Question: we are now getting a referral to a new cardiologist, my dad remains in bigemmny
excuse my spelling. he is on Benicar 40, Lasix 40, hct 25, coreg 6.25 twice a day, for his crohns he is on budesonide, and pentassa. , XXXXXXX and spirivia for his copd. all this started after a remicade infusion, my question is this, he is always exhausted, I have read this could be a side effect of the coreg, or could it be from his heart. he has been hospitalized twice, the hospialist said he was in heart failure, his cardiologist says no its the pvcs.

I could not upload, so I am trying cut and paste.

Personal Health Summary, as of May. 19, 2016 XXXXXXX XXXXXXX XXXXXXX (Male, born Nov. 19, 1929)
206 WELDON RD
MARTINEZ, GA 30907-2944
0000 (Home)
0000 (Mobile)
YYYY@YYYY
Note from University Health Care System
This document contains information that was shared with XXXXXXX XXXXXXX XXXXXXX It may not contain the entire record from University Health Care System.
Allergies
IODINATED CONTRAST MEDIA - IV XXXXXXX (Dau reports allergy to IV contrast. Pt states does not know)
TETRACYCLINE (Headaches)
Current Medications
aspirin 81 MG EC tablet
Take 81 mg by mouth daily.
budesonide 9 mg TaDE
Take by mouth daily.
carvedilol (COREG) 6.25 MG tablet (Started 4/27/2016)
Take 1 tablet (6.25 mg total) by mouth 2 (two) times daily with meals.
fluticasone-salmeterol (ADVAIR) 250-50 mcg/dose diskus inhaler
Inhale 1 puff into the lungs 2 (two) times daily.
furosemide (LASIX) 40 MG tablet (Started 4/27/2016)
Take 1 tablet (40 mg total) by mouth daily.
hydrochlorothiazide (HYDRODIURIL) 25 MG tablet
Take 25 mg by mouth daily.
isoniazid (NYDRAZID) 300 MG tablet
Take 300 mg by mouth daily.
isosorbide mononitrate (IMDUR) 30 MG 24 hr tablet (Started 5/6/2016)
Take 1 tablet (30 mg total) by mouth daily.
lansoprazole (PREVACID) 30 MG capsule
Take 30 mg by mouth daily.
mesalamine (PENTASA) 500 MG CR capsule
Take 1,000 mg by mouth 4 (four) times daily.
olmesartan (BENICAR) 40 MG tablet
Take 40 mg by mouth daily.
pyridoxine (B-6) 50 MG tablet
Take 50 mg by mouth daily.
tiotropium (SPIRIVA) 18 mcg inhalation capsule
Inhale 18 mcg into the lungs daily.
Active Problems
Acute on chronic combined systolic and diastolic congestive heart failure, NYHA class 3 (Noted 4/26/2016)
Bradycardia (Noted 5/2/2016)
Chronic back pain
Disc disorder of lumbar region
Dyspnea
Edema
Epigastric pain (Noted 4/25/2016)
Epigastric pressure (Noted 4/25/2016)
GERD (gastroesophageal reflux disease)
History of atrial fibrillation (Noted 4/24/2014)
Hypertension
Panlobular emphysema
Pneumonia (Noted 1/19/2014)
Small bowel obstruction (Noted 4/25/2015)
Substernal precordial chest pain (Noted 4/25/2016)
Tobacco abuse
Immunizations
Td (Adult), Absorbed, Preservative Free (Given 11/12/2015)
Results
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (05/09/2016 4:51 PM)
TROPONIN I - Final result (05/05/2016 9:00 PM)
Component Value Range
Troponin I 0.138 <0.045 ng/mL
MRSA SCREEN - Final result (05/05/2016 9:00 PM)
Component Value Range
Specimen Description NASAL CAVITY SWAB
Culture NO METHICILLIN RESISTANT STAPH AUREUS ISOLATED 2 DAYS
Culture Performed by University Health Care System, 1350 Walton Way, XXXXXXX XXXXXXX
Report 05/07/2016 FINAL
POC GLUCOSE - Final result (05/05/2016 8:56 PM)
Component Value Range
POC Glucose 144 74-106 MG/DL
CULTURE, BLOOD (BLOOD CULTURE) - Final result (05/05/2016 4:05 PM)
Component Value Range
Specimen Description BLOOD RAC
Culture NO GROWTH 5 DAYS
Culture Performed by University Health Care System, 1350 Walton Way, XXXXXXX XXXXXXX
Report 05/10/2016 FINAL
XR CHEST AP PORTABLE - Final result (05/05/2016 3:06 PM)
Narrative
PROCEDURE / CPT CODE:XR CHEST AP PORTABLE
ORDERING PRIORITY :RTN
DATE/TIME PERFORMED :05/05/2016 15:06
DICTATING RADIOLOGIST:HOBBS, XXXXXXX
CLINICAL INDICATIONS:CHEST PAIN
ORDERING PHYSICIAN :CARTER, XXXXXXX
History: Chest pain, shortness of breath
Frontal view of the chest is compared to prior study. Heart size is
stable. Is increased density at the right lung base.. Osseous
structures are stable.
