DIAGNOSTIC TESTS
THYROID DISORDERS
Thyroid Function Tests
Thyroid – Stimulating Hormone Assay
Radioactive Iodine Uptake (RAIU)
Thyroid antibodies
T3 T4 Radioimmunoassay
Thyroid Scan
PARATHYROID DISORDERS
RESULTS TEACHING
HIGH
 Hypofunction of Thyroid Gland –
HYPOTHYROIDISM
LOW
 Pituitary disorders -
HYPERTHYROIDISM
HIGH  Radioactive dose is small and harmless
 Hyperthyroidism ; Urine:  Contraindicated in pregnancy
Hypothyroidism  Seasfoods my elevate the results
LOW  Drugs can elevates the results: Barbiturates,
 Hypothyroidism ; Urine; Estrogen, Phenothiazines
Hyperthyoidism
 Dec. results: Lugol’s sl’n, SSKI, antithyroid,
cortisone, antihistamine
 Collect 24 hr urine
 Thyroid scanned after 24 hrs.
High - Thyroiditis
HIGH - Hyperthyroidism
LOW- Hypothyroidism
 Radioactive iodine taken orally; dose is
harmless
 Scanning done after 24 hrs
 Avoid Iodine containing foods, dyes,
medications
 Cold Nodules - Cancer
 Hot nodules - Benign
Total Serum Calcium Venous blood is collection
HIGH - Hyperparathyroidism
LOW- Hypoparathyroidism

ADRENOCORTICAL DISORDERS HIGH - Pituitary Tumor, CUSHING Give Dexamethasone before phlebotomy to suppress
Cortisol level with dexamethasone SYNDROME or DISEASE diurnal formation of ACTH.
suppression test LOW - ADDISON’S DISEASE

Cortisol Plasma Level HIGH- CUSHING DISEASE Fasting is required. the pt. should be on bed rest for 2
LOW- ADDISON’S DISEASE hrs. before the test bec. activity increases cortisol
level.

ADRENAL MEDULLARY
DISORDERS

TOTAL PLASMA  The ct. should lie supine and rest for 30 mins
CATECHOLAMINE  Butterfly needle is inserted 30 mins before blood
CONCENTRATION specimen collected.

NORMAL VALUES:
Epinephrine : 100 pg/ml (590 pmol/L)
Norepinephrine: 100 to 550 pg/ml (590-3240 pmol/L)

PANCREATIC DISORDERS

FBS (Fasting Blood Sugar); FBG DM - Inc. 140 mg/dL for 2 readings NORMAL VALUES :
(Fasting Blood Glucose) 70-110 mg/dL
Glycosylated Hgb  Most accurate indicator of DM
