GP Referral 	Referral Date: Monday, 25 July 2022
GP Review Date: Monday, 25 July 2022
Feedback Requested: Yes	

Referral to:
Dr Maxine Szramka
Suite 4/43 Commerce Dr
ROBINA  QLD  4226
Phone: 1300003762 Fax: 
Email: 	Referring General Practitioner:
Dr Nicole Lehmann
Haan Medical Centre
P O Box 1856, Shop 24 Victoria Square
Broadbeach QLD 4218
Phone: 07 5531 6033   Fax: 07 5531 6838
Email: reception@haanhealth.com
Provider No.: 4904536X	

Service Requested:	Specialist Opinion	

 ---------------------------------------------------------------------------------------------------------------------------------

Patient Details:		Contact Address:	7 Key West
BROADBEACH WATERS  QLD  4218	
Title:
RE:
Date of Birth
Preferred Name:
Sex:	Mrs
Jo-Anne Wormald
6/8/1980
Jo-Anne
Female	Phone:
Work:
Mobile:
Email:	0412 996 011

0412996011
jowormald@bigpond.com

Alternative Contact:	

 ---------------------------------------------------------------------------------------------------------------------------------
Reason for patient referral:
Thank you for seeing Jo in regards to her knees, hips, wrists, elbows and shoulders. Pain for 6-7 months. Knees are getting more sore and weaker. Mild stiffness on  	waking but only takes about 5-10 mins to arm up. Possibly started after COVID infection. We would appreciate your input into her care and management
 ---------------------------------------------------------------------------------------------------------------------------------

Interpreter required:	Does not require interpreter.	Insurance:	No Insurance	
Preferred language:	None Recorded.	Medicare No:	4246 82802 8 / 1	
Pension Card No:		Expiry Date:	31/12/2023	
DVA No.				

Consent to referral and sharing of relevant information: Yes

____________________________________
Dr Nicole Lehmann

 

Clinical Information:	

Name: Jo-Anne Wormald
DOB: 6/8/1980

Warnings: None recorded.

Allergies: 
Allergy/Adverse Reaction	Reaction	
MILK THISTLE	itch	

Current Medication:
Drug Name	Strength	Dosage	Reason	Last script	
KEFLEX Capsule (Cefalexin (as monohydrate))	500mg	1 t.i.d.	UTI (Urinary Tract Infection)	02/12/2021	
RITALIN Tablet (Methylphenidate hydrochloride)	10mg	1-2 daily p.r.n.	ADD (Attention Deficit Disorder)	02/12/2021	

Social History: Living with Partner and kids in GC 

Past Medical History: 
Active:
Date	Condition -- Comment	
2021	ADD (Attention Deficit Disorder)	
2021	Anxiety - generalised	
Inactive:
Date	Condition -- Comment	
2010	Breast augmentation	
2017	Endometrial Ablation	
2018	Abdominoplasty	

 ---------------------------------------------------------------------------------------------------------------------------------

Progress Notes: 

Investigation Results:
Patient name: WORMALD, JO-ANNE
7 KEY WEST
BROADBEACH WATERS, 4218
Date of birth: 6/08/1980
Gender: F

Medicare No.: 42468280281
Lab. Reference: 2022F0009831
Requested By: DR NICOLE LEHMANN
Requested: Thursday, 21 July 2022
Performed: Thursday, 21 July 2022
Test name: X-RAY RIGHT ELBOW, X-RAY RIGHT AND LEFT KNEES
Provider name: QSCAN Radiology

X-ray Right Elbow, X-ray Right and Left Knees
Patient:	WORMALD, JO-ANNE	Date of Birth:	1980-08-06	Sex:	F	
Address:		Medicare Number:		Phone:	CP    0412996011	
Sender:	Keays,  Robert	Addressee:	LEHMANN, Dr Nicole	Referred by:	Dr Nicole Lehmann	
Lab Reference:	2022F0009831					
Requested:		Collected:	21/07/2022 1:18:00 PM	Reported:	21/07/2022 2:04:00 PM	

X-RAY RIGHT ELBOW, X-RAY RIGHT AND LEFT KNEES

History
Query erosive changes.  Slightly ache possibly since COVID injury.

Findings
Normal alignment.  No elbow joint effusion.  No degenerative changes or
evidence of erosive arthropathy.  No intra-articular osteochondral body.

Thank you for referring Jo-Anne Wormald.