Impression: Right basilar atelectasis or infiltrate.
Electronically signed by: XXXXXXX XXXXXXX HOBBS, M.D. 5/5/2016 3:26 PM
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (05/05/2016 3:00 PM)
COMPREHENSIVE METABOLIC PANEL - Final result (05/05/2016 3:00 PM)
Component Value Range
Sodium, Serum 137 136-145 mmol/L
Potassium 3.6 3.5-5.1 mmol/L
Chloride 105 98-107 mmol/L
CO2 24 21-32 mmol/L
Glucose 84 74-106 mg/dL
BUN, Serum 45 7-18 mg/dL
Creatinine, Ser 1.5 0.6-1.3 mg/dL
Total Protein 7.0 6.4-8.3 g/dL
Albumin 3.7 3.4-5.0 g/dL
Calcium 8.8 8.5-10.1 mg/dL
AST 18 7-35 U/L
Alkaline Phosphatase 67 45-117 U/L
Total Bilirubin 0.5 0.2-1.0 mg/dL
ALT 30 12-78 U/L
A/G Ratio 1.1 1.0-2.2 RATIO
Osmolality Calc 285 275-300 mOsmol/kg
Anion Gap 8 5.0-14.0 mmol/L
GFR MDRD Non Af Amer 47 >59 mL/min/1.73m
GFR MDRD Af Amer 57 >59 mL/min/1.73m
Component Value Range
GFR Comments SEE NOTES
TROPONIN I - Final result (05/05/2016 3:00 PM)
Component Value Range
Troponin I 0.135 <0.045 ng/mL
COMPLETE BLOOD COUNT - Final result (05/05/2016 3:00 PM)
Component Value Range
WBC 13.0 3.7-10.3 X THOU
RBC 4.47 3.98-5.84 X MIL
Hemoglobin 13.8 13.3-17.1 g/dL
Hematocrit 41 38-49 %
MCV 92 81-98 fl
MCH 30.9 27.4-33.7 pG
MCHC 33.8 32.8-35.8 g/dL
Platelet Count 200 144-402 x THOU
RDW 14.4 12.0-16.3
MPV 10.3 7.5-11.2 fL
DIFFERENTIAL - Final result (05/05/2016 3:00 PM)
Component Value Range
Platelets 200 144-402 x THOU
Segs 75 44-77 %
Bands Relative NONE 0-10 %
Lymphs 14 14-56 %
Monocytes 10 4-14 %
Eosinophil 1 0-10 %
Basophils % NONE 0-3 %
Metamyelocytes Relative NONE 0 %
Myelocyte NONE 0 %
Promyelocyte NONE 0 %
Blasts NONE 0 %
Neutrophils Absolute 9.8 1.5-7.7 x THOU/uL
Lymphocytes Absolute 1.8 0.9-3.5 x Thou/uL
Monocytes Absolute 1.3 0.3-1.0 x Thou/uL
Eosinophils Absolute 0.1 0.0-0.7 x Thou/uL
Basophils Absolute 0.1 0.0-0.2 x Thou/uL
Nucleated RBC's NONE 0 /100 WBC
Platelet Estimate NOT PERFORMED /OIF
Morphology Comments NOT PERFORMED
Performed by University Health Care System, 1350
Walton Way, XXXXXXX XXXXXXX
CULTURE, BLOOD (BLOOD CULTURE) - Final result (05/05/2016 3:00 PM)
Component Value Range
Specimen Description BLOOD LAC
Culture NO GROWTH 5 DAYS
Culture Performed by University Health Care System, 1350 Walton Way, XXXXXXX XXXXXXX
Report 05/10/2016 FINAL
POC GLUCOSE - Final result (04/27/2016 10:36 AM)
Component Value Range
POC Glucose 164 74-106 MG/DL
BASIC METABOLIC PANEL - Final result (04/27/2016 5:15 AM)
Component Value Range
Sodium, Serum 136 136-145 mmol/L
Potassium 4.0 3.5-5.1 mmol/L
Chloride 104 98-107 mmol/L
CO2 21 21-32 mmol/L
Glucose 98 74-106 mg/dL
BUN, Serum 22 7-18 mg/dL
Creatinine, Ser 1.2 0.6-1.3 mg/dL
Calcium 8.2 8.5-10.1 mg/dL
Anion Gap 11 5.0-14.0 mmol/L
Osmolality Calc 275 275-300 mOsmol/kg
BUN/Creatinine Ratio 18.3 12-20 RATIO
GFR MDRD Non Af Amer >60 >59 mL/min/1.73m
GFR MDRD Af Amer >60 >59 mL/min/1.73m
GFR Comments SEE NOTES
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (04/27/2016 5:15 AM)
MAGNESIUM - Final result (04/27/2016 5:15 AM)
Component Value Range
Magnesium 1.6 1.8-2.4 mg/dL
PHOSPHORUS - Final result (04/27/2016 5:15 AM)
Component Value Range
Phosphorus 3.0 2.5-4.9 mg/dL
COMPLETE BLOOD COUNT - Final result (04/27/2016 5:15 AM)
Component Value Range
WBC 12.0 3.7-10.3 X THOU
