INVESTIGATION RESULTS
As at 17/1/2023.

Patient Details:		
		
Patient Name: 	Ms Joanne Twaddell	
Address: 	17 Foam St.
ELWOOD  VIC  3184	
Phone - Home:		
Phone - Work:		
D.O.B.:  	5/6/1972	
Record Number:		
Medicare Number:	2446 46549 9 / 1	
DVA Number:		
		
Allergies/Adverse Reactions:	No known allergies/adverse reactions.	

Investigation Results:

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-BFM-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: B12, FOLATE (SERUM/RBC)
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: B12, FOLATE (SERUM/RBC)
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  BIOCHEMISTRY 

   VITAMIN B12 AND FOLATE                           SPECIMEN: SERUM/BLOOD 

  Date:            29/12/22    
  Time:            08:46
  Lab Number:      72510388
---------------------------------------------------------------------------
  Vitamin B12           297                                       pmol/L
  Active B12             73                          (> 30)       pmol/L

    72510388  Normal B12 result.

    RANGES           B12       Serum Folate     Red Cell Folate
         Normal        > 180         > 10.0            > 450
      Equivocal    150 - 180      5.0 - 10.0       350 - 450
      Deficient        < 150         < 5.0             < 350

   Vitamin B12 and Folate analyses are performed on the Siemens Centaur/
   Atellica.

GLS-R TSH-R B12-R ESR-C FBE-C FER-R LIP-R ECU-R LFT-R OHD-R 

All tests on this request have now been completed
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-HAE-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: HAEMATOLOGY GENERAL
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: HAEMATOLOGY GENERAL
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  HAEMATOLOGY                                      SPECIMEN: WHOLE BLOOD 

   Date:           29/12/22                            (#Refers to current
   Coll. Time:     08:46                                      result only)
   Lab Number:    #72510388
 -------------------------------------------------------------------------
   HAEMOGLOBIN          135                         (115 - 165)  g/L
   RBC                 4.40                         (3.80 - 5.50)x10 ^12 /L
   HCT                 0.42                         (0.35 - 0.47)
   MCV                   95                         (80 - 99)    fL
   MCH                 30.7                         (27.0 - 34.0)pg
   MCHC                 323                         (310 - 360)  g/L
   RDW                 13.7                         (11.0 - 15.0)%
   WCC                  6.4                         (4.0 - 11.0) x10 ^9 /L
   Neutrophils          2.8                         (2.0 - 8.0)  x10 ^9 /L
   Lymphocytes          2.2                         (1.0 - 4.0)  x10 ^9 /L
   Monocytes            0.6                         (< 1.1)      x10 ^9 /L
   Eosinophils    *     0.7                         (< 0.7)      x10 ^9 /L
   Basophils            0.1                         (< 0.3)      x10 ^9 /L
   PLATELETS            228                         (150 - 450)  x10 ^9 /L
   ESR                    2                         (< 21)       mm/h

 #72510388 : There is a mild eosinophilia.

GLS-R TSH-R B12-R ESR-C FBE-C FER-R LIP-R ECU-R LFT-R OHD-R 

All tests on this request have now been completed
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-LS-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: LIPID STUDIES
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: LIPID STUDIES
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  BIOCHEMISTRY 

    LIPID STUDIES                                   SPECIMEN: SERUM 

  Date:             29/12/22 
  Coll. Time:          08:46                            Desirable Range
  Lab Number:       72510388                               (Fasting)
 --------------------------------------------------------------------------
  Fasting Status   Fasting
  Total Chol.     *      7.1                              (< 5.6)    mmol/L
  HDL Chol.              3.1                              (> 1.0)    mmol/L
  LDL Chol.       *      3.4                              (< 2.5)    mmol/L
  Non-HDL Chol.   *      4.0                              (< 3.9)    mmol/L

  Triglyceride           1.2                              (< 2.0)    mmol/L

  LDL/HDL Ratio          1.1
  Chol/HDL Ratio         2.3

  72510388  Mild increase in LDL-cholesterol which exceeds the target value
  and may be excessive in some individuals. Increased HDL-C can be seen as
  an inherited condition, with anticonvulsant or oestrogen treatment and
  with exercise. It is considered protective for CVD but does not exclude
  risk from increased LDL-C. Interpret in conjunction with other
  cardiovascular risk factors.

  Desirable ranges for high CV risk patients are:
  LDL Cholesterol < 2.0 mmol/L
  Non-HDL Cholesterol <2.5 mmol/L

GLS-R TSH-R B12-w ESR-W FBE-W FER-R LIP-C ECU-R LFT-R OHD-R 

This request has other tests in progress at the time of reporting
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-OHD-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: VITAMIN D
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: VITAMIN D
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  BIOCHEMISTRY 

   VITAMIN D                                     SPECIMEN: SERUM 
                                     25-hydroxy
   Date      Time    Lab No.         Vitamin D
 --------------------------------------------------------------------------
   29/12/22  08:46   72510388      *      41         nmol/L

   72510388  Low levels of 25-hydroxy vitamin D may be seen with lack of
   sunlight exposure, nutritional deficiency disorders (dietary,
   malabsorption, phenytoin therapy etc) and in hepatic disorders
   associated with impaired hydroxylation of cholecalciferol (vitamin D3).