Dr Robert Keays

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~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      665531404
Medicare Number:      4246828028
Phone Enquiries:      Drs Rowbotham, Wordsworth, Keng (07)3377 8666 Haematology

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 665531404-H-H050
Requested: Monday, 11 July 2022
Performed: Monday, 11 July 2022
Test name: ESR
Provider name: SNP

Clinical Notes :

 Date               21/06/22  11/07/22
 Time F-Fast        0709 F    0926
 Lab Id.            668208117 665531404                     Units     Reference

 ESR                   25 H      24 H                       mm/h      (1-12)

 HA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: FBE,ESR
 Tests Pending  : Urate,CPK,CRP,RF,E/LFT,ANA,CCP Ab,HLA B27
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      665531404
Medicare Number:      4246828028
Phone Enquiries:      Drs Rowbotham, Wordsworth, Keng (07)3377 8666 Haematology

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 665531404-H-H900
Requested: Monday, 11 July 2022
Performed: Monday, 11 July 2022
Test name: .BLOOD COUNT
Provider name: SNP

Clinical Notes :

 Haematology

 Date               06/03/20  19/02/21  21/06/22  11/07/22
 Time F-Fast        1427      0907 F    0709 F    0926
 Lab Id.            651474422 658015571 668208117 665531404 Units     Reference

 Haemoglobin          133       128       127       127     g/L       (115-165)
 Haematocrit         0.40      0.39      0.39      0.39               (0.35-0.47)
 RCC                  4.1       4.0       4.0       4.0     10*12/L   (3.9-5.6)
 MCV                   96        97        96        96     fL        (80-100)

 WCC                  9.5       7.1       6.4       7.9     10*9/L    (3.5-12.0)
   Neutrophils       6.24      4.76      3.83      5.59     10*9/L    (1.5-8.0)
   Lymphocytes       2.56      1.79      1.87      1.72     10*9/L    (1.0-4.0)
   Monocytes         0.57      0.38      0.49      0.41     10*9/L    (0-0.9)
   Eosinophils       0.06      0.09      0.17      0.18     10*9/L    (0-0.6)
   Basophils         0.04      0.04      0.03      0.04     10*9/L    (0-0.15)

 Platelets            264       254       235       262     10*9/L    (150-400)

 HA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: FBE
 Tests Pending  : Urate,CPK,CRP,RF,E/LFT,ESR,ANA,CCP Ab,HLA B27
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      665531404
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 665531404-C-C140
Requested: Monday, 11 July 2022
Performed: Monday, 11 July 2022
Test name: S-_ROUTINE CHEMISTRY
Provider name: SNP

Clinical Notes :

 Chemistry (serum)

 Date               19/02/21  21/06/22  24/06/22  11/07/22
 Time F-Fast        0907 F    0709 F    1030      0926
 Lab Id.            658015571 668208117 666212497 665531404 Units     Reference

 Sodium               139       138       142       142     mmol/L    (135-145)
 Potassium            4.4       3.8       4.5       4.4     mmol/L    (3.5-5.5)
 Chloride             107       107       106       109     mmol/L    (95-110)
 Bicarbonate           26        24        28        20     mmol/L    (20-32)
 Anion Gap              6         7         8        13     mmol/L    (<16)

 Calcium (Corr.)     2.31      2.30      2.38      2.41     mmol/L    (2.10-2.60)
 Phosphate           0.96      0.52 L    1.30      0.75 L   mmol/L    (0.80-1.50)

 Urea                 4.4       4.7       4.8       5.1     mmol/L    (2.5-7.0)
 Urate              0.279     0.297     0.314     0.369     mmol/L    (0.150-0.400)
 Creatinine            71        74        79        85     umol/L    (45-85)
 eGFR                 >90        87        80        74               (>59)

 Fast. Glucose        5.4       5.7                         mmol/L    (3.6-6.0)
 Random Glucose                           4.7       5.1     mmol/L    (3.6-7.7)

 Total Protein         68        67        72        72     g/L       (64-81)
 Albumin               40        38        43        41     g/L       (33-46)
 Globulin              28        29        29        31     g/L       (23-43)
 T Bilirubin           10        14        10         7     umol/L    (<16)
 ALP                   44        43        46        45     U/L       (20-105)
 AST                   17        19        21        21     U/L       (10-35)
 ALT                   10        18        16        13     U/L       (5-30)
 GGT                   11        15        17        14     U/L       (5-35)
 LDH                  173       168       216       196     U/L       (120-250)

 Cholesterol          5.1       4.8       5.1       5.1     mmol/L    (<5.6)
 Triglyceride         0.5                                   mmol/L    (<2.1)
 Creatine Kinase                                    133     U/L       (30-150)
 Haemolysis Index       3        <1         9         1               (<40)

 Comments on Collection 11/07/22 0926:
 CK
 From 10/06/2022 Creatine Kinase (CK) reference intervals for patients
 under 17 years of age have been modified.

