DOUGLASS SPECIALIST PATHOLOGISTS HANLY MOIR …

DOUGLASSHANLY MOIRPATHOLOGY

"We take it personally"

14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA 2113

All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98555 100

Dr EricaAHDr Karl BAUMGAfrDr Elizabeth BERMOr Jonathan BLACKVDr David BLAXlANDr Fiona BONARDr Ivan BURCHETTDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Debbie CLARKDr Warick oELPRADODr Joanna DINGDr Robert DIXON

SPECIALIST PATHOLOGISTSDr Stephen FAIRY Dr Steve MORANDr Annabelle FARNSWORTH Dr Helen OGLEDr Leo FEAIN Dr Simon PALFREEMANDr William FELBEL Dr Miriam PAULOr Colin GOLDSCHMIDT Dr Paul RICHMONDDr Frances HANLY Dr Elizabeth SINCLAIROr Richard HASKELL Dr Vera STOERMERDr Vicki HOWARD Dr Andrew TANDr Debra JENSEN Dr Jeanne TOMLINSONDr Ken KNEALE Dr Cate TREBECKDr Robyn LEVINGSTON Dr Mark WILSHERDr Alan LLOYD Dr Tina YENDr Ray McKINLEYDr Denis MOIR

DOCTOR PLMIPLM/PLM/SMYDR FREDDY AlAR A 1911121 CARLISLE AVENUEBLACKETT 2770

PATIENT

MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19) PH: 9835040019/147-149 CLAREVILLE AVESANS SOUCI NSW 2219

Requested:

ClinicalNotes:

36/XT AG/25603/1 011GLUC;COELIAC SEROLOGY;OHEAS;FAI,TESTOSTERONE & SHBG;FREE TESTOSTERONE;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FE STUOIES;FREE T3;LFT [RT3;DIHYOROTESTOSTERONE;TBG • Reports to tollow]QUERY HYPOPITUITARISM

Date of Service: 14-05-08Date Printed: 17-05-08

Free Testosterone

DHEAS(Roche Method)

* 17.8

8.2

pmol/L

µmollL

ID No.: 96547019You r Reference: 2231 0

43 - 138

2.5 - 13.0

Sex: MPage: 1

Please note change of analytical method andreference limits.

Further report to follow. Thank you for referring thjs patient

KRSMANOVIC. MARKO: 14-05-08 FREE TESTOSTERONE, DHEASNATA ACCREDITATION NO, 2178

~ PHONE I APPT: I-N-O-T-E-s-I

4222/0103 07/07

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All hours: 98 555 222 Pathologists:98 555 150Toll Free: 1800 222 365 Results: 98 555 100

Dr EricaAHDr Kar1 SALDrEli.zabetr S=Fi"'''DrJonathanRAG'DrDavidBl..AXl.ANDrFionaBONARDr IvanBURCHETTDr InnyBUSMANISDrGrahameCALDWELLDr IanCHAMBEr,SDrDebbieCLARKDrWarickDELPRADODrJoannaDINGDr RobertDIXON

SPECIALIST PATHOLOGISTSDrStephenFAIRY Dr SteveMORANDrAnnabelleFARNSWORTH Dr HelenOGLEDr LeoFEAIN DrSimonPALFREEMANDrWilliamFELBEL Dr MiriamPAULDr ColinGOLDSCHMIDT Dr PaulRICHMONDDr FrancesHANLY DrElizabethSINCLAIRDr RichardHASKELL DrVeraSTOERMERDr VickiHOWARD DrAndrewTANDr DebraJENSEN DrJeanneTOMLINSONDr KenKNEALE DrCateTREBECKDr RobynLEVINGSTON' DrMarkWILSHERDr AlanLLOYD DrTinaYENDrRayMcKINLEYDr DenisMOIR

DOCTORDR FREDDY AlAR121 CARLISLE AVENUEBLACKETT 2770

PLM/PLM/PLM/SMYA1911

PATIENTMR MARKO KRSMANOVIC0.0.8. (Age) : 20-04-1989 (19) PH: 9835040019/147-149 CLAREVILLE AVESANS SOUCI NSW 2219

Requested:

ClinicalNotes:

67/XT AG/25418/33/35GLUC;COELIAC SEROLOGY;FAI,TESTOSTERONE& SHBG;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FESTUDIES;FREE T3;L[RT3;DHEAS;FREE TESTOSTERONE;DIHYDROTESTOSTERONE;TBG. Reports to follow]QUERY HYPOPITUITARISM

Date of Service:14-05-08 ID N0.:96547019 Sex: MDate Printed:16-05-08 Your Reference:2231 0 Page: 1

FULL BLOOD COUNT( Reference: Male, Adult) ( Reference )Haemoglobin 176 giL ( 130 - 180 )RCC 5.84 xl01\12/L ( 4.30 - 6.20 )Haematocrit 0.51 ratio ( 0.38 - 0.54 )MCV 87.3 fL ( 80.0 - 100.0 )MCH 30.1 pg ( 27.0 - 32.0 )MCHC 345 giL ( 310 - 360 )ROW 41.5 fL ( 35 - 50 )

WBC Count 7.5 xl01\9/L ( 4.0 - 11.0 )

Neutrophils (34.6%) 2.6 xl01\9/L ( 2.0 - 7.5 )Lymphocytes (49.5%) 3.7 xl Ql\9/L ( 1.0 - 4.0 )Monocytes (9.5%) 0.7 xl01\9/L ( 0-1.0 )Eosinophils (5.3%) 0.4 xl01\9/L ( 0-0.5 )Basophils (1.1%) 0.1 xl01\9/L ( 0-0.3 )

Plat Count 202 xl01\9/L ( 150 - 450 )

COMMENT: Fuli blood count normal


) If fasting #

2.5 - 13.014.0 - 95.014.0 - 80.0

2.0 - 10.00.0 - 0.4

0-2030 - 1150-45

100 - 2250-400-40

60 - 8038 - 5520 - 32

( 3.6 - 6.0mmol/L

lUlL

4.7

<0.5

? Exogenous hormone effect.If not, pituitary pathology may need to be excluded.Female

BasalMid cycle peakPost-menopausal

MaleChildren

Plasma Glucose:

LIVER FUNCTION TESTSBilirubin 10 µmol/LALP 107 U/LGGT 12 U/LW *3~ U~AST * 67 U/LALT * 96 U/LT.Protein 79 giLAlbumin 50 giLGlobulin 29 giLElevated transaminase(s). Follow-up may be indicated.

LH(Roche Method)

KRSMANOVIC, MARKO: 14-05-08 FBC, LFT, GLUC, LH

NATAACCREDITA1l0NNO.2178~ PHONE I APPT: I NOTES I

4222/D1 03 07/07

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http://www.mydr.com.au/default.asp?article=3578

http://en.wikipedia.org/wiki/Liver_function_test

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IDOUGLASSHANLY MOIRPATHOLOGY

"We take it pe1'Sonally"

14 Giffnock Avenue, Macquarie Park, NSW, AUSTRALIA2113

All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Results: 98555 100

Dr EricaAHNDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHETTDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Debbie CLARKDr Warick DELPRADODr Joanna DINGDr Robert DIXON

SPECIALIST PATHOLOGISTSDr Stephen FAIRY Dr Steve MORANDr Annabelle FARNSWORTH Dr Helen OGLEDr Leo FEAIN Dr Simon PALFREEMANDr William FELBEL Dr Miriam PAULDr Colin GOLDSCHMIDT Dr Paul RICHMONDDr Frances HANLY Dr Elizabeth SINCLAIRDr Richard HASKELL Dr Vera STOERMERDr Vicki HOWARD Dr Andrew TANDr Debra JENSEN Dr Jeanne TOMLINSONDr Ken KNEALE Dr Cate TREBECKDr Robyn LEVINGSTON Dr Mark WILSHERDr Alan LLOYD Dr Tina YENDr Ray McKINLEYDr Denis MOIR

DOCTOR

DR FREDDY AlAR121 CARLISLE AVENUEBLACKETT 2770


PATIENT

MR MARKO KRSMANOVICD.O.B. (Age) : 20-04-1989 (19) PH: 9835040019/147-149 CLAREVILLE AVESANS SOUCI NSW 2219

Requested:

ClinicalNotes:

68/XT AG/25418/34/35GLUC;COELIAC SEROLOGY;FAI,TESTOSTERONE & SHBG;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FE STUDIES;FREE T3;L[RT3;DHEAS;FREE TESTOSTERONE;DIHYDROTESTOSTERONE;TBG - Reports to follow]

QUERY HYPOPITUITARISM


ID No.: 96547019Your Reference: 22310

Sex: MPage: 2

Prolactin(Roche Method)

190 mlU/L ( 85 - 500


Testosterone(Roche Method)

Sex Hormone BindingGlobulin(Roche Method)

Free Androgen Index

* 6.7

29

23

nmol/L

nmol/L

%

( 12.0 - 32.0

( 15 - 50

( 15 - 100

Please note change of analytical methods andreference limits.

COELIAC SEROLOGY

Gliadin IgA 4 UlmL ( 0 - 20

Current Result31/03/08 22104108 1114/05/0800:00 00:00 00:00

....~'=C?'!ii'i;;.~c,,,n:'i':'W:'"CC,,,,,,,,,.9§7.Q;3.00;295757585.,. 9654701,!},.,,,,,,,Unils,...,,=.FT3 . ':ii';;iHll.:;;Li;:;:!;':"'::;,"" ",2'.7 .., . ",,:,..' 11:3.0 . "pmoJlLFT4 ~ .9, ,."pmoJl,l.."TSH .2.26 II 3.76 .,::."..r:rillJ1l.,:.

Serologic markers normalise with gluten restriction and areunreliable in IgA deficiency. Gliadin IgA and tTG IgA-lgG may beelevated without coeliac disease. Very elevated gliadin (> 100)and moderately elevated tTG (>50) strongly suggest coeliac disease.Most undiagnosed coeliacs have tTG >300.Coeliac tissue typing excludes coeliac disease risk when HLA-D02or 008 are absent.

Ref Aange(2.5~6.0 ).(_8-22 ).(0.30.;,.4.00)

( 2.5 - 6.0( 8 - 22(0.30 - 4.00

pmol/Lpmol/LmlU/L

3.093.76

Cumulative Thyroid Function

THYROID FUNCTION TESTS

Free T3 (FT3)Free Thyroxine (FT4)TSH

Growth Hormone 0.5 mlU/L ( 0 - 15

KRSMANOVIC, MARKO

NATA ACCREDITATION NO. 7178

14-05-08 PROLACTIN, FAI,TESTOSTERONE & SHBG, COELIAC SER~ fWf~S~APPT: '-N-O-TE-S-'I4222/0103 07/07

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IgA deficiency is an IgA level < 10 mg/dL with normal IgG and IgM levels. It is the most common primary immunodeficiency. Many patients are asymptomatic, but some develop recurrent infections and autoimmune disorders. http://www.merck.com/mmpe/sec13/ch164/ch164j.html




All hours: 98 555 222 Pathologists: 98 555 150Toll Free: 1800 222 365 Resuits: 98 555 100

Dr EricaAHNDr Karl BAUMGARTDr Elizabeth BERNALDr Jonathan BLACKWELLDr David BLAXLANDDr Fiona BONARDr Ivan BURCHETTDr Inny BUSMANISDr Grahame CALDWELLDr Ian CHAMBERSDr Debbie CLARKDr Warick DELPRADODr Joanna DINGDr Robert DIXON

SPECIALIST PATHOLOGISTSDr Stephen FAIRY Dr Steve MORANDr Annabelle FARNSWORTH Dr Helen OGLEDr Leo FEAIN Dr Simon PALFREEMANDr William FELBEL Dr Miriam PAULDr Colin GOLDSCHMIDT Dr Paul RICHMONDDr Frances HANLY Dr Elizabeth SINCLAIRDr Richard HASKELL Dr Vera STOERMERDr Vicki HOWARD Dr Andrew TANDr Debra JENSEN Dr Jeanne TOMLINSONDr Ken KNEALE Dr Cate TREBECKDr Robyn LEVINGSTON Dr Mark WILSHERDr Alan LLOYD Dr Tina YENDr Ray McKINLEYDr Denis MOIR