RBC 4.34 3.98-5.84 X MIL
Hemoglobin 13.6 13.3-17.1 g/dL
Hematocrit 39 38-49 %
MCV 91 81-98 fl
MCH 31.4 27.4-33.7 pG
MCHC 34.6 32.8-35.8 g/dL
Platelet Count 185 144-402 x THOU
RDW 14.1 12.0-16.3
MPV 9.9 7.5-11.2 fL
DIFFERENTIAL - Final result (04/27/2016 5:15 AM)
Component Value Range
Platelets 185 144-402 x THOU
Segs 73 44-77 %
Bands Relative NONE 0-10 %
Lymphs 17 14-56 %
Monocytes 9 4-14 %
Eosinophil NONE 0-10 %
Basophils % 1 0-3 %
Metamyelocytes Relative NONE 0 %
Myelocyte NONE 0 %
Promyelocyte NONE 0 %
Blasts NONE 0 %
Neutrophils Absolute 8.7 1.5-7.7 x THOU/uL
Lymphocytes Absolute 2.0 0.9-3.5 x Thou/uL
Monocytes Absolute 1.1 0.3-1.0 x Thou/uL
Eosinophils Absolute NONE 0.0-0.7 x Thou/uL
Basophils Absolute 0.1 0.0-0.2 x Thou/uL
Nucleated RBC's NONE 0 /100 WBC
Platelet Estimate NOT PERFORMED /OIF
Morphology Comments NOT PERFORMED
Performed by University Health Care System, 1350
Walton Way, XXXXXXX XXXXXXX
CARDIAC IMAGING - Final result (04/26/2016 6:02 PM)
Narrative
University Hospital XXXXXXX GA 30901
Cardiac Stress with Myocardial Perfusion Imaging
Cardiac Stress with Myocardial Perfusion Imaging
Patient: XXXXXXX XXXXXXX XXXXXXX
MRN: 0000
Account #: 0000
DOB/Age: 11/19/1929 (86)
Study Date: 04/26/2016 06:02 PM
Race/Gender: W / M
Location: CV17
Referring MD: XXXXXXX XXXXXXX A.
Technologist: Tamryn Arenas, CNMT Keeler, XXXXXXX
Nurse: XXXXXXX W. XXXXXXX RN
Interpreting MD: Abdulla M Abdulla, MD Dspect
Supervising Practitioner: Breeden, XXXXXXX
-------------------------------------------------------------------
Indications
R07.9 Chest Pain, Unspecified. R06.02 Shortness of Breath.
History
Current tobacco use. Hypertension.
Procedure performed
Myocardial Perfusion SPECT Imaging, Multiple [CPT 78452]. Lexiscan
stress test [CPT 93017] . Gated SPECT and planar imaging.
Procedure information
Height: 182cm. Weight: 92kg. Patient status: Observation. Study
status: Elective. Location: UH Cardiac Lab.
Procedure detail
Objective: Diagnostic evaluation for coronary artery disease.
Technetium 99m-Tetrofosmin was injected at rest and at peak stress.
Initial setup. A baseline ECG was recorded. Intravenous access -
verified or obtained. Surface ECG leads and blood pressure
measurements were monitored. Regadenoson (Lexiscan) stress test.
Stress testing was performed with regadenoson (Lexiscan) by
intravenous bolus, for a total dose of 0.4mgover 10.00sec, followed
by a 5ml saline flush. Study completion: The patient tolerated
the procedure well and was discharged from the lab.
-------------------------------------------------------------------
Summary
Impressions:
Narrative
- 1. Abnormal. Findings consistent with ischemic cardiomyopathy
2. Medium, relatively fixed, moderately severe inferior wall and
inferolateral wall photopenia consistent with MI and small, partially
reversible apical wall photopenia consistent with periinfarction
ischemia.
3. The post-tress LV ejection fraction was severely decreased at 26%,
while the rest LVEF was moderate to severely decreased at 38%. severe
global hypokinesia with regional variability in contraction. No transient
ischemic dilation.
4. The patient did not experience chest discomfort. No diagnostic
stress-induced ST-T changes. Frequent PVC&'s with couplets.