 CA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Urate,CPK,CRP,RF,E/LFT,FBE,ESR
 Tests Pending  : ANA,CCP Ab,HLA B27
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      665531404
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 665531404-C-C290
Requested: Monday, 11 July 2022
Performed: Monday, 11 July 2022
Test name: S-C REACTIVE PROTEIN
Provider name: SNP

Clinical Notes :

 Date               15/08/19  06/03/20  21/06/22  11/07/22
 Time F-Fast        1001      1427      0709 F    0926
 Lab Id.            648065412 651474422 668208117 665531404 Units     Reference

 CRP                   <1        <1       0.6       0.5     mg/L      (<5)

 Comments on Collection 11/07/22 0926:
 C Reactive Protein
 Interpretation: Elevation in CRP indicates disease activity of an
 inflammatory, infective or neoplastic nature. CRP is a more
 sensitive early indicator of an acute phase response than is the
 ESR. It also returns towards normal more rapidly with improvement
 or resolution of the disease process.

 Artefactually decreased CRP values occur when patients are treated with
 antibiotics containing carboxypenicillins including Ticarcillin.

 CA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Urate,CPK,CRP,RF,E/LFT,FBE,ESR
 Tests Pending  : ANA,CCP Ab,HLA B27
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      665531404
Medicare Number:      4246828028
Phone Enquiries:      Drs Robinson, Langguth          (07)3377 8666 Immunology

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 665531404-I-I901
Requested: Monday, 11 July 2022
Performed: Monday, 11 July 2022
Test name: S-AUTOANTIBODIES
Provider name: SNP

 Autoantibodies

 Anti-Nuclear Abs (ANA)              Negative (Titre <1:80)

 Comments on Lab Id: 665531404

 A negative ANA is seen in normal individuals. Occasionally patients with
 active SLE have a negative ANA.

 SS

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Urate,CPK,CRP,RF,E/LFT,FBE,ESR,ANA,CCP Ab,HLA B27
 Tests Pending  :
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      666212497
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 666212497-E-E819
Requested: Friday, 24 June 2022
Performed: Friday, 24 June 2022
Test name: PARATHYROID HORMONE
Provider name: SNP

Clinical Notes :

 Parathyroid Hormone (PTH)
 Intact Parathyroid Hormone          3.9     pmol/L    (  1.6 - 6.9  )

 Comments on Collection 666212497

 Normal result.

 High dose biotin, as may be used in the treatment of Multiple Sclerosis,
 can interfere in the Roche PTH assay. If the patient is on high dose biotin
 (>5 mg/day) please contact the laboratory on 07 3377 8530.

 EA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Ionised Calcium,E/LFT,HbA1c,PTH
 Tests Pending  : TTG Abs,Gliadin Abs,IgA
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Patient name: WORMALD, JO-ANNE
7 KEY WEST
BROADBEACH WATERS, 4218
Date of birth: 6/08/1980
Gender: F

Medicare No.: 4246828028
Lab. Reference: 666212497-V-V244
Requested By: DR NICOLE LEHMANN
Requested: Friday, 24 June 2022
Performed: Friday, 24 June 2022
Test name: .HBA1C GRAPH
Provider name: SNP

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      666212497
Medicare Number:      4246828028
Phone Enquiries:      Results: (07)3377 8555          General: (07)3377 8666

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 666212497-V-V244	.HbA1c Graph
Lab. Reference: 666212497-V-V244
Requested: 24/06/2022
Complete: Final
Collected: 24/06/2022
SNP

Clinical Notes :

 SS

 PDF Image Enhanced Report

 A PDF version of this report with images is available until 24-06-2023. Copy and paste the URL below into your web browser and use PIN 6319 to access the report.

 https://sdrviewer.apps.sonichealthcare.com/?GUID=3A5229EC-CE78-470F-927E-B07CE656BE5F&hostCode=SNP&shareType=1

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Ionised Calcium,E/LFT,HbA1c
 Tests Pending  : PTH,TTG Abs,Gliadin Abs,IgA
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      666212497
Medicare Number:      4246828028
Phone Enquiries:      Drs Rowbotham, Wordsworth, Keng (07)3377 8666 Haematology

