02/05

Run: 4396-1313:01 ~Printed: 21/02/05

Page: 2 I 4 sos I-·Pathology·Urgent 0 Ring patient 0 Make appointment 0 Note in chart 0 File 0 Sydney Diagnostic S·ervices

(NSW)Pty Limited (APA)ACN 003 417 60S

DR ANDRZEJ KAZMIERCZAKSHOP 3A135-137 POPONDETTA ROADEMERTON 2770

KRSMANOVICf4ARI(:O _19 VALLINGBY AVENUEHEBERSHAM 2770Ph:DOB: 20/'04/89 Se~:MReJerence: E413373Lab #: bS-8318S0S

Dr Code: K7172 WSTPh: 98321160

Clinical Notes: tirednes,s F. I.

MAGNESIUM17/02/05

8318505

Magnesium 0..7

17/02/058318505

Iron 13 *,Transferrin 3.03U ItonB .. Cap. 68Transfer. S. 19 *Ferritin 62,

17/0-2/05831850$

Serum folate 12.3

Folate reference interval >7.0 nM/L

Vitamin B12

17/02/058318505

241

THYROID FUNCTION TESTS (Serum)T.S.H: 1.16 mUlL

First establ i·shedl 928

Clinical Pathologists

10 Lyon Park RoadPO Box 122 North Ryde NSW1670Telephone 02 99 416 416Facsimile 02 9887 2154www.sdspathology.com.au

(0.7 ....1.0) mmol/L

!14 - 33)2.00 - 3.80)45 - 75)25 - 55)20 - '300)

um/Ol/Lg L1.Jmol/L%ug/L

nm/L

(150 - 700) pm/L

(0.10 - 6.30)

0604RPOOl

NATAjRCPARegisteredMedical LaboratoryNumber 2012

, I

'~;1~~.

., 0604RPOOl

NATAjRCPA RegisteredMedical LaboratoryNumber 2012

Collected: 17/02/05Run: 4396-13

Printed: 21/02/05Page: 3 I 4

13:01 ·BOB IP-atbology ,<'Urgent 0 Ring patient 0 Make appointment.O Note in chart 0 File 0 Sydney Diagnostic Services

(NSW) Pty Limited (APA) ACN 003 417 605

DR ANDRZEJ KAZMIERCZAK_ SHOP 3A~ 135-137 POPONDETTA ROAD

EMERTON 2770

Dr Code: K7172 WSTPh: 98321160

KRSMANOVICMARKO19 VALLINGBY AVENUEHEBERSHAM- 2770ph:DOB: 20/04/89 Sex:MReference: E41337.3Lab #: 05-8318505

Firs t establi 5hed 1928

Clinical Pathologists

1 0 Lyon Park RoadPO Box 122 North Ryde NSW 1670

Telephone 02 99 416 416Facsimile 02 98872154www.sdspathology.com.au

Clinical Notes: tiredness F.!.

URINE TOXICOLOGY SCREEN

.DRUG GROUP SCREENING TEST RESULT

Methadone Neg'at I'VeBenzodiazepines and metabolites NegativeCannabinoid NegativeOpiates: .POSITIVE

Codeine NegativeMorphine Neg~tive

Sympathomimetic Amines NegativeCocaine metabolites NegativeBarbi turates N,egative ~.

Op iates are a class of drugs made up, of the ·fo'llowing : morphine,coqeine and monoacetylmorp-hine (hero:in metabol ite).Opl~tes will normally be detected in low concentrations when thep-atlent has consumed these In the tast several days. (111 rarecases. eyen p,op~:yseeQs could be detect~d by this scre'enu.lg test).A pas 1t Ive cont)rmat Ion test for morphine shows a very highlikelihood of tltleit 'rui use but could occasionally be due tol11gh dose codeine metabolIsm.

I I

HEPATITISCAb:

--=--= 1--1/0 2f05---~ ---------c-

8318505UNITS RANGE

Not Detected 0.09 (REV) (Neg <0.9)

-------~-----------~='~. ".

HEPATITISA IgM Ab

REV :

There is no serological evidence of exposure to Hepatitis C.REV : Relative ELISA Value.

17/02/058318505

0.04 (REV)Not Detected (Neg <0.9)

Relative ELISA Value.

17/02/058318505

UNITS0.38 (REV)

RANGE,(Neg <0.9)

HEPATITISBSurface Ag: Not Detected

REV : Relative ELISA Value.

H.pyloriSerology < 2 « 6 Negative) U/mL

(> 6 EXPOSURE)

.- - _ ... ---_.

ICollected: 17/02/05r' Ibm: 4396-13

(Printed: 21/02/05

Page: 4 I 413:01 ,SO S I!~athology' '

.

Urgerjt :) Ring patient 0 Make appointment 0 Note in chart 0 File 0 Sydney Dia,gnostic Services(NSW) Pty limited (APA) ACN 003 417 605

DR ANDRZ'EJ KAZMIERCZAKSHOP 3Alls':"137 POPONDETTA ROADEMERTON 2770

WST

KRSMANOVICMARKo19 VALLINGBY AVENlJEHEBERSHAM 277'0Ph:pOB: 20/04/89 Sex:MReference: E413373Lab #: OS-8j18505

First established 1928

Clinical Pathologists

Dr Code: K7172Ph: 98321160

10 Lyon Park RoadPO Box 122 North Ryde NSW 1670Telephone 02 99 416 416Facsimile 02 9887 2154www.sdspathology.com.au

Clinical Notes: tiredness F.I.

IMMUNOLOGY

RHEUMATOID FACTOR.' - • -- q 17/0,2/05

83i8505RFANA

Antinuclear Antibodies Negative

A negat!ve ANA. excludes lupus il] 95% of eases. Consider ENA screeningfor p.at1ents wIth features of Sjogren's Syndrome (to detectaJ).tibodies to SS-A) and Anti-CardloliJ?in tACL) antIbodies for pat.ientswIth features of the phospholipid antIbody syndrome.

<- 20 « 46) IU/mL

MICROBIOWGY

MI'CROBIOLOGICAL EXAMINATION OF: UrineCl1emical test:Profein01llCos-e-- .---.Blood

Negative---Negat1~~e-------------------------------

Negative

Normal Range

Microscopy:LeucocytesRed CellsEpithelial cellsCastsCrystals

Culture:

Not SeenNot SeenNot SeenNilNil

No significant growth.I

r-' INTERIM REPORT DO NOT FILE

Tests Requested: (*= to follow)FBE, EUC,UJ\,CA,LFT,GLU, CHO/TG, MG, IS, FOLIC ACID;.,B12, TFT,DATP, HEP CJT HEP A IGM, HEP B SAG, H PYLORI AB, KF, RAST IGE*,ANA, M/C/S uRINE

~'

0604RP001

NATA/RCPA RegisteredMedical LaboratoryNumber 2012