5. PROGNOSIS: As per ACC NCDR(R) Registry data, the study indicates a
HIGH Risk, equating with a greater than 3% annual mortality rate.
Recommendations:
1. Conservative management and optimization of medical therapy
aimed at heart failure is recommended in this 86 year old patient.
2. Follow up with Dr. XXXXXXX XXXXXXX the patient&'s primary
cardiologist.
-------------------------------------------------------------------
BASELINE ECG: Abnormal tracing. NSR at 86/min. Nonspecific ST-T
changes in the inferolateral leads. Frequent PVC&'s.
Stress protocol:
+----------------------------------+--+----------------+--------------+
|Stage |HR|BP (mmHg) |Rhythm |
+----------------------------------+--+----------------+--------------+
|Baseline |91|134mm Hg/83mm Hg|Frequent PVC&'s|
+----------------------------------+--+----------------+--------------+
|Regadenoson (Lexiscan) Peak stress|92|138mm Hg/82mm Hg|--------------|
+----------------------------------+--+----------------+--------------+
|Recovery |98|160mm Hg/80mm Hg|--------------|
+----------------------------------+--+----------------+--------------+
Stress results: Maximal heart rate during stress was 98bpm (73%
of maximal predicted heart rate). The maximal predicted heart rate
was 134bpm.
Stress ECG: No diagnostic stress-induced ST-T changes. Frequent
PVC&'s with occasional ventricular couplets.
Isotope administration:
+--------------+-------------------+-------------------+
|Stage |Rest |Stress |
+--------------+-------------------+-------------------+
|Agent |Tc[99m]-tetrofosmin|Tc[99m]-tetrofosmin|
+--------------+-------------------+-------------------+
|Lot number |137991 |137997 |
+--------------+-------------------+-------------------+
|Dose |11mCi |31.7mCi |
+--------------+-------------------+-------------------+
|Date |26-Apr-2016 |26-Apr-2016 |
+--------------+-------------------+-------------------+
|Injection time|12:12 PM |04:51 PM |
+--------------+-------------------+-------------------+
|Injected by |EK |SO |
+--------------+-------------------+-------------------+
|Imaging time |01:20 PM |04:03 PM |
+--------------+-------------------+-------------------+
Image properties: Imaging information: gated.
Myocardial perfusion imaging: The TID ratio is 1.07.
Gated SPECT: The calculated left ventricular ejection fraction is
26% with stress and 38% at rest. Electronically
signed by
Abdulla M Abdulla, MD
Confirmed 04/26/2016 19:10:10
cc:Abdulla M Abdulla, MD cc:Dspect
cc:Leslie, XXXXXXX A.
ECHOCARDIOGRAM 2D COMPLETE - Final result (04/26/2016 5:17 PM)
Narrative
University Hospital XXXXXXX GA 30901
Echocardiography Report Transthoracic Echo
Patient: XXXXXXX XXXXXXX XXXXXXX
MRN: 0000
Account #: 0000
DOB/Age: 11/19/1929 (86)
Study Date: 04/26/2016 05:17 PM
Race/Gender: W / M
Location: CV17
Referring MD: XXXXXXX XXXXXXX A.
Technologist: XXXXXXX M. Collins-Guilbeau, RDCS
Interpreting MD: Staff Cardiology
-------------------------------------------------------------------
Indications
I50.9 CHF, Unspecified. ACS. I48.91 Atrial Fibrillation. ECG,
Abnormal R94.31.
-------------------------------------------------------------------
Procedure performed
Complete transthoracic echocardiography [CPT 93306] M-mode,
complete 2D, complete spectral Doppler, and color Doppler.
Procedure information
Narrative
Height: 183cm. Height: 72in. Weight: 92kg. Weight: 202.4lb. BMI:
27.5kg/m^2. BSA: 2.18m^2. Patient status: Inpatient. Study
status: Routine. Location: CVCC
Procedure detail
Image quality was fair. Scanning was performed from the
parasternal, apical, and subcostal acoustic windows.
-------------------------------------------------------------------
Summary
- Left ventricle: Systolic function was moderately reduced. The estimated
ejection fraction was 35%. Doppler parameters are consistent with
abnormal left ventricular relaxation (grade 1 diastolic dysfunction).
- Aortic valve: Trivial regurgitation.
- Mitral valve: Mild regurgitation.
- Left atrium: The atrium was moderately dilated. Area: 31cm^2 (ES, A4C).
- Right atrium: The atrium was moderately dilated. Area: 27cm^2 (ES).
- Tricuspid valve: Moderate regurgitation.
- Pulmonary arteries: Systolic pressure was moderately increased. PA peak
pressure: 44mm Hg (S).
-------------------------------------------------------------------
Cardiac Anatomy
Left ventricle:
- Systolic function was moderately reduced. The estimated ejection fraction
was 35%.