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 666212497-H-E416
Requested: Friday, 24 June 2022
Performed: Friday, 24 June 2022
Test name: HBA1C
Provider name: SNP

Clinical Notes :

 HbA1c

 HbA1c (NGSP)                        5.3     %         (    <6.5     )
 HbA1c (IFCC)                        34      mmol/mol  (     <48     )

 Comments on Collection 666212497

 The currently accepted cut-point for diagnosis of Type 2 Diabetes is an
 HbA1c level equal to or greater than 6.5% (48 mmol/mol) in patients with
 normal red blood cell turnover.
 An abnormal screening HbA1c equal to or greater than 6.5% (48 mmol/mol)
 should be confirmed by a repeat HbA1c level as soon as possible, prior to
 any dietary adjustment or therapeutic intervention.
 If the follow up HbA1c is less than 6.5% (48mmol/mol) then the patient does
 not have diabetes and should be rescreened in 12 months  time.
 (Ref: MJA 197/4:220-221 (2012))
 Patients with HbA1c levels of 5.7 - 6.4% (38 - 46 mmol/mol) may still have
 a slightly increased risk of microvascular complications according to the
 AusDiab study.
 The Medicare item for HbA1C for diagnosis of Diabetes Mellitus is limited
 to one test per 12 months; for monitoring Diabetes testing remains
 unchanged - 4 tests per 12 months.
 Further information may be found at MBS online
 http://www9.health.gov.au/mbs/search.cfm
 An alternative test to monitor diabetes such as serum fructosamine is
 advisable in the presence of altered red cell lifespan.
 HbA1c performed on the Sebia Cap3 analyser by capillary electrophoresis.

 HA

 PDF Image Enhanced Report

 A PDF version of this report with images is available until 24-06-2023. Copy and paste the URL below into your web browser and use PIN 3726 to access the report.

 https://sdrviewer.apps.sonichealthcare.com/?GUID=BBCA6791-BF2C-4499-9738-118EE86B25CB&hostCode=SNP&shareType=1

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Ionised Calcium,E/LFT,HbA1c
 Tests Pending  : PTH,TTG Abs,Gliadin Abs,IgA
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      666212497
Medicare Number:      4246828028
Phone Enquiries:      Dr D Taylor                     (07)5573 8888

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 666212497-C-C140
Requested: Friday, 24 June 2022
Performed: Friday, 24 June 2022
Test name: S-_ROUTINE CHEMISTRY
Provider name: SNP

Clinical Notes :

 Chemistry (serum)

 Date               06/03/20  19/02/21  21/06/22  24/06/22
 Time F-Fast        1427      0907 F    0709 F    1030
 Lab Id.            651474422 658015571 668208117 666212497 Units     Reference

 Sodium               137       139       138       142     mmol/L    (135-145)
 Potassium            3.7       4.4       3.8       4.5     mmol/L    (3.5-5.5)
 Chloride             104       107       107       106     mmol/L    (95-110)
 Bicarbonate           24        26        24        28     mmol/L    (20-32)
 Anion Gap              9         6         7         8     mmol/L    (<16)

 Calcium (Corr.)     2.36      2.31      2.30      2.38     mmol/L    (2.10-2.60)
 Phosphate           1.16      0.96      0.52 L    1.30     mmol/L    (0.80-1.50)

 Urea                 6.8       4.4       4.7       4.8     mmol/L    (2.5-7.0)
 Urate              0.304     0.279     0.297     0.314     mmol/L    (0.150-0.400)
 Creatinine            88 H      71        74        79     umol/L    (45-85)
 eGFR                  72       >90        87        80               (>59)

 Fast. Glucose                  5.4       5.7               mmol/L    (3.6-6.0)
 Random Glucose       5.5                           4.7     mmol/L    (3.6-7.7)

 Total Protein         72        68        67        72     g/L       (64-81)
 Albumin               41        40        38        43     g/L       (33-46)
 Globulin              31        28        29        29     g/L       (23-43)
 T Bilirubin            6        10        14        10     umol/L    (<16)
 ALP                   45        44        43        46     U/L       (20-105)
 AST                   21        17        19        21     U/L       (10-35)
 ALT                   12        10        18        16     U/L       (5-30)
 GGT                    9        11        15        17     U/L       (5-35)
 LDH                  184       173       168       216     U/L       (120-250)

