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Mrs Mridula (TFT)

The report presents thyroid hormone test results for a 22-year-old female patient, Mrs. Mridula, indicating normal levels of T3, T4, and TSH. It provides reference ranges for these hormones and notes the influence of pregnancy and circadian variation on TSH levels. The interpretation section outlines various thyroid conditions based on hormone levels, emphasizing the importance of contextual clinical evaluation for accurate diagnosis.

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45 views1 page

Mrs Mridula (TFT)

The report presents thyroid hormone test results for a 22-year-old female patient, Mrs. Mridula, indicating normal levels of T3, T4, and TSH. It provides reference ranges for these hormones and notes the influence of pregnancy and circadian variation on TSH levels. The interpretation section outlines various thyroid conditions based on hormone levels, emphasizing the importance of contextual clinical evaluation for accurate diagnosis.

Uploaded by

mridulakumari997
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Patient Name Mrs. MRIDULA Sex/Age 22 Year / Female


Doctor Name SELF Sample Coll at 26 Nov 2024 5:48PM
Ref Hospital MIRROR DIAGNOSTIC CENTRE Reporting Date 26 Nov 2024 5:48PM
Lab No. MITI 11/08/2081 5:48PM
HORMONES
Tests Result Biological Reference Range Unit
TRI-IODO THYRONIN(T3) 1.51 0.7-2.04 ng/ml
(CLIA)
THYROXIN,(T4) 7.66 5.01-12.45 ug/dl
(CLIA)
THYROID STIMULATING HORMONE 3.36 0.35-5.5 uIU/ ml
(CLIA)
Ultra Sensitive 4th generation assay,Reference ranges vary between laboratories.
PREGNANCY - REFERENCE RANGE for TSH IN uIU/mL (As per American 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
The 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 2-4 AM and min between 6-10 PM. The variation
is the order of 50% hence time of the day has influence on the measures serum TSH concentration.Dose and time of drug intake also
influence the test result.
INTERPRETATION-
1.Primary hyperthyroidism is accompanied by serum T3 & T4 values along with TSH level.
2.Primary hypothyroidism is accompanied by serum T3 and T4 values & serum TSH levels
3.Normal T4 levels accompanied by T3 levels and low TSH are seen in patients with T3 Thyrotoxicosis
4.Normal or T3 & T4 levels indicate T4 Thyrotoxicosis ( problem is conversion of T4 to T3)
5.Normal T3 & T4 along with TSH indicate mild / Subclinical Hyperthyroidism .
6.Normal T3 & T4 along with TSH is seen in Hypothyroidism
7.Normal T3 & T4 levels with TSH indicate Mild / Subclinical Hypothyroidism
8.Slightly T3 levels may be found in pregnancy and in estrogen therapy while levels may be encountered in severe
illness , malnutrition , renal failure and during therapy with drugs like propanolol.
COMMENTS: 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.
Disclaimer-TSH is an important marker for the diagnosis of thyroid dysfunction.Recent studies have shown that the TSH
distribution progressively shifts to a higher concentration with age ,and it is debatable whether this is due to a real change
with age or an increasing proportion of unrecognized thyroid disease in the elderly.
Reference ranges are from Teitz fundamental of clinical chemistry 8th ed (2018)
Test performed by Instrument : Beckman coulter
Primary Sample Type : serum

*****End Of Reports*****

DR.PRASHANT GUPTA
M.B.B.S.,D.N.B.(PATH)
Technologist REGD.NO. 20012

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