- Doppler parameters are consistent with abnormal left ventricular
relaxation (grade 1 diastolic dysfunction).
Aortic valve:
- Structurally normal valve. Trileaflet. Cusp separation was normal.
Doppler:
- Transvalvular velocity was within the normal range. There was no
stenosis. Trivial regurgitation.
Aorta:
- The aorta was normal in size.
Mitral valve:
- Structurally normal valve. Leaflet separation was normal.
Doppler:
- Transvalvular velocity was within the normal range. There was no evidence
for stenosis. Mild regurgitation.
Left atrium:
- The atrium was moderately dilated.
Right ventricle:
- The cavity size was normal. Wall thickness was normal. Systolic function
was normal.
Pulmonic valve: Doppler:
- Mild regurgitation.
Tricuspid valve: Doppler:
- Moderate regurgitation.
Pulmonary artery:
- Systolic pressure was moderately increased.
Right atrium:
- The atrium was moderately dilated.
Pericardium:
- There was no pericardial effusion.
Systemic veins:
Inferior vena cava:
- The vessel was normal in size; the respirophasic diameter changes were in
the normal range (= 50%); findings are consistent with normal central
venous pressure.
Pleura: No evidence of pleural fluid accumulation.
-------------------------------------------------------------------
Basic Measurements Normal
Left ventricle
LVID ED, chord, PLAX *62.8 mm 43-52
LVID ES, chord, PLAX *49.8 mm 23-38
FS, chord, PLAX *21 % >29
LVPW, ED *12.6 mm 6-11
IVS/LVPW ratio, ED 1.08 <1.3
Ventricular septum
IVS, ED *13.6 mm 6-11
Aorta
Root diam, ED 37 mm 20-37
Left atrium
AP dim *50 mm 19-40
AP dim index *2.3 cm/m^2 <2.2
Area ES, A4C *31 cm^2 8.8-23.4
Right atrium
Area, ES 27 cm^2 --------
Right ventricle
Major axis ED, A4C 76 mm 55-91
Basic Measurements Normal
Aortic valve
Leaflet separation 24 mm 15-26
Doppler measurements Normal
Main pulmonary artery
Pressure, S *44 mm Hg <=30
Left ventricle
E/Ea, lat XXXXXXX tiss DP 11 --------
Mitral valve
Narrative
Peak E vel 63.7 cm/s --------
Peak A vel 89.4 cm/s --------
Deceleration time *285 ms 150-230
Peak E/A ratio 0.7 --------
Tricuspid valve
Regurg peak vel 301 cm/s --------
Peak RV-RA gradient, S 36 mm Hg -------- XXXXXXX regurg vel 301 cm/s --------
Systemic veins
Estimated CVP 8 mm Hg --------
Right ventricle
Pressure, S *44 mm Hg <30
Legend:
Asterisk (*) marks values outside specified normal range.
-------------------------------------------------------------------
Electronically signed by
Bimal M Shah, MD
Confirmed 04/26/2016 22:54:54
cc:Staff Cardiology
cc:Leslie, XXXXXXX A.
FLOOR EKG - Final result (04/26/2016 12:04 AM)
Narrative
Test Reason : GAS PAIN
Blood Pressure : ***/*** mmHG
Vent. Rate : 086 BPM Atrial Rate : 097 BPM
P-R Int : 182 ms QRS Dur : 112 ms
QT Int : 406 ms P-R-T Axes : 057 -31 056 degrees
QTc Int : 485 ms
Sinus rhythm with sinus arrhythmia with frequent Premature ventricular complexes
Left axis deviation
Nonspecific T wave abnormality
Prolonged QT
Abnormal ECG
Electronically Signed By BIGHAM MD, XXXXXXX (511) on 4/26/2016 11:46:52 PM
Referred By: STAFF Electronically signed by:PETER BIGHAM MD
TROPONIN I - Edited Result - FINAL (04/25/2016 10:03 PM)
Component Value Range
Troponin I 0.163 <0.045 ng/mL
TROPONIN I - Final result (04/25/2016 6:42 PM)
Component Value Range
Troponin I 0.175 <0.045 ng/mL
XR CHEST AP PORTABLE - Final result (04/25/2016 1:51 PM)
Narrative
PROCEDURE / CPT CODE:XR CHEST AP PORTABLE
ORDERING PRIORITY :STAT
DATE/TIME PERFORMED :04/25/2016 13:51
DICTATING RADIOLOGIST:DAVIS, XXXXXXX
CLINICAL INDICATIONS:cp
ORDERING PHYSICIAN :THOMAS, XXXXXXX
XR CHEST AP PORTABLE
History: cp
An AP view of the chest shows mild degenerative changes in the spine
and minor vascular calcifications in the aorta. The lungs are clear,
but there is mild chronic change present. There is no evidence of
volume overload. The soft tissues are intact. There is no change
compared to studies performed earlier same day. The infrahilar lung
markings remain minimally prominent.
