The 3 sentence summary is:
This medical report details the results of a TSH test for a 24-year-old female patient named Mrs. Rachna, showing a TSH level of 5.91 uIU/mL which is above the reference range of 0.35-5.50 uIU/mL, potentially indicating primary hypothyroidism, subclinical hypothyroidism, or TSH dependent hyperthyroidism. The report provides interpretation of TSH levels during pregnancy and notes that TSH levels can vary based on the time of day tested. The clinical uses and potential causes of increased or decreased TSH levels are also outlined.
Case Presentation: CRYPTOCOCCAL MENINGITIS & ORAL CANDIDIASIS –Opportunistic ...
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1. L38 - S.B DIAGNOSTIC CENTRE
HARIDWAR
Name
A/c Status
Lab No.
Ref By :
Gender:Age:
Report Status
Reported
Received
Collected
P
:
:
:
:
:
:
: Final
24 Years
8/3/2017 10:00:00AM
8/3/2017 3:35:16PM
238887000 Female
Dr. ANJALI CHAUHAN
Mrs. RACHNA
8/3/2017 10:36:15PM
Test Name Results Units Bio. Ref. Interval
TSH, SERUM
(Chemiluminescent Immunoassay)
5.91 uIU/mL 0.35 - 5.50
Interpretation
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| REFERENCE GROUP | REFERENCE RANGE IN uIU/mL |
| | (As per American Thyroid |
| |Association) |
|--------------------------|---------------------------|
|PREGNANCY | |
|--------------------------|---------------------------|
|1st Trimester | 0.10-2.50 |
|--------------------------|---------------------------|
|2nd Trimester | 0.20-3.00 |
|--------------------------|---------------------------|
|3rd Trimester | 0.30-3.00 |
------------------------------------------------------
Note
TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a
minimum between 6-10 pm . The variation is of the order of 50%, hence time of the day has influence
on the measured serum TSH concentrations.
Clinical Use
· Diagnose Hypothyroidism and Hyperthyroidism
· Monitor T4 replacement or T4 suppressive therapy
· Quantify TSH levels in the subnormal range
Increased Levels: Primary hypothyroidism, Subclinical hypothyroidism, TSH dependent
Hyperthyroidism, Thyroid hormone resistance
Decreased Levels: Graves disease, Autonomous thyroid hormone secretion, TSH deficiency
Dr. Gunjan Singhal
MBBS, MD(PATH)
Chief of Lab
-------------------------------End of report --------------------------------
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
*238887000*
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