DOCTOR

DR FREDDY AlAR121 CARLISLE AVENUEBLACKETT 2770


PATIENT

MR MARKO KRSMANOVICD.O.B. (Age): 20-04-1989 (19) PH: 9835040019/147-149 CLAREVILLE AVESANS SOUCI NSW 2219

Requested:

ClinicalNotes:

69/XT AG/25419/35/35GLUC;COELIAC SEROLOGY;FAi,TESTOSTERONE & SHBG;FSH;GH;LH;PROLACTIN;TSH+FT4;FBC;FE STUOIES;FREE T3;L[RT3;DHEAS;FREE TESTOSTERONE;DIHYDROTESTOSTERONE;TBG . Reports to follow]

QUERY HYPOPITUITARISM

FemaleBasalMid cycle peakPost-menopausal

MaleChildren


FSH(Roche Method)

<0.5 lUlL

ID No.: 96547019Your Reference: 2231 0

2.0 - 13.08.0 - 25.0

25.0 - 150.01.5 - 13.01.0 - 6.0

Sex: MPage: 3

IronTransferrinTIBC (Calculated)Saturation

Ferritin


24.0 µmol/L ( 9.0 - 31.0* 3.9 giL ( 2.0 - 3.7* 84 µmol/L ( 45 - 8029 % ( 16 - 60

85 µg/L ( 30 - 300

KRSMANOVIC, MARKO : 14-05-08 FSH, FE STUDIES

NATA ACCREDiTATION NO. 2178

~ PHONE I APPT: I NOTES I4222/D103 07107

fit I


"We take itpersQnally"

14 Giffnock Avenue, Milcquarie Park, NSW, AUSTRALIA 2113

All hours: 98 555 222 Pathologj~ts' 98 555 150

Toll Free: 1800 222 365 R~sults: 98555100

DR FREDDY AZAR121 CARLISLE AVENUEBLACKETT 2770

PLMIPLM!PLM/SMYA1911 MR MARKO KRSMANOVIC

D.O.B. (Age): 20-04-1989 (19) PH: 9835040019/147-149 CLAREVILLE AVESANS SOUCI NSW 2219

Requested: 58/XTAG/25276/4/33RT3;GlUG;COELIAC SEROlOGY;DHEAS;FAI,TESTOSTERONE & SHBG;FREE TESTOSTERONE;FSH;GH;LH;PROLACTIN

Clini",1 ;TSH+FT4;FBC;FE STUDIES;FREE T3;LFT [OIHYDROTESTOSTERONE;TBG - Reports to follow]Notes: QUERY HYPOPITUITARISM

Date of Service:14-0S_08Date Printed

Reverse Tri-Iodolhyronine

Clinical Noles: QUERY HYPOPITUITARISM

Reverse T3

10 N0.:96547Q19YourReference:22310

Sex M

Page' 1

Reverse T3

LK

Reported by Sullivan and Nicolaides Pathology,a member of the Sonic Healthcare Group.

261 pmol/L { 140 - 540

KRSMANOVIC, MARKO: 14-05-08 RT3

-

-NATA ACCREDITATION NO 2178

I PHONE IAPPT: I NOTES

4222/010302/08

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Dihydrotestosterone (DHT)

http://en.wikipedia.org/wiki/Dihydrotestosterone#Pathology

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DHT is produced by males in utero and is responsible for the formation of male sex-specific characteristics. Pathology...male-pattern baldness. ...benign prostatic hyperplasia..(BPH)..acne...prostate cancer.

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Thyroxine Binding Globulin (TBG) protein that moves thyroid hormone throughout your body. Decreased TBG levels may be due to: * Acute illness * Acromegaly * Hyperthyroidism * Malnutrition * Nephrotic syndrome (protein in the urine ..., low blood protein, high cholesterol , and swelling. Causes damaged kidneys)

http://www.nlm.nih.gov/medlineplus/ency/article/003374.htm#What%20abnormal%20results%20mean

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Thyroxine Binding Globulin (TBG)

DOUGLASS SPECIALIST PATHOLOGISTS HANLY MOIR …

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