Opinion:
Stable chest x-ray compared to same film earlier today
Electronically signed by: XXXXXXX B XXXXXXX M.D. 4/25/2016 1:57 PM
CBC - Final result (04/25/2016 1:43 PM)
Component Value Range
WBC 12.3 3.7-10.3 X THOU
RBC 4.09 3.98-5.84 X MIL
Hemoglobin 12.9 13.3-17.1 g/dL
Hematocrit 38 38-49 %
MCV 92 81-98 fl
MCH 31.4 27.4-33.7 pG
MCHC 34.1 32.8-35.8 g/dL
Platelet Count 166 144-402 x THOU
RDW 14.4 12.0-16.3
MPV 9.9 7.5-11.2 fL
BASIC METABOLIC PANEL - Final result (04/25/2016 1:43 PM)
Component Value Range
Sodium, Serum 137 136-145 mmol/L
Potassium 4.1 3.5-5.1 mmol/L
Chloride 108 98-107 mmol/L
CO2 19 21-32 mmol/L
Glucose 76 74-106 mg/dL
BUN, Serum 27 7-18 mg/dL
Creatinine, Ser 1.1 0.6-1.3 mg/dL
Calcium 8.0 8.5-10.1 mg/dL
Anion Gap 10 5.0-14.0 mmol/L
Osmolality Calc 278 275-300 mOsmol/kg
BUN/Creatinine Ratio 24.5 12-20 RATIO
GFR MDRD Non Af Amer >60 >59 mL/min/1.73m
GFR MDRD Af Amer >60 >59 mL/min/1.73m
GFR Comments SEE NOTES
HEPATIC FUNCTION PANEL - Final result (04/25/2016 1:43 PM)
Component Value Range
Albumin 3.2 3.4-5.0 g/dL
Alkaline Phosphatase 56 45-117 U/L
AST 21 7-35 U/L
ALT 20 12-78 U/L
Bilirubin, conjugated 0.2 0.0-0.2 mg/dL
Bilirubin, unconjugated (calc) 0.3 0.1-1.0 mg/dL
Total Bilirubin 0.5 0.2-1.0 mg/dL
Total Protein 6.1 6.4-8.3 g/dL
A/G Ratio 1.1 1.0-2.2 RATIO
TROPONIN I - Final result (04/25/2016 1:43 PM)
Component Value Range
Troponin I 0.161 <0.045 ng/mL
LIPID PANEL - Final result (04/25/2016 1:43 PM)
Component Value Range
Cholesterol, Total 166 <200 mg/dL
Triglycerides 144 <150 mg/dL
HDL, Direct 65 >40 mg/dL
LDL Calculated 72 <130 MG/DL
Factor <0.50 <0.50
NT-PROBNP - Final result (04/25/2016 1:43 PM)
Component Value Range
NT-ProBNP (B-Type Natriuretic
Peptide)
10895 <300 pg/mL
ECG 12-LEAD - Final result (04/25/2016 1:40 PM)
Narrative
Test Reason : cp
Blood Pressure : ***/*** mmHG
Vent. Rate : 093 BPM Atrial Rate : 093 BPM
P-R Int : 178 ms QRS Dur : 108 ms
QT Int : 386 ms P-R-T Axes : 043 -36 087 degrees
QTc Int : 479 ms
Sinus rhythm with frequent Premature ventricular complexes
Left axis deviation
T wave abnormality, consider lateral ischemia
Prolonged QT
Abnormal ECG
Electronically Signed By ABDULLA MD, ABDULLA (500) on 4/25/2016 8:00:56 PM
Referred By: STAFF Electronically signed by:ABDULLA ABDULLA MD
XR CHEST PA AND LATERAL - Final result (04/25/2016 12:11 PM)
Narrative
PROCEDURE / CPT CODE:XR CHEST PA AND LATERAL
ORDERING PRIORITY :STAT
DATE/TIME PERFORMED :04/25/2016 12:11
DICTATING RADIOLOGIST:LONGE, XXXXXXX
CLINICAL INDICATIONS:cough
ORDERING PHYSICIAN :SHERWOOD, BOZEMAN
Frontal and lateral views the chest demonstrates severe cardiomegaly.
Basilar airspace disease and small pleural fluid collections are
noted. No dense lobar consolidation, pneumothorax or pleural effusion.
Impression:
Cardiomegaly with basilar airspace disease. Right basilar pneumonia
not excluded.
