Name of Patient : Mrs.

UMA Test Request ID : 34942501200004

Age/Gender : 31 Yrs/Female Specimen Drawn ON : 20-Jan-2025 06:16PM
Collected AT : CRL COLLECTION POINT Specimen Received ON : 20-Jan-2025 06:16PM
Referred BY : Dr. HARMINDER SINGH Report DATE : 20-Jan-2025 07:07PM
Sample Type : Serum - 15549575
Ref Customer :

IMMUNOASSAY
Test Name Result Biological Reference Range Method
THYROID PROFILE
Triiodothyronine Total (T3) 1.24 0.70-2.04 ng/mL Electrochemiluminescence
immunoassay (ECLIA)
Thyroxine Total (T4) 14.10 4.85-15.6 ug/dL Electrochemiluminescence
immunoassay (ECLIA)
TSH (4th Generation) 0.71 0.38-5.00 uIU/mL Electrochemiluminescence
immunoassay (ECLIA)

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
INTERPRETATION-
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*
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. Abnormal thyroid test findings often found in critically ill clients should be repeated after the critical nature of the condition is
resolved.The production, circulation, and disintegration of thyroid hormones are altered throughout the stages of pregnancy.
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 diseasein the elderly.
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 concentration.Dose and time of drug intake also influence the test result. r
Reference ranges are from Teitz fundamental of clinical chemistry 7th ed.

*** End Of Report ***

QR CODE

. Page 1 of 1