 Cholesterol          5.0       5.1       4.8       5.1     mmol/L    (<5.6)
 Triglyceride                   0.5                         mmol/L    (<2.1)
 Magnesium           0.79                                   mmol/L    (0.70-1.10)
 Haemolysis Index       7         3        <1         9               (<40)

 CA

 Tests Completed: Ionised Calcium,E/LFT
 Tests Pending  : HbA1c,PTH,TTG Abs,Gliadin Abs,IgA
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      666212497
Medicare Number:      4246828028
Phone Enquiries:      Dr D Taylor                     (07)5573 8888

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 666212497-C-C202
Requested: Friday, 24 June 2022
Performed: Friday, 24 June 2022
Test name: S-IONISED CALCIUM
Provider name: SNP

Clinical Notes :

 Ionised Calcium

 Calcium (Free)                      1.29    mmol/L    ( 1.16 - 1.32 )
 Free Calcium (pH Corrected)         1.29    mmol/L    ( 1.16 - 1.32 )

 LT

 Tests Completed: Ionised Calcium,E/LFT
 Tests Pending  : HbA1c,PTH,TTG Abs,Gliadin Abs,IgA
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      666212497
Medicare Number:      4246828028
Phone Enquiries:      Drs Robinson, Langguth          (07)3377 8666 Immunology

Referred by    :      Dr Nicole Lehmann
Addressee      :      Dr Nicole Lehmann                 4904536X
Lab. Reference: 666212497-I-I907
Requested: Friday, 24 June 2022
Performed: Friday, 24 June 2022
Test name: S-COELIAC AUTOABS
Provider name: SNP

Clinical Notes :

 Coeliac Disease Autoantibodies

 Tissue Transglutaminase IgA Abs     <1      U/mL      (     <7      )
 Gliadin (deamidated) IgG Abs        <1      U/mL      (     <7      )
 Immunoglobulin A (Total IgA)      L 1.19    g/L       ( 1.24 - 4.16 )

 Comments on Lab Id: 666212497

 With a normal or near normal IgA, the presence of CD is very unlikely
 (<5%). If suggestive symptoms, signs or family history, coeliac tissue
 typing or endoscopy may help exclude the disease further.

 IA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Ionised Calcium,E/LFT,HbA1c,PTH,TTG Abs,Gliadin Abs,IgA
 Tests Pending  :
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Robson, Cherian, Harrison   (07)3377 8666 Microbiology

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-M-M210
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: URINE MCS1
Provider name: SNP

Clinical Notes : yearly path

 Urine - Microscopy/Culture/Sensitivity

 Specimen type                  Urine
 pH                             6
 Protein                        Nil
 Glucose                        Nil
 Specific Gravity               1.011             (1.005 - 1.030)
 Leucocytes                     <10     x 10*6/L  (     <10     )
 Erythrocytes                   <10     x 10*6/L  (     <20     )
 Squam Epi Cells                29      x 10*6/L

 Culture                        Culture proceeding

 AM
 
 *** The above result is provisional. Finalised report to follow. ***

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,TSH,Vitamin B12,
                  Folate (Serum),Active B12,Vitamin D,FBE,ESR
 Tests Pending  : Mycoplasma PCR,Urine MCS,B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-C-H245
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: .ANAEMIA
Provider name: SNP

Clinical Notes : yearly path

 Haematinics

 Date               15/08/19  06/03/20  19/02/21  21/06/22
 Time F-Fast        1001      1427      0907 F    0709 F
 Lab Id.            648065412 651474422 658015571 668208117 Units     Reference

 Iron                  23        21        14        24     umol/L    (5-30)
 Transferrin          2.7       2.8       2.6       2.7     g/L       (1.9-3.1)
 TIBC                  68        69        66        67     umol/L    (47-77)
 Trans Sat             34        30        21        36     %         (20-45)
 Ferritin              92        95       129       133     ug/L      (30-250)
 CRP                   <1        <1                 0.6     mg/L      (<5)
 Vitamin B12          527       484       374       280     pmol/L    (>150)
 Active B12                              >128        89     pmol/L    (>35)
 Folate serum                    24        17        22     nmol/L    (>7.0)

 Comments on Collection 21/06/22 0709 F:
 Iron Studies
 Normal Iron Status.

 All patients with low or equivocal vitamin B12 results (380 pmol/L or less)
 will be routinely tested for holo-transcobalamin (active B12) to clarify
 the B12 status.
 Both tests are now Medicare rebateable. Vitamin B12 concentrations over 380
 pmol/L are generally considered replete.

