1-Good Health Gold Package - PO2257496339-951
1-Good Health Gold Package - PO2257496339-951
1-Good Health Gold Package - PO2257496339-951
Immunology
GOOD HEALTH GOLD PACKAGE
Test Name Result Unit Bio. Ref. Range Method
Thyroid Profile
T3, Total 1.0 ng/mL 0.60 - 1.81 CLIA
T4, Total 6.5 µg/dl 5.5 - 11.0 CLIA
Thyroid Stimulating Hormone - Ultra 7.155 uIU/ml 0.55 - 4.78 CLIA
Sensitive
Comment:
Thyroid dysfunction is common in the general population and Laboratory tests are essential for the accurate diagnosis and cost-effective monitoring of thyroid
dysfunction. TSH is now firmly established as the first-line thyroid function test to assess thyroid status for most clinical conditions. Interpretation of the results of
thyroid function tests is facilitated by an understanding of thyroid hormone physiology, especially the normal inverse relationship between free T4 and TSH
concentrations.Changes in thyroid status are normally associated with concordant changes in T3,T4 and TSH concentrations (e.g. raised T4 and T3 with suppressed TSH
in thyrotoxicosis; low T4 and T3 with elevated TSH in hypothyroidism). An abnormal TSH requires further investigation, including measurement of free T4 . In most
clinical situations involving discordant FT4 and TSH results, the TSH test usually yields the most diagnostically reliable result, provided that the patient is not receiving
medications that directly inhibit TSH secretion, and there are no conditions affecting the pituitary-thyroid axis.. Using TSH as a single criterion has been shown to
accurately classify the thyroid state of a patient in over 95% of cases. Non-thyroidal illness (NTI), pituitary disease and various drugs can all affect the axis and cause
discrepancies between TSH levels, thyroid hormone levels and the clinical state. Measurement of the TSH level is indicated for patients with symptoms suggestive of
thyroid dysfunction, reduced bone mineral density, dyslipidaemia, depression, or atrial fibrillation.
Total T4 measures the total amount of thyroxine circulating in the bloodstream. Indications:Used to make diagnosis of underactive or overactive thyroid when TSH is
abnormal • Used with TSH for monitoring patients with Graves’ disease • Newborn screening test for hypothyroidism • Fairly accurate in patients with no protein
abnormalities and not pregnant Free T4 measures the available, unbound amount of thyroxine in the bloodstream.
Free T4 is critical for evaluating patients with hypothalamic-pituitary disease. It is also useful for evaluating the response to levothyroxine in cases of poor compliance
and in the first months of treating patients with chronic, severe hypothyroidism.
The total T3 test measures the total amount of triiodothyronine circulating in the bloodstream. Free T3 measures the free, unbound levels of the hormone
triiodothyronine available for use by the body.Total T3 measurements, however, should be performedIn patients suspected of having T3 thyrotoxicosis and in patients
taking drugs that inhibit the peripheral conversion of T4 to T3 (such as dexamethasone, propranolol, propylthiouracil, amiodarone, and iodine-containing contrast
media)
Maternal hypothyroidism causes adverse effects on fetal psychomotor development, highlighting the significance of evaluating thyroid function during pregnancy.Tests
should be performed pre-pregnancy or in the first trimester with TSH tests that can detect mild thyroid failure. During pregnancy, the total levels of T3 and T4 are high
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