PATIENT NO : 17027869 SAMPLE No : 03000699

NAME : BHABISHWOR ARYAL SAMPLE COLLECTED : 28/08/2017 10:11:37

AGE/GENDER : 72 Y / Male REPORT AUTHORISED : 28/08/2017 18:30:53
REFERRED BY : Dr. M.B.KC MD, Cardiology
Page : 1/1

* CPT Code Test (Method) - Sample Type Result Units Flag Reference Range

IMMUNOLOGY
Thyroid Function Test
84481 Free T3 (FT3) 3.05 pg/ml 2.3-4.2
(CLIA) - Serum

84439 Free T4 (FT4) 0.94 ng/dL 0.89-1.76

(CLIA) - Serum

84443 TSH 3rd GEN 29.44 IU/ml H 0.35-5.5

(CLIA) - Serum

Comments : Reduction in TSH noted in few days. Kindly correlate with Treatment history or any other comorbid condition.
Interpretation : Thyroid-Stimulating Hormone (TSH)
TSH controls the biosynthesis and release of thyroid hormones T4 and T3. It is a sensitive measure of thyroid function
and helps in assessing true metabolic status and screening for euthyroidism, hyperthyroidism and hypothyroidism.
TSH may be normal in pregnancy, phenytoin therapy, recent rapid correction of hyperthyroidism or hypothyroidism,
and in central hypothyroidism (in the absence of hypothalamic or pituitary disease, normal TSH excludes primary
hypothyroidism).
TSH may not be useful to evaluate thyroid status of hospitalized ill patients. Approximately 3 months of treatment of
hypo and hyperthyroidism; FT4 is the test of choice. Lag time of 6-8 weeks is required for normalization of TSH after
initiation of thyroid hormone replacement therapy.
Dopamine or high doses of glucocorticoids may cause false normal values in primary hypothyroidism and may suppress
TSH in nonthyroid illness. Rheumatoid factor, human antimouse antibodies, heterophile antibodies, and thyroid
hormone autoantibodies may produce spurious results, especially in patients with autoimmune disorders (<10%).
TSH has a diurnal rhythm, with peaks at 2:00 to 4:00 am and troughs at 5:00 to 6:00 pm. with ultradian variations.

Validated By
Dr.Keyoor Gautam
MBBS,MD - PATHOLOGY
NMC No: 5305

Printed Date/Time: 8/28/2017 6:34:01 PM

*Current Procedural Terminology,2017(American Medical Association)

** not under the scope of accreditation