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What Does My Lab Test Report Indicate?

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Posted on Tue, 19 Jul 2016
Question: my levels
thyroxine t4 free, direct 2.88 tsh 000.6 trilodorhyronine, free serum 11.3 and I have a nodule on my right side of the thyroid that just appreared about 2 months ago and I am having severe rashes all of a sudden.
doctor
Answered by Dr. Shehzad Topiwala (59 minutes later)
Brief Answer:
Thyroid

Detailed Answer:
Sorry to learn about your bothersome symptoms.

It is evident you have an over-active thyroid gland. In order to determine the cause of this over-activity, you need to undergo the test mentioned below. These are important tests because the treatment depends on the cause. For example it could be a temporary bruising of the thyroid called thyroiditis or it could be that the lump that has been noticed is making excessive amounts of thyroid hormone.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine) XXXXXXX 123 THYROID UPTAKE AND SCAN
ULTRASOUND EXAMINATION OF THE THYROID GLAND AND NECK
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (7 minutes later)
I have attached by lab work

so what did you think of the lab work. the only thing I see is the creatine was a little low
doctor
Answered by Dr. Shehzad Topiwala (11 hours later)
Brief Answer:
Follow up

Detailed Answer:
I have reviewed the attached report.

Do not worry about the low creatinine.

Proceed further to the next round of thyroid tests to arrive at the correct diagnosis
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Does My Lab Test Report Indicate?

Brief Answer: Thyroid Detailed Answer: Sorry to learn about your bothersome symptoms. It is evident you have an over-active thyroid gland. In order to determine the cause of this over-activity, you need to undergo the test mentioned below. These are important tests because the treatment depends on the cause. For example it could be a temporary bruising of the thyroid called thyroiditis or it could be that the lump that has been noticed is making excessive amounts of thyroid hormone. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) XXXXXXX 123 THYROID UPTAKE AND SCAN ULTRASOUND EXAMINATION OF THE THYROID GLAND AND NECK 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day