 Active B12 (holotranscobalamin) is the biologically active fraction
 of total serum B12, and should be a superior indicator of B12 status.
 Holotranscobalamin level indicates Vitamin B12 deficiency unlikely.
 Up to 15% of patients will have a deficiency of carrier protein
 (haptocorrin) that does not appear to result in a clinically
 recognisable Vitamin B12 deficiency despite low total Vitamin B12
 levels.

 EA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,TSH,Vitamin B12,
                  Folate (Serum),Active B12,Vitamin D,FBE,ESR
 Tests Pending  : Mycoplasma PCR,Urine MCS,B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-E-E030
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: S- THYROID FUNCTION
Provider name: SNP

Clinical Notes : yearly path

 Thyroid Function Tests

 Date               06/03/20  19/02/21  21/06/22
 Time F-Fast        1427      0907 F    0709 F
 Lab Id.            651474422 658015571 668208117           Units     Reference

 Free T4             12.4                                   pmol/L    (9.0-19.0)
 TSH                  1.3       1.1       1.7               mIU/L     (0.3-3.5)

 Comments on Collection 21/06/22 0709 F:
 Euthyroid

 EA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,TSH,Vitamin B12,
                  Folate (Serum),Vitamin D,FBE,ESR
 Tests Pending  : Mycoplasma PCR,Active B12,Urine MCS,
                  B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-C-C140
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: S-_ROUTINE CHEMISTRY
Provider name: SNP

Clinical Notes : yearly path

 Chemistry (serum)

 Date               15/08/19  06/03/20  19/02/21  21/06/22
 Time F-Fast        1001      1427      0907 F    0709 F
 Lab Id.            648065412 651474422 658015571 668208117 Units     Reference

 Sodium               136       137       139       138     mmol/L    (135-145)
 Potassium            4.1       3.7       4.4       3.8     mmol/L    (3.5-5.5)
 Chloride             102       104       107       107     mmol/L    (95-110)
 Bicarbonate           27        24        26        24     mmol/L    (20-32)
 Anion Gap              7         9         6         7     mmol/L    (<16)

 Calcium (Corr.)     2.46      2.36      2.31      2.30     mmol/L    (2.10-2.60)
 Phosphate           1.30      1.16      0.96      0.52 L   mmol/L    (0.80-1.50)

 Urea                 5.0       6.8       4.4       4.7     mmol/L    (2.5-7.0)
 Urate              0.307     0.304     0.279     0.297     mmol/L    (0.150-0.400)
 Creatinine            75        88 H      71        74     umol/L    (45-85)
 eGFR                  87        72       >90        87               (>59)

 Fast. Glucose                            5.4       5.7     mmol/L    (3.6-6.0)
 Random Glucose       5.2       5.5                         mmol/L    (3.6-7.7)

 Total Protein         69        72        68        67     g/L       (64-81)
 Albumin               39        41        40        38     g/L       (33-46)
 Globulin              30        31        28        29     g/L       (23-43)
 T Bilirubin            9         6        10        14     umol/L    (<16)
 ALP                   43        45        44        43     U/L       (20-105)
 AST                   18        21        17        19     U/L       (10-35)
 ALT                    9        12        10        18     U/L       (5-30)
 GGT                   10         9        11        15     U/L       (5-35)
 LDH                  170       184       173       168     U/L       (120-250)

 Cholesterol          5.3       5.0       5.1       4.8     mmol/L    (<5.6)
 Triglyceride         0.9                 0.5               mmol/L    (<2.1)
 Magnesium                     0.79                         mmol/L    (0.70-1.10)
 Haemolysis Index       6         7         3        <1               (<40)

 CA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,CRP,E/LFT,Vitamin D,FBE,ESR
 Tests Pending  : Iron Studies,Mycoplasma PCR,TSH,Vitamin B12,
                  Folate (Serum),Urine MCS,B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-C-C290
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: S-C REACTIVE PROTEIN
Provider name: SNP

Clinical Notes : yearly path

 Date               15/08/19  06/03/20  21/06/22
 Time F-Fast        1001      1427      0709 F
 Lab Id.            648065412 651474422 668208117           Units     Reference

 CRP                   <1        <1       0.6               mg/L      (<5)

 Comments on Collection 21/06/22 0709 F:
 C Reactive Protein
 Interpretation: Elevation in CRP indicates disease activity of an
 inflammatory, infective or neoplastic nature. CRP is a more
 sensitive early indicator of an acute phase response than is the
 ESR. It also returns towards normal more rapidly with improvement
 or resolution of the disease process.

