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Blood Report SHERLY 2

The laboratory report for Mrs. Sherly includes results for TSH, fasting glucose, and HbA1c tests conducted on May 8, 2021. TSH level is 2.92 µIU/mL, fasting glucose is 91.00 mg/dL, and HbA1c is 5.71%, indicating prediabetes. The report emphasizes the importance of clinical correlation in interpreting thyroid and glucose results, especially in the context of pregnancy and abnormal red cell turnover.

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0% found this document useful (0 votes)
8 views3 pages

Blood Report SHERLY 2

The laboratory report for Mrs. Sherly includes results for TSH, fasting glucose, and HbA1c tests conducted on May 8, 2021. TSH level is 2.92 µIU/mL, fasting glucose is 91.00 mg/dL, and HbA1c is 5.71%, indicating prediabetes. The report emphasizes the importance of clinical correlation in interpreting thyroid and glucose results, especially in the context of pregnancy and abnormal red cell turnover.

Uploaded by

aggressivetaurus
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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AmPath Clinical Laboratory:

514/ 1-2-3, Kaikondara village,


Opp. More Megastore, Sarjapur Road,
Bengaluru-560104
T: 080 4266 6000 | www.ampath.com Certificate No. MC-3130
NABL ACCREDITED

PATIENT INFORMATION REFERRED BY SPECIMEN INFORMATION


Mrs. SHERLY MHSP2122001024 Dr Kumari Deepmala SAMPLE TYPE :Serum
Motherhood Sarjapur ORDER REQ. NO :MHSP2122001024
AGE : 25Y LAB ORDER. NO :2114133089
GENDER : Female Lab MR #: 4795635 COLLECTED ON :08-May-2021 10:04
PRIORITY : Routine RECEIVED ON :08-May-2021 10:04
OP / IP / DG # : REPORT STATUS :Completed
Motherhood Sarjapur - MR#:
MHSP2122001024

BIOCHEMISTRY
Test Name (Methodology) Result Flag Units Biological Reference
Interval

TSH, Thyroid Stimulating Hormone (ECLIA) 2.92 µIU/mL Women (Non pregnant):0.27-
4.2
Pregnant women
1st trimester: 0.1-2.5
2nd trimester: 0.2-3.0
3rd trimester: 0.3-3.0
Test Observations:
The following potential sources of variation should be considered while interpreting thyroid hormone results:
1. Circadian variation in TSH secretion: peak levels are seen between 2-4 am. Minimum levels seen between 6-10 am. This variation may be as much as 50% thus, influence of
sampling time needs to be considered for clinical interpretation.
2. Total T3 and T4 levels are seen to have physiological rise during pregnancy and in patients on steroid treatment
3. Circulating forms of T3 and T4 are mostly reversibly bound with Thyroxine binding globulins (TBG), and to a lesser extent with albumin and Thyroid binding Pre-Albumin. Thus the
conditions in which TBG and protein levels alter such as chronic liver disorders, pregnancy, excess of estrogens, androgens, anabolic steroids and glucocorticoids may cause
misleading total T3, total T4 and TSH interpretations.
4. T4 may be normal in the presence of hyperthyroidism under the following conditions : T3 thyrotoxicosis, Hypoproteinemia related reduced binding, in presence of drugs (eg Phenytoin,
Salicylates etc)
5. Neonates and infants have higher levels of T4 due to increased concentration of TBG
6. TSH levels may be normal in central hypothyroidism, recent rapid correction of hypothyroidism or hyperthyroidism, pregnancy, phenytoin therapy etc.
7. TSH values of <0.03 uIU/mL must be clinically correlated to evaluate the presence of a rare TSH variant in certain individuals which is undetected by conventional methods.
8. Presence of Autoimmune disorders may lead to spurious results of thyroid hormones
9. Various drugs can lead to interference in test results
It is recommended to evaluate unbound fractions, that is free T3 (fT3) and free T4 (fT4) for clinic-pathologic correlation, as these are the metabolically active forms.

