Patient Name : Mrs.
ADEEBA Specimen Drawn ON : 06/Mar/2026 10:00AM
Age/Gender : 34 YRS /F Specimen Received ON : 06/Mar/2026 03:03PM
UHID/MR No : ADEL.0004281822 Report Date : 06/Mar/2026 05:32PM
Barcode No : D3282288 Client Code : DL3524
Ref Doctor : [Link] Visit ID : MDEL4285075
Ref Customer : SELF Client Name : MARYAM LAB
DEPARTMENT OF IMMUNOASSAY
Test Name Result Unit Bio. Ref. Range Method
THYROID STIMULATING HORMONE (TSH)
Sample Type : SERUM
TSH (4th Generation) 4.595 uIU/mL 0.40-4.20 Chemiluminescence
Immunoassay (CLIA)
REFERENCE RANGE for TSH IN uIU/mL (As per American
PREGNANCY
Thyroid Association.)
1st Trimester 0.10-2.50 uIU/mL
2nd Trimester 0.20-3.00 uIU/mL
3rd Trimester 0.30-3.00 uIU/mL
1. Primary hyperthyroidism is accompanied by elevated serum T3 & T4 values along with depressed TSH level.
2 .Primary hypothyroidism is accompanied by depressed serum T3 and T4 values & elevated serum TSH levels.
3. Normal T4 levels accompanied by high T3 levels and low TSH are seen in patients with T3 thyrotoxicosis.
4. Normal or low T3 & high T4 levels indicate T4 thyrotoxicosis ( problem is conversion of T4 to T3)
5. Normal T3 & T4 along with low TSH indicate mild / subclinical HYPERTHYROIDISM .
6. Normal T3 & low T4 along with high TSH is seen in HYPOTHYROIDISM .
7. Normal T3 & T4 levels with high TSH indicate Mild / Subclinical HYPOTHYROIDISM .
8. Slightly elevated T3 levels may be found in pregnancy and in estrogen therapy while depressed levels may be encountered in severe illness , malnutrition , renal failure
and during therapy with drugs like propanolol.
9. Although elevated TSH levels are nearly always indicative of primary hypothroidism . rarely they can result from TSH secreting pituitary tumours ( seconday
hyperthyroidism ) *TSH IS DONE BY ULTRASENSITIVE 4th GENERATION CHEMIFLEX ASSAY*
Assay results should be interpreted in context to the clinical condition and associated results of other investigations. Previous treatment with corticosteroid therapy may
result in lower TSH levels while thyroid hormone levels are normal. Results are invalidated if the client has undergone a radionuclide scan within 7-14 days before the
test. Abnormal thyroid test findings often found in critically ill clients should be repeated after the critical nature of the condition is [Link] production, circulation,
and disintegration of thyroid hormones are altered throughout the stages of pregnancy.
NOTE-TSH levels are subject to circardian variation,reaching peak levels between 2-4AM and ninimum between 6-10 PM. The variation is the order of 50% hence time of the day has influence on the
measures serum TSH [Link] and time of drug intake also influence the test result. Reference ranges are from Teitz fundamental of clinical chemistry 7th ed.
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