Narrative
Electronically signed by: XXXXXXX D LONGE, M.D. 4/25/2016 12:24 PM
C DIFF BY PCR - Final result (03/30/2016 6:25 PM)
Component Value Range
Source STOOL
C Diff by PCR TOXIGENIC C. DIFF NEGATIVE, 027 NAP1 BI PRESUMPTIVE
NEGATIVE BY PCR
TOXIGENIC C. DIFF NEGATIVE,
027 NAP1 BI PRESUMPTIVE
NEG
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (03/29/2016 3:42 PM)
C-REACTIVE PROTEIN - Final result (03/29/2016 3:42 PM)
Component Value Range
CRP 1.1 <0.3 mg/dL
COMPLETE BLOOD COUNT - Final result (03/29/2016 3:42 PM)
Component Value Range
WBC 11.4 3.7-10.3 X THOU
RBC 4.49 3.98-5.84 X MIL
Hemoglobin 13.9 13.3-17.1 g/dL
Hematocrit 42 38-49 %
MCV 94 81-98 fl
MCH 31.0 27.4-33.7 pG
MCHC 33.0 32.8-35.8 g/dL
Platelet Count 203 144-402 x THOU
RDW 14.8 12.0-16.3
MPV 9.6 7.5-11.2 fL
DIFFERENTIAL - Final result (03/29/2016 3:42 PM)
Component Value Range
Platelets 203 144-402 x THOU
Segs 73 44-77 %
Bands Relative NONE 0-10 %
Lymphs 17 14-56 %
Monocytes 9 4-14 %
Eosinophil 1 0-10 %
Basophils % NONE 0-3 %
Metamyelocytes Relative NONE 0 %
Myelocyte NONE 0 %
Promyelocyte NONE 0 %
Blasts NONE 0 %
Neutrophils Absolute 8.3 1.5-7.7 x THOU/uL
Lymphocytes Absolute 1.9 0.9-3.5 x Thou/uL
Monocytes Absolute 1.0 0.3-1.0 x Thou/uL
Eosinophils Absolute 0.1 0.0-0.7 x Thou/uL
Basophils Absolute NONE 0.0-0.2 x Thou/uL
Nucleated RBC's NONE 0 /100 WBC
Platelet Estimate NOT PERFORMED /OIF
Morphology Comments NOT PERFORMED
Performed by University Health Care System, 1350
Walton Way, XXXXXXX XXXXXXX
XR CHEST PA AND LATERAL - Final result (03/19/2016 3:04 PM)
Narrative
PROCEDURE / CPT CODE:XR CHEST PA AND LATERAL
ORDERING PRIORITY :STAT
DATE/TIME PERFORMED :03/19/2016 15:04
DICTATING RADIOLOGIST:BAUZA, XXXXXXX
CLINICAL INDICATIONS:cough
ORDERING PHYSICIAN :SHERWOOD, BOZEMAN
Study: XR CHEST PA AND LATERAL
Reason for Exam: cough
Comparison: December 29, 2015
Findings: Cardiomegaly is present with uncoiling of aorta. Prominence
of interstitial markings without infiltrates or consolidates.
Impression:
Atherosclerotic vascular disease with chronic lung disease
Electronically signed by: XXXXXXX A BAUZA, M.D. 3/19/2016 3:39 PM
C DIFF BY PCR - Final result (02/26/2016 2:09 PM)
Component Value Range
Source STOOL
Source STOOL
C Diff by PCR TOXIGENIC C. DIFF NEGATIVE, 027 NAP1 BI PRESUMPTIVE
NEGATIVE BY PCR
TOXIGENIC C. DIFF NEGATIVE,
027 NAP1 BI PRESUMPTIVE
NEG
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (02/24/2016 3:19 PM)
C-REACTIVE PROTEIN - Final result (02/24/2016 3:19 PM)
Component Value Range
CRP 0.4 <0.3 mg/dL
COMPLETE BLOOD COUNT - Final result (02/24/2016 3:19 PM)
Component Value Range
WBC 13.3 3.7-10.3 X THOU
RBC 4.31 3.98-5.84 X MIL
Hemoglobin 13.6 13.3-17.1 g/dL
Hematocrit 41 38-49 %
MCV 94 81-98 fl
MCH 31.6 27.4-33.7 pG
MCHC 33.6 32.8-35.8 g/dL
Platelet Count 245 144-402 x THOU
RDW 14.6 12.0-16.3
MPV 9.6 7.5-11.2 fL
DIFFERENTIAL - Final result (02/24/2016 3:19 PM)
Component Value Range
Platelets 245 144-402 x THOU
Segs 86 44-77 %
Bands Relative NONE 0-10 %
Lymphs 8 14-56 %
Monocytes 6 4-14 %
Eosinophil NONE 0-10 %
Basophils % NONE 0-3 %
Metamyelocytes Relative NONE 0 %
Myelocyte NONE 0 %
Promyelocyte NONE 0 %
Blasts NONE 0 %
Neutrophils Absolute 11.3 1.5-7.7 x THOU/uL
Lymphocytes Absolute 1.1 0.9-3.5 x Thou/uL
Monocytes Absolute 0.8 0.3-1.0 x Thou/uL
Eosinophils Absolute NONE 0.0-0.7 x Thou/uL
Basophils Absolute NONE 0.0-0.2 x Thou/uL
Nucleated RBC's NONE 0 /100 WBC
Platelet Estimate NOT PERFORMED /OIF
Morphology Comments NOT PERFORMED
Performed by University Health Care System, 1350
Walton Way, XXXXXXX XXXXXXX
C-REACTIVE PROTEIN - Final result (02/11/2016 2:31 PM)
Component Value Range
CRP 0.6 <0.3 mg/dL
HEPATITIS B SURFACE ANTIGEN - Final result (02/11/2016 2:31 PM)
Component Value Range
Hepatitis B Surface Ag NONREACTIVE NONREACTIVE
UH MISCELLANEOUS LAB TEST - Final result (01/21/2016 3:46 PM)
Component Value Range
Test name FECAL CALPROTEIN
Result 384
Reference Lab Performed by ARUP Laboratories, 500 Chipeta Way, Salt Lake City,
Utah.
