Color: Black/Tan NO GROWTH ON SOLID MEDIA IN 48 HRS. NO GROWTH ON SOLID MEDIA IN 24 HRS.

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1 11/10/2015 L RD Microbiology results from Antech Diagnostics FINAL RPT 11/12/2015 PRELIM 1 11/11/2015 Ascn: IRBE Profile: Urine MIC Culture RE: 3099 SOURCE Urine RE: (Not Stated) NO GROWTH ON SOLID MEDIA IN 48 HRS. NO GROWTH ON SOLID MEDIA IN 24 HRS. Chemistry results from Antech Diagnostics (West) Requisition U CREA mg/dl Ascn: IRAO Profile: Urine Protein/Creatinine Ratio UA/Microscopy results from Antech Diagnostics U PROT mg/dl U PRO/CREA 0.5 H < Ascn: IRAO Profile: Urine Protein/Creatinine Ratio URINE P:C RATIO INTERPRETATION The urine P:C ratio must be evaluated in conjunction with urine sediment findings as gross hematuria or inflammation can cause elevated ratios. Urine P:C ratios >/= 0.5 in dogs & cats indicate overt proteinuria and are evidence of persistent renal proteinuria when found repeatedly (3 or more samples obtained 2 or more weeks apart) and are unable to be attributed to a pre-renal or post-renal cause. The urine microalbumin test is a more sensitive test and will be positive before overt proteinuria is detected. VCA Market Street Animal Hospital Page 1 of 5 Date: 2/24/2016 3:01 PM

2 In dogs, persistent renal proteinuria with urine P:C ratios >/= 2.0 is usually due to glomerular disease Microbiology results from Antech Diagnostics ORGANISM 1 SEE COMMENTS Ascn: IRBE Profile: MIC Staph Organism #1 RE: 4810 Amikacin <=4 ug/ml Amikacin: 15 mg/kg IV or SC q 24hrs RE: 4910 Amikacin Int S RE: 4812 Ampicillin <=0.25 ug/ml Ampicillin: 11 mg/kg SC q 12hrs RE: 4912 Ampicillin Int S RE: 4872 Amoxicillin <=0.25 ug/ml Amoxicillin: 11 mg/kg PO q 12hrs RE: 4972 Amoxicillin Intrepretation S RE: 4814 Cefadroxil <=2 ug/ml Cefadroxil: 22 mg/kg PO q 12hrs 2-8 RE: 4914 Cefadroxil Int S RE: 4815 Cefazolin <=2 ug/ml Cefazolin: 15 mg/kg IV, SC q 12hrs 2-8 RE: 4915 Cefazolin Int S RE: 4816 Cefovecin <=2 ug/ml Cefovecin: 8 mg/kg SC Once 2-8 RE: 4916 Cefovecin Int S RE: 4817 Cefpodoxime <=2 ug/ml Cefpodoxime: 5 mg/kg PO q 24hrs 2-8 RE: 4917 Cefpodoxime Int S RE: 4818 Cephalexin <=2 ug/ml Cephalexin: 22 mg/kg PO q 12hrs 2-8 RE: 4918 Cephalexin Int S RE: 4819 Chloramphenicol <=8 ug/ml Chloramphenicol: 35 mg/kg PO q 8hrs 8-32 RE: 4919 Chloramphenicol Int S RE: 4811 Clavamox <=0.25 ug/ml Amoxicillin/Clavulanic: mg/kg PO q 12hrs RE: 4911 Clavamox Int S RE: 4820 Clindamycin <=0.50 ug/ml Clindamycin: 5.5 mg/kg PO q 12hrs RE: 4920 Clindamycin Int S RE: 4821 Doxycycline 8 ug/ml Doxycycline: 10 mg/kg PO q 12hrs 4-16 RE: 4921 Doxycycline Int I RE: 4822 Enrofloxacin <=0.50 ug/ml Enrofloxacin: 5 mg/kg PO or SC q 24hrs RE: 4922 Enrofloxacin Int S RE: 4823 Gentamicin <=2 ug/ml Gentamicin: 6 mg/kg IV or SC q 24hrs 2-8 RE: 4923 Gentamicin Int S RE: 4824 Marbofloxacin <=1 ug/ml Marbofloxacin: 2.75 mg/kg PO q 24hrs 1-4 RE: 4924 Marbofloxacin Int S RE: 4825 Mupirocin <=4 ug/ml 4-8 RE: 4925 Mupirocin Int S RE: 4827 Potentiated Sulfonamide <=0.50 ug/ml TMS: 30 mg/kg PO q 24hrs RE: 4927 Potentiated Sulfonamide Int S Please note revised Staphylococcal MIC profile Staphylococcus Pseudintermedius VCA Market Street Animal Hospital Page 2 of 5 Date: 2/24/2016 3:01 PM