 Artefactually decreased CRP values occur when patients are treated with
 antibiotics containing carboxypenicillins including Ticarcillin.

 CA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,CRP,E/LFT,Vitamin D,FBE,ESR
 Tests Pending  : Iron Studies,Mycoplasma PCR,TSH,Vitamin B12,
                  Folate (Serum),Urine MCS,B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Daley, Kanowski, Price       (07)3377 8666 Biochemistry

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-E-E405
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: S-VITAMIN D
Provider name: SNP

Clinical Notes : yearly path

 Date               19/02/21  21/06/22
 Time F-Fast        0907 F    0709 F
 Lab Id.            658015571 668208117                     Units     Reference

 Hydroxycalciferol    109        59                         nmol/L    (50-150)

 Comments on Collection 21/06/22 0709 F:
 According to the Position Statement 'Vitamin D and health in adults in
 Australia and New Zealand' MJA, 196(11):1-7, 2012, vitamin D status is
 defined as:
          Vitamin D adequacy: >49 nmol/L at the end of winter
                  (levels may need to be 10-20 nmol/L higher at the end
                   of summer, to allow for seasonal decrease.)
          Mild vitamin D deficiency:     30-49 nmol/L
          Moderate vitamin deficiency: 12.5-29 nmol/L
          Severe vitamin D deficiency:  < 12.5 nmol/L

 EA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,CRP,E/LFT,Vitamin D,FBE,ESR
 Tests Pending  : Iron Studies,Mycoplasma PCR,TSH,Vitamin B12,
                  Folate (Serum),Urine MCS,B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Rowbotham, Wordsworth, Keng (07)3377 8666 Haematology

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-H-H050
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: ESR
Provider name: SNP

Clinical Notes : yearly path

 Haematology

 ESR                               H 25      mm/h      (    1 - 12   )

 HA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: FBE,ESR
 Tests Pending  : Glucose,Iron Studies,CRP,E/LFT,Mycoplasma PCR,TSH,
                  Vitamin B12,Folate (Serum),Vitamin D,Urine MCS,
                  B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Rowbotham, Wordsworth, Keng (07)3377 8666 Haematology

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-H-H900
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: .BLOOD COUNT
Provider name: SNP

Clinical Notes : yearly path

 Haematology

 Date               15/08/19  06/03/20  19/02/21  21/06/22
 Time F-Fast        1001      1427      0907 F    0709 F
 Lab Id.            648065412 651474422 658015571 668208117 Units     Reference

 Haemoglobin          137       133       128       127     g/L       (115-165)
 Haematocrit         0.41      0.40      0.39      0.39               (0.35-0.47)
 RCC                  4.2       4.1       4.0       4.0     10*12/L   (3.9-5.6)
 MCV                   97        96        97        96     fL        (80-100)

 WCC                  6.8       9.5       7.1       6.4     10*9/L    (3.5-12.0)
   Neutrophils       4.55      6.24      4.76      3.83     10*9/L    (1.5-8.0)
   Lymphocytes       1.74      2.56      1.79      1.87     10*9/L    (1.0-4.0)
   Monocytes         0.41      0.57      0.38      0.49     10*9/L    (0-0.9)
   Eosinophils       0.07      0.06      0.09      0.17     10*9/L    (0-0.6)
   Basophils         0.03      0.04      0.04      0.03     10*9/L    (0-0.15)

 Platelets            270       264       254       235     10*9/L    (150-400)

 HA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: FBE
 Tests Pending  : Glucose,Iron Studies,CRP,E/LFT,Mycoplasma PCR,TSH,
                  Vitamin B12,Folate (Serum),Vitamin D,ESR,Urine MCS,
                  B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Robson, Cherian, Harrison   (07)3377 8666 Serology

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-S-S025
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: S-PERTUSSIS SEROLOGY
Provider name: SNP

Clinical Notes : yearly path

 Bordetella pertussis Serology (EIA)

 B. pertussis Toxin IgG              <20     IU/mL
 BP Toxin IgG Interpretation         Negative

 Comments on Collection 668208117

 No significant level of antibody to B. pertussis toxin (PT) demonstrated.
 A second sample may be useful if clinically indicated. PT IgG antibodies
 peak at 2-4 weeks post infection.
 PCR performed on a throat swab or nasopharyngeal aspirate/swab is the
 preferred test to diagnose pertussis early in the clinical course
 (0-4 weeks). There is no suitable diagnostic test to determine immune
 status for B. pertussis. The correlation between PT IgG antibodies and
 immunity is unvalidated.
  Interpretation of Pertussis Toxin (PT) WHO-approved IU/mL
  PT IgG (IU/mL)       Interpretation
     >100                 Positive
     60-100               Equivocal
     <60                  Negative
 B. pertussis toxin IgG testing performed by EIA.