   Interpretation:
   Vitamin D deficiency <50 nmol/L
   Severe deficiency    <20 nmol/L

   COMMENT: Vitamin D sufficiency is defined as greater than or equal to
   50 nmol/L at the end of winter (level may need to be 10-20 nmol/L higher
   at the end of summer).

   Reference: Position Statement. Vitamin D and Health in Adults in
   Australia and  New Zealand. MJA,196(11): 686-687, 2012.

GLS-R TSH-C B12-w ESR-W FBE-W FER-R LIP-W ECU-R LFT-R OHD-C 

This request has other tests in progress at the time of reporting
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-TSH-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: THYROID STIMULATING HORM
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: THYROID STIMULATING HORM
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  ENDOCRINOLOGY 

  THYROID FUNCTION TEST                            SPECIMEN: SERUM 

  Date:         29/12/22
  Coll. Time:   08:46
  Lab Number:   72510388
  -------------------------------------------------------------------------
  TSH              1.24                               (0.40 - 4.00)mIU/L

  72510388  Normal TSH level.

GLS-R TSH-C B12-w ESR-W FBE-W FER-R LIP-W ECU-R LFT-R OHD-W 

This request has other tests in progress at the time of reporting
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-GLS-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: GLUCOSE
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: GLUCOSE
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  BIOCHEMISTRY 

    GLUCOSE 

   Date     Time       Lab#      Collection Type    Specimen      Glucose
                                                                  (mmol/L)
 --------------------------------------------------------------------------
   29/12/22 08:46      72510388  Fasting             serum           5.1

    72510388  Normal fasting glucose.
    In view of patient's age suggest review of diabetes risk factors, with
    annual follow-up testing if required.

    Glucose Reference Ranges
    Random                   3.0 - 6.9  mmol/L
    Fasting                  3.0 - 5.4  mmol/L
    1 Hour post prandial     3.0 - 11.0 mmol/L
    2 Hour post prandial     3.0 - 7.7  mmol/L
    Specimen Legend:
    Fl-ox = Fluoride oxalate, serum = Serum, np = Non-Preserved

GLS-C TSH-W B12-W ESR-W FBE-W FER-C LIP-W ECU-C LFT-C OHD-W 

This request has other tests in progress at the time of reporting
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-ISM-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: IRON MASTER
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: IRON MASTER
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  BIOCHEMISTRY 

   IRON STUDIES                                         SPECIMEN: SERUM 

  Date:          29/12/22     
  Coll. Time:     08:46
  Lab Number:    72510388
---------------------------------------------------------------------------
  Ferritin     *       13                              (30 - 300)    ug/L

  72510388  The low serum ferritin is consistent with iron deficiency.

GLS-C TSH-W B12-W ESR-W FBE-W FER-C LIP-W ECU-C LFT-C OHD-W 

This request has other tests in progress at the time of reporting
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

Name: TWADDELL, JOANNE 
Address: 17 FOAM ST.
         ELWOOD. 3184
D.O.B.: 05/06/1972  Gender: F
Medicare No: 24464654991
IHI No:                    
Lab. Reference: 22-72510388-MBI-0
Date Requested: 28/12/2022
Addressee: DR ALISON RICHARDS 
Referred by: DR ALISON RICHARDS 
Collected: 29/12/2022 08:46
Specimen:   
Test Name: MULTIPLE BIOCHEM ANALYSIS
Clinical information: 

Requested: Wednesday, 28 December 2022
Performed: Thursday, 29 December 2022
Test name: MULTIPLE BIOCHEM ANALYSIS
Provider name: AUSTRALIAN CLINICAL LABS

CLINICAL NOTES: FASTING; fasting bloods / fhx of high chol and

  GENERAL CHEMISTRY                                SPECIMEN: SERUM 

  Date:             29/12/22    
  Coll. Time:       08:46
  Lab Number:       72510388
 --------------------------------------------------------------------------
  Sodium               138                          (135 - 145)   mmol/L
  Potassium            4.3                          (3.5 - 5.2)   mmol/L
  Chloride             105                          (95 - 110)    mmol/L
  Bicarbonate           28                          (22 - 32)     mmol/L
  Urea                 6.5                          (3.5 - 8.0)   mmol/L
  Creatinine            68                          (45 - 90)     umol/L
  eGFR                > 90                          (> 59) mL/min/1.73m2
  T.Protein             69                          (60 - 82)     g/L
  Albumin               35                          (35 - 50)     g/L
  Globulin              34                          (23 - 39)     g/L
  ALP                   34                          (30 - 120)    U/L
  Bilirubin             24                          (< 25)        umol/L
  GGT                   10                          (< 51)        U/L
  AST                   22                          (< 41)        U/L
  ALT                   17                          (< 41)        U/L

  $GLCOMM

   72510388  Within reference intervals.

GLS-C TSH-W B12-W ESR-W FBE-W FER-C LIP-W ECU-C LFT-C OHD-W 

This request has other tests in progress at the time of reporting
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~