Patient Name            : Mrs.
RAHIBAI KALAMKAR                                    Collected               : 29/Feb/2024 01:35PM
Age/Gender              : 30 Y 0 M 0 D /F                                         Received                : 29/Feb/2024 02:10PM
UHID/MR No              : DDET.0000000533                                         Reported                : 29/Feb/2024 03:42PM
Visit ID                : DDETOPV555                                              Status                  : Final Report
Ref Doctor              : DR.ASHISH DESHMUKH                                      Client Name             : DDC DESHMUKH HOSPITAL
IP/OP NO                :                                                         Patient location        : Ahmed Nagar,Ahmed Nagar
                                                          DEPARTMENT OF IMMUNOLOGY
                    Test Name                                 Result                    Unit            Bio. Ref. Range                      Method
THYROID PROFILE TOTAL (T3, T4, TSH) , SERUM
 TRI-IODOTHYRONINE (T3, TOTAL)                                 1.22                    ng/ml                 0.69-2.15             CLIA
 THYROXINE (T4, TOTAL)                                         11.8                    µg/dl                 5.20-12.70            CLIA
 THYROID STIMULATING HORMONE                                   0.395                  µIU/mL                   0.3-4.5             CLIA
 (TSH)
Comment:
                                                                  Bio Ref Range for TSH in uIU/ml (As per American
 For pregnant females
                                                                  Thyroid Association)
 First trimester                                                  0.1 - 2.5
 Second trimester                                                 0.2 – 3.0
 Third trimester                                                  0.3 – 3.0
1. TSH is a glycoprotein hormone secreted by the anterior pituitary. TSH activates production of T3 (Triiodothyronine) and its prohormone T4 (Thyroxine).
Increased blood level of T3 and T4 inhibit production of TSH.
2. TSH is elevated in primary hypothyroidism and will be low in primary hyperthyroidism. Elevated or low TSH in the context of normal free thyroxine is often
referred to as sub-clinical hypo- or hyperthyroidism respectively.
3. Both T4 & T3 provides limited clinical information as both are highly bound to proteins in circulation and reflects mostly inactive hormone. Only a very small
fraction of circulating hormone is free and biologically active.
4. Significant variations in TSH can occur with circadian rhythm, hormonal status, stress, sleep deprivation, medication & circulating antibodies.
 TSH         T3        T4          FT4      Conditions
 High        Low       Low         Low      Primary Hypothyroidism, Post Thyroidectomy, Chronic Autoimmune Thyroiditis
                                            Subclinical Hypothyroidism, Autoimmune Thyroiditis, Insufficient Hormone Replacement
 High        N         N           N
                                            Therapy.
 N/Low       Low       Low         Low      Secondary and Tertiary Hypothyroidism
 Low         High      High        High     Primary Hyperthyroidism, Goitre, Thyroiditis, Drug effects, Early Pregnancy
 Low         N         N           N        Subclinical Hyperthyroidism
 Low         Low       Low         Low      Central Hypothyroidism, Treatment with Hyperthyroidism
 Low         N         High        High     Thyroiditis, Interfering Antibodies
 N/Low       High      N           N        T3 Thyrotoxicosis, Non thyroidal causes
 High        High      High        High     Pituitary Adenoma; TSHoma/Thyrotropinoma
                                                                   *** End Of Report ***
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SIN No:IM07056735