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ALERT: AST and ALT were significantly elevated on this date (62 and 95 IU/L respectively). These values normalized by July 2025 - see follow-up reports.
Liver Function Panel - ALERT VALUES
| Test |
Result |
Flag |
Units |
Reference Interval |
| AST (SGOT) |
62 |
HIGH |
IU/L |
0-40 |
| ALT (SGPT) |
95 |
HIGH |
IU/L |
0-44 |
| Alkaline Phosphatase |
79 |
Normal |
IU/L |
44-121 |
| Bilirubin, Total |
1.1 |
Normal |
mg/dL |
0.0-1.2 |
| Albumin |
4.7 |
Normal |
g/dL |
4.1-5.1 |
| Total Protein |
6.6 |
Normal |
g/dL |
6.0-8.5 |
Resolution: Liver enzymes dramatically improved by July 2025 (AST 31, ALT 30) and fully normalized by January 2026 (AST 26, ALT 25). Likely cause: temporary inflammation, possible viral hepatitis or medication reaction.
Infectious Disease Screening
| Test |
Result |
Status |
Reference |
| HBsAg (Hepatitis B Surface Antigen) |
Negative |
Normal |
Negative |
| HCV Ab (Hepatitis C Antibody) |
Non Reactive |
Normal |
Non Reactive |
| Hepatitis B Core Ab, Total |
Negative |
Normal |
Negative |
| Hepatitis B Surf Ab Quant |
34,415 mIU/mL |
Immune |
>10 (Immunity) |
| QuantiFERON-TB Gold Plus |
Negative |
Normal |
Negative |
Summary: No active hepatitis B or C infection. Strong Hepatitis B immunity from vaccination (34,415 mIU/mL - very high protective titer). TB screening negative.
Autoimmune Markers
| Test |
Result |
Status |
Reference |
| Rheumatoid Factor (RF) |
<10.0 IU/mL |
Negative |
<14.0 |
| Anti-CCP Antibody |
<20 Units |
Negative |
<20 |
| Antinuclear Antibody (ANA) |
Negative |
Negative |
Negative |
| Sjogren's Anti-SS-A |
<0.2 AI |
Negative |
0.0-0.9 |
| Sjogren's Anti-SS-B |
<0.2 AI |
Negative |
0.0-0.9 |
| Smith Antibodies |
<0.2 AI |
Negative |
0.0-0.9 |
| Anti-dsDNA Antibodies |
<1 IU/mL |
Negative |
<5 Negative |
| Anti-U1 RNP Antibody |
<20 Units |
Negative |
<20 |
| Anti-DFS70 Antibody |
<20 Units |
Negative |
<20 |
| HLA-B27 |
Negative |
Negative |
Negative |
| Celiac Disease (tTG IgA) |
<2 U/mL |
Negative |
0-3 |
Summary: All autoimmune markers negative. No evidence of rheumatoid arthritis (RF/Anti-CCP negative), lupus (ANA/dsDNA negative), Sjogren's syndrome, or other connective tissue diseases. HLA-B27 negative rules out increased risk for ankylosing spondylitis. No celiac disease.
Complement Levels
| Test |
Result |
Status |
Units |
Reference |
| Complement C3, Serum |
93 |
Normal |
mg/dL |
82-167 |
| Complement C4, Serum |
15 |
Normal |
mg/dL |
12-38 |
Complete Blood Count (CBC)
| Test |
Result |
Status |
Units |
Reference |
| WBC |
4.8 |
Normal |
x10E3/uL |
3.4-10.8 |
| RBC |
4.46 |
Normal |
x10E6/uL |
4.14-5.80 |
| Hemoglobin |
13.5 |
Normal |
g/dL |
13.0-17.7 |
| Hematocrit |
40.2 |
Normal |
% |
37.5-51.0 |
| Platelets |
288 |
Normal |
x10E3/uL |
150-450 |
Inflammatory Markers, LDH and Creatine Kinase
| Test | Result | Status | Units | Reference Interval |
|---|
| Sedimentation Rate — Westergren | 2 | Normal | mm/hr | 0-15 |
| C-Reactive Protein, Quant | <1 | Normal | mg/L | 0-10 |
| LDH | 208 | Normal | IU/L | 121-224 |
| Creatine Kinase, Total | 328 | Normal | U/L | 49-439 |
Urinalysis, Complete and Random Urine Protein/Creatinine
| Test | Result | Status | Units | Reference Interval |
|---|
| Specific Gravity | 1.009 | Normal | — | 1.005-1.030 |
| pH | 7.5 | Normal (ceiling) | — | 5.0-7.5 |
| Urine Color / Appearance | Yellow / Clear | Normal | — | Yellow / Clear |
| WBC Esterase | Negative | Negative | — | Negative |
| Protein | Negative | Negative | — | Negative/Trace |
| Glucose / Ketones / Bilirubin / Nitrite | Negative | Negative | — | Negative |
| Occult Blood | Negative | Negative | — | Negative |
| Urobilinogen, Semi-Qn | 0.2 | Normal | mg/dL | 0.2-1.0 |
| Microscopic — WBC / RBC / Casts / Bacteria / Epithelial | None seen | Normal | /hpf | None seen |
| Creatinine, Urine | 30.1 | — | mg/dL | Not Estab. |
| Protein, Total, Urine | <4.0 | Normal | mg/dL | Not Estab. |
| Protein/Creatinine Ratio | Abnormal — see note | Uninterpretable | mg/g creat | 0-200 |
Comment printed on the report (Protein/Creatinine Ratio): "This result is below the assay's limit of quantitation indicating a dilute specimen, potentially due to diurnal variation. Consider recollection at a time likely to provide a more concentrated urine."
Comment printed on the report (Protein, Total, Urine): "**Verified by repeat analysis**"
Celiac Panel — Full Components
| Test | Result | Status | Units | Reference Interval |
|---|
| t-Transglutaminase (tTG) IgA | <2 | Negative | U/mL | 0-3 |
| Deamidated Gliadin Abs, IgA | 2 | Negative | units | 0-19 |
| Immunoglobulin A, Qn, Serum | 97 | Normal | mg/dL | 90-386 |
Patient Details
Bishop, Tyler
3434 VOYAGER CIR, SAN DIEGO, CA, 92130
DOB: 05/26/1987 | Age: 37 | Sex: Male
Test Summary
Total Tests: 48
Date: 11/18/2024
Key Finding: Elevated AST/ALT (now resolved)