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Phlebo India 659

Mr. Dharma, age 36, was referred by himself to Curis Healthtech for thyroid testing. His thyroid stimulating hormone (TSH) level was measured at 6.73 μIU/mL, which is above the reference range of 0.35-5.5 μIU/mL, indicating possible hypothyroidism. His fasting glucose level was 96 mg/dL, within the normal range of 70-100 mg/dL. The document provides information on TSH levels and their clinical significance, as well as guidelines for interpreting plasma glucose levels.

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51 views

Phlebo India 659

Mr. Dharma, age 36, was referred by himself to Curis Healthtech for thyroid testing. His thyroid stimulating hormone (TSH) level was measured at 6.73 μIU/mL, which is above the reference range of 0.35-5.5 μIU/mL, indicating possible hypothyroidism. His fasting glucose level was 96 mg/dL, within the normal range of 70-100 mg/dL. The document provides information on TSH levels and their clinical significance, as well as guidelines for interpreting plasma glucose levels.

Uploaded by

Dharma Gagganapally
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Name : Mr.

DHARMA G
Age/Gender : 36 Years/Male Sample ID : 20954135, 20954134
Referred by : MR. SELF Reg. No : 0012211160178
Referring Customer : Curis Healthtech Private Limited MPD Code : MP-TSD-200
Sample Type : Plasma-NaF(F) Collected On : 16-Nov-2022 02:15 PM
Received On : 16-Nov-2022 03:59 PM
ITDOSE INFOSYSTEMS PVT. LTD.

Reported On : 16-Nov-2022 05:19 PM

BIOCHEMISTRY
Test Name Results Units Ref. Range Method

Thyroid Stimulating Hormone (TSH)


Thyroid Stimulating Hormone (TSH) 6.73 µIU/mL 0.35-5.5 CLIA
Pregnancy & Cord Blood
                                                   TSH (Thyroid Stimulating Hormone (μIU/mL)

First Trimester : 0.24-2.99


Second Trimester : 0.46-2.95
Third Trimester : 0.43-2.78
Cord Blood : 2.3-13.2

TSH is synthesized and secreted by the anterior pituitary in response to a negative feedback mechanism involving concentrations of FT3 (free T3) and FT4
(free T4). Additionally, the hypothalamic tripeptide, thyrotropin-releasing hormone (TRH), directly stimulates TSH production.
TSH interacts with specific cell receptors on the thyroid cell surface and exerts two main actions. The first action is to stimulate cell reproduction and
hypertrophy. Secondly, TSH stimulates the thyroid gland to synthesize and secrete T3 and T4
The ability to quantitate circulating levels of TSH is important in evaluating thyroid function. It is especially useful in the differential diagnosis of primary
(thyroid) from secondary (pituitary) and tertiary (hypothalamus) hypothyroidism. In primary hypothyroidism, TSH levels are significantly elevated, while in
secondary and tertiary hypothyroidism, TSH levels are low
TRH stimulation differentiates secondary and tertiary hypothyroidism by observing the change in patient TSH levels. Typically, the TSH response to TRH
stimulation is absent in cases of secondary hypothyroidism, and normal to exaggerated in tertiary hypothyroidism
Historically, TRH stimulation has been used to confirm primary hyperthyroidism, indicated by elevated T3 and T4 levels and low or undetectable TSH levels.
TSH assays with increased sensitivity and specificity provide a primary diagnostic tool to differentiate hyperthyroid from euthyroid patients.

Glucose - Fasting (F) 96 mg/dL 70-100 GOD / POD Method

Interpretation of Plasma Glucose based on ADA guidelines 2018


FastingPlasma 2hrsPlasma
Diagnosis HbA1c(%) RBS(mg/dL)
Glucose(mg/dL) Glucose(mg/dL)
Prediabetes 100-125 140-199 5.7-6.4 NA
>=200(with
Diabetes > = 126 > = 200 > = 6.5 symptoms)

Reference: Diabetes care 2018:41(suppl.1):S13-S27

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*** End Of Report ***

Correlate Clinically.

Result rechecked and verified for abnormal cases

Page 2 of 2

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