 KW

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,Mycoplasma PCR,TSH,
                  Vitamin B12,Folate (Serum),Active B12,Vitamin D,FBE,
                  ESR,Urine MCS,B pertussis ELISA
 Tests Pending  : Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Dr J Robson                     (07)3377 8666 Molecular Path

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-D-D431
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: MYCOPLASMA PCR
Provider name: SNP

Clinical Notes : yearly path

 Mycoplasma pneumoniae PCR Testing

 Site                                Combined Throat/Nose Swabs
 Mycoplasma pneumoniae DNA           Not Detected

 Comments on Collection 668208117

 Mycoplasma pneumoniae was not detected in this specimen using PCR with
 specific primers and probe targeting the p1 Adhesin gene.
 For further enquiries regarding these results please contact
 Dr Jenny Robson or Dr Sarah Cherian (07 3377 8534).

 MA

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,Mycoplasma PCR,TSH,
                  Vitamin B12,Folate (Serum),Active B12,Vitamin D,FBE,
                  ESR,Urine MCS
 Tests Pending  : B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Robson, Cherian, Harrison   (07)3377 8666 Serology

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-S-S115
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: S-INFLUENZA SEROLOGY
Provider name: SNP

Clinical Notes : yearly path

 Influenza Serology

 Influenza A (CFT Titre)             16
 Influenza B (CFT Titre)             Negative

 Comments on Collection 668208117

 Low level of antibody to Influenza demonstrated.

 This may be indicative of:
 1. Early infection with Influenza A or B if this is an acute
 phase sample. A convalescent sample in 14 days is suggested
 2. Residual Influenza antibody due to previous infection.
 3. Residual Influenza antibody following vaccination.

 The complement fixation test (CFT)  for Influenza does not
 distinguish between infections with different haemagglutinin
 and neuraminidase subtypes.
 Demonstration of a 4-fold or greater rise in antibody level between
 acute and convalescent specimens is the definitive serological
 measure.
 Confirmation of infection with Influenza, particularly during the
 acute illness (0-7 days), is best made by PCR testing for the
 virus on a nasopharyngeal swab/aspirate and/or throat swab.
 Serology is reserved for delayed diagnosis of infection when
 symptoms have been present for more than 14 days.

 HH

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,Mycoplasma PCR,TSH,
                  Vitamin B12,Folate (Serum),Active B12,Vitamin D,FBE,
                  ESR,Urine MCS,B pertussis ELISA,Influenza
 Tests Pending  :
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Start Patient  :      WORMALD,JO-ANNE
7 KEY WEST,BROADBEACH WATERS 4218
Birthdate: 06/08/1980    Age: 41 Y   Sex: F
Telephone: 0412996011
Your Reference :      76711000
SNP Reference  :      668208117
Medicare Number:      4246828028
Phone Enquiries:      Drs Robson, Cherian, Harrison   (07)3377 8666 Microbiology

Referred by    :      Dr Allison Lavelle
Addressee      :      Dr Allison Lavelle                243280MW
Lab. Reference: 668208117-M-M210
Requested: Monday, 20 June 2022
Performed: Tuesday, 21 June 2022
Test name: URINE MCS1
Provider name: SNP

Clinical Notes : yearly path

 Urine - Microscopy/Culture/Sensitivity

 Specimen type                  Urine
 pH                             6
 Protein                        Nil
 Glucose                        Nil
 Specific Gravity               1.011             (1.005 - 1.030)
 Leucocytes                     <10     x 10*6/L  (     <10     )
 Erythrocytes                   <10     x 10*6/L  (     <20     )
 Squam Epi Cells                29      x 10*6/L

 Culture                        No pathogens isolated

 MICROAB
 
 FINAL REPORT - Updated on 22/06/2022 at 07:55

 Sullivan Nicolaides Pty Ltd. ABN 38 078 202 196. NATA/RCPA Accreditation No 1964

 Tests Completed: Glucose,Iron Studies,CRP,E/LFT,TSH,Vitamin B12,
                  Folate (Serum),Active B12,Vitamin D,FBE,ESR,Urine MCS
 Tests Pending  : Mycoplasma PCR,B pertussis ELISA,Influenza
 Sample Pending :
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~