Patient Name : Ms.
BALWINDER Specimen Drawn ON : 09/May/2024 06:23PM
Age/Gender : 42 Y 0 M 0 D /F Specimen Received ON : 10/May/2024 12:42AM
UHID/MR No : APNJ.0000124227 Report Date : 10/May/2024 03:50AM
Visit ID : MPNJ124257 Client Code : PJ649
Ref Doctor : Dr.SELF Barcode No : B4789524
Client Name : RAJINDRA COMPUTERISED LAB Ref Customer : SELF
DEPARTMENT OF IMMUNOASSAY
Test Name Result Unit Bio. Ref. Range Method
THYROID PROFILE
Sample Type : SERUM
Triiodothyronine Total (T3) 0.73 ng/mL 0.70-2.04 Chemiluminescence
Immunoassay (CLIA)
Thyroxine Total (T4) 6.09 ug/dL 5.48-14.28
TSH (4th Generation) 3.994 uIU/mL 0.40-4.20 Chemiluminescence
Immunoassay (CLIA)
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.
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Patient Name : Ms.BALWINDER Specimen Drawn ON : 09/May/2024 06:23PM
Age/Gender : 42 Y 0 M 0 D /F Specimen Received ON : 10/May/2024 12:42AM
UHID/MR No : APNJ.0000124227 Report Date : 10/May/2024 03:39AM
Visit ID : MPNJ124257 Client Code : PJ649
Ref Doctor : Dr.SELF Barcode No : B4789524
Client Name : RAJINDRA COMPUTERISED LAB Ref Customer : SELF
DEPARTMENT OF IMMUNOASSAY
Test Name Result Unit Bio. Ref. Range Method
VITAMIN B12
Sample Type : SERUM
Vitamin B12 Level 103 pg/mL 120-911
Comments
Vitamin B12 along with folate is essential for DNA synthesis and myelin formation. Vitamin B12 deficiency can be because
of nutritional deficiency, malabsorption and other gastrointestinal causes. The test is ordered primarily to help diagnose the cause
of macrocytic/ megaloblastic anemia.
Decreased levels are seen in: Increased levels are seen in:
anaemia, normal near term pregnancy, vegetarianism, partial gastrectomy/ renal failure, hepatocelluar disorders,
ileal damage, celiac disease, with oral contraceptive use, parasitic myeloproliferative disorders and at
competition, pancreatic deficiency, treated epilepsy, smoking, times with excess supplementation of
hemodialysis and advancing age vitamins pills
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Patient Name : Ms.BALWINDER Specimen Drawn ON : 09/May/2024 06:23PM
Age/Gender : 42 Y 0 M 0 D /F Specimen Received ON : 10/May/2024 12:42AM
UHID/MR No : APNJ.0000124227 Report Date : 10/May/2024 03:43AM
Visit ID : MPNJ124257 Client Code : PJ649
Ref Doctor : Dr.SELF Barcode No : B4789524
Client Name : RAJINDRA COMPUTERISED LAB Ref Customer : SELF
DEPARTMENT OF IMMUNOASSAY
Test Name Result Unit Bio. Ref. Range Method
VITAMIN D3 25-HYDROXY
Sample Type : SERUM
Vitamin D, 25 Hydroxy 25.38 ng/mL Deficiency<20 Enhanced
Sufficiency:20-65 Chemiluminescence
(Ultre Sensitive 4th
Intoxication:>70 Generation Chemiflex)
Lower-than-normal levels suggest a vitamin D deficiency. This condition can result from Lack of exposure to sunlight,Lack of adequate vitamin
D in the diet, Liver and kidney diseases and Malabsorption. A vitamin D deficiency may lead to: *Low blood calcium levels (hypocalcaemia)
*Thin or weak bones (rickets, osteoporosis and osteomalacia) *High levels of parathyroid hormone (secondary hyperparathyroidism) Total 25-
hydroxyvitamin D (D2 + D3) is the correct measure of Vitamin D status.Higher-than-normal levels suggest excess vitamin D, a condition called
hypervitaminosis D. It is usually caused by vitamin D in the form of doctor-prescribed dietary supplements. 95% of serum vitamin D is Vit D3.
D2 is only received from supplements.
*** End Of Report ***
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