Generated On 08-May-2021 13:11:18 390 This is an electronically authenticated laboratory report. Page 1 of 3

AmPath upholds rigorous standards for operational and clinical performance based on US hospital benchmarks. Test results have been furnished in adherence with
these standards and under the terms and conditions found on the reverse. For details, please email AmPath at customersupport@ampath.com.
AmPath Clinical Laboratory:
514/ 1-2-3, Kaikondara village,
Opp. More Megastore, Sarjapur Road,
Bengaluru-560104
T: 080 4266 6000 | www.ampath.com Certificate No. MC-3130
NABL ACCREDITED

PATIENT INFORMATION REFERRED BY SPECIMEN INFORMATION


Mrs. SHERLY MHSP2122001024 Dr Kumari Deepmala SAMPLE TYPE :Fluoride Plasma - F
Motherhood Sarjapur
ORDER REQ. NO :MHSP2122001024
AGE : 25Y LAB ORDER. NO :2114133089
GENDER : Female Lab MR #: 4795635 COLLECTED ON :08-May-2021 10:04
PRIORITY : Routine RECEIVED ON :08-May-2021 10:04
OP / IP / DG # : REPORT STATUS :Completed
Motherhood Sarjapur - MR#:
MHSP2122001024

BIOCHEMISTRY
Test Name (Methodology) Result Flag Units Biological Reference
Interval

Glucose - Fasting (Hexokinase) 91.00 mg/dL Gestational : < 92 Normal :


<100

Generated On 08-May-2021 13:11:18 390 This is an electronically authenticated laboratory report. Page 2 of 3

AmPath upholds rigorous standards for operational and clinical performance based on US hospital benchmarks. Test results have been furnished in adherence with
these standards and under the terms and conditions found on the reverse. For details, please email AmPath at customersupport@ampath.com.
AmPath Clinical Laboratory:
514/ 1-2-3, Kaikondara village,
Opp. More Megastore, Sarjapur Road,
Bengaluru-560104
T: 080 4266 6000 | www.ampath.com Certificate No. MC-3130
NABL ACCREDITED

PATIENT INFORMATION REFERRED BY SPECIMEN INFORMATION


Mrs. SHERLY MHSP2122001024 Dr Kumari Deepmala SAMPLE TYPE :WB-EDTA
Motherhood Sarjapur ORDER REQ. NO :MHSP2122001024
AGE : 25Y LAB ORDER. NO :2114133089
GENDER : Female Lab MR #: 4795635 COLLECTED ON :08-May-2021 10:04
PRIORITY : Routine RECEIVED ON :08-May-2021 10:04
OP / IP / DG # : REPORT STATUS :Completed
Motherhood Sarjapur - MR#:
MHSP2122001024

BIOCHEMISTRY
Test Name (Methodology) Result Flag Units Biological Reference
Interval

HbA1c - Glycated Hemoglobin


Glycated Hemoglobin, HbA1c (TINIA) 5.71 H % Non diabetic range: 4.8-​5.6
Prediabetic range: 5.7-6.4%
Diabetes range: >=6.5%
Observations:
Note: Note: In situations of abnormal red cell turnover, such as pregnancy, recent blood loss or transfusion, or some anemias, only blood glucose
criteria should be used to diagnose diabetes (ADA 2014)

Estimated Average Glucose 117.2 mg/dL


Test Observations:

Note: HbA1c results may vary in situations of abnormal red cell turnover, such as pregnancy, recent blood loss or transfusion, or some
anemias. In such cases only blood glucose criteria should be used to diagnose diabetes (ADA, 2014). Please correlate clinically.

Authorized by Dr. Anjali Vishwanath MD Pathology


Checked by Mr. Muniswamaiah Byalappa Lab Head
Technologist 08-May-2021 11:34
-----End of Report-----

Generated On 08-May-2021 13:11:18 390 This is an electronically authenticated laboratory report. Page 3 of 3

AmPath upholds rigorous standards for operational and clinical performance based on US hospital benchmarks. Test results have been furnished in adherence with
these standards and under the terms and conditions found on the reverse. For details, please email AmPath at customersupport@ampath.com.

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