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (01/19/2016 3:50 PM)
COMPREHENSIVE METABOLIC PANEL - Final result (01/19/2016 3:50 PM)
Component Value Range
Sodium, Serum 143 136-145 mmol/L
Potassium 4.9 3.5-5.1 mmol/L
Chloride 110 98-107 mmol/L
CO2 27 21-32 mmol/L
Glucose 136 74-106 mg/dL
BUN, Serum 27 7-18 mg/dL
Creatinine, Ser 1.3 0.6-1.3 mg/dL
Total Protein 6.4 6.4-8.3 g/dL
Albumin 3.6 3.4-5.0 g/dL
Calcium 8.2 8.5-10.1 mg/dL
AST 13 7-35 U/L
Alkaline Phosphatase 65 45-117 U/L
Total Bilirubin 0.4 0.2-1.0 mg/dL
Component Value Range
If you take your XXXXXXX 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.
ALT 21 12-78 U/L
A/G Ratio 1.3 1.0-2.2 RATIO
Osmolality Calc 292 275-300 mOsmol/kg
Anion Gap 6 5.0-14.0 mmol/L
GFR MDRD Non Af Amer 56 >59 mL/min/1.73m
GFR MDRD Af Amer >60 >59 mL/min/1.73m
GFR Comments SEE NOTES
C-REACTIVE PROTEIN - Final result (01/19/2016 3:50 PM)
Component Value Range
CRP 0.4 <0.3 mg/dL
COMPLETE BLOOD COUNT - Final result (01/19/2016 3:50 PM)
Component Value Range
WBC 12.0 3.7-10.3 X THOU
RBC 4.47 3.98-5.84 X MIL
Hemoglobin 14.1 13.3-17.1 g/dL
Hematocrit 42 38-49 %
MCV 95 81-98 fl
MCH 31.6 27.4-33.7 pG
MCHC 33.4 32.8-35.8 g/dL
Platelet Count 199 144-402 x THOU
RDW 15.0 12.0-16.3
MPV 9.7 7.5-11.2 fL
DIFFERENTIAL - Final result (01/19/2016 3:50 PM)
Component Value Range
Platelet Estimate NOT PERFORMED /OIF
Morphology Comments NOT PERFORMED
Platelets 199 144-402 x THOU
Segs 86 44-77 %
Bands Relative NONE 0-10 %
Lymphs 8 14-56 %
Monocytes 6 4-14 %
Eosinophil 1 0-10 %
Basophils % NONE 0-3 %
Metamyelocytes Relative NONE
Myelocyte NONE
Promyelocyte NONE
Blasts NONE
Neutrophils Absolute 10.3 1.5-7.7 x THOU/uL
Lymphocytes Absolute 0.9 0.9-3.5 x Thou/uL
Monocytes Absolute 0.7 0.3-1.0 x Thou/uL
Eosinophils Absolute 0.1 0.0-0.7 x Thou/uL
Basophils Absolute NONE 0.0-0.2 x Thou/uL
Nucleated RBC's NONE 0 /100 WBC
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (11/12/2015 2:24 PM)
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (10/19/2015 1:55 PM)
C-REACTIVE PROTEIN - Final result (10/19/2015 1:55 PM)
Component Value Range
CRP <0.3 <0.3 mg/dL
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (05/07/2015 1:41 PM)
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (04/27/2015 3:11 AM)
CBC WITH DIFFERENTIAL (CBC AND DIFFERENTIAL) - Final result (04/25/2015 10:55 AM)
TSH - Final result (01/19/2014 11:25 AM)
Component Value Range
TSH 2.00 0.358-3.74 uIU/mL
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