3 Hematology results from Antech Diagnostics (West) Requisition HCT 52 % HGB 17.7 g/dl MCHC 34 g/dl WBC ^3/uL LYMPHS 31 % H MONOS 5 % 3-10 NEUT 63 % EOS 1 % L 2-10 BASO 0 % 0-1 RBC ^6/uL MCV 73 fl MCH 24.9 pg NEUT BANDS 0 % 0-3 PLATELETS ^3/uL PLATE(EST) Adequate ABS BASO 0 /ul ABS EOS 67 /ul ABS LYMPHS 2077 /ul ABS MONOS 335 /ul ABS NEUTS 4221 /ul Ascn: IRBE Profile: CBC Chemistry results from Antech Diagnostics (West) Requisition ALB 3.5 g/dl ALKP 31 IU/L ALT 31 IU/L AMYL 600 IU/L AST 25 IU/L BUN/UREA 10 mg/dl 6-31 Ca 9.9 mg/dl Chloride 115 meq/l CHOL 199 mg/dl CK 144 IU/L CREA 0.7 mg/dl GGT 15 IU/L H 1-12 GLU 80 mg/dl VCA Market Street Animal Hospital Page 3 of 5 Date: 2/24/2016 3:01 PM

4 Mg 1.6 meq/l PHOS 3.4 mg/dl Potassium 4.5 meq/l Sodium 149 meq/l TBIL 0.2 mg/dl TP 6.7 g/dl TRIG 69 mg/dl GLOB 3.2 g/dl A/G Ratio B/C Ratio NA/K Ratio Ascn: IRBE Profile: Superchem RE: 1045 PrecisionPSL 152 U/L In dogs with appropriate clinical signs, this mildly elevated PrecisionPSL result is equivocal for a diagnosis of pancreatitis. In dogs without clinical signs of pancreatitis, a mild PrescisionPSL elevation is an insignificant finding RE: 1067 Comment Hemolysis 3+ No significant interference. Result Verified Endocrinology results from Antech Diagnostics T4 3.2 ug/dl Ascn: IRBE Profile: Total T4 Microbiology results from Antech Diagnostics FINAL RPT 10/25/2015 PRELIM 1 10/23/2015 PRELIM 2 10/24/2015 ORGANISM 1 SEE COMMENTS Ascn: IRBE Profile: Urine MIC Culture RE: 3099 SOURCE Urine RE: (Cystocentesis) GREATER THAN 100,000 CFU/ML OF POTENTIAL PATHOGENS TO BE IDENTIFIED. GREATER THAN 100,000 CFU/ML Staphylococcus Pseudintermedius VCA Market Street Animal Hospital Page 4 of 5 Date: 2/24/2016 3:01 PM

5 UA/Microscopy results from Antech Diagnostics APPEAR Turbid BACTERIA None Seen HPF BILIRUBIN 3+ H BLOOD 3+ H CASTS None Seen LPF Hyaline 0-3 COLOR Yellow CRYSTALS None Seen HPF EPI CELL 2-3 HPF 0-3 GLUCOSE Negative KETONES Negative PH 8.0 H PROTEIN 3+ H RBC HPF H 0-3 SP GRAVITY WBC None HPF 0-3 Ascn: IRBE Profile: Urinalysis RE: 2133 Collection Method Not Stated RE: 3036 Fat Droplets HPF Urine protein:creatinine ratio testing is recommended (if the sediment is inactive) to help determine the clinical significance of proteinuria. VCA Market Street Animal Hospital Page 5 of 5 Date: 2/24/2016 3:01 PM

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