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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does my lab test report indicate?

Answered by
Dr.
Dr. Arnab Banerjee

Critical Care Specialist

Practicing since :2012

Answered : 1305 Questions

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Posted on Tue, 23 Aug 2016 in Internal Doctor Category
Question: Hello, The query is for my Grandmother who is 79 yrs old. she had high BP roughly 1 week back. It was 210/100 mm Hg. The doctor gave her 1 tablet of Amlong 5mg. After few min, BP came to normal range. Doctor also advised for ECG which came normal. Doctor also advised for FBS, TSH & CBC. I am attaching the report herewith. I need your help to review the reports & then share your view.

My Grandmother is doing fine now & we didn't give her any medicine after.
doctor
Answered by Dr. Arnab Banerjee 6 hours later
Brief Answer:
Follow the Advises..

Detailed Answer:
Hello XXXXXXX Welcome to HCM,

I've gone through your query and understand your concern for your Grandmother..
I've reviewed the reports..

Suddenly raised blood pressure must be checked thoroughly specially at this age of 79 yrs and must be correlated with clinical examination too, so good thing that you've already got her checked..

FBS and CBC is grossly within normal limits only, but TSH is quite on the higher side..

To evaluate further is extremely important now, as she'll be needing appropriate treatment accordingly..

If you go through the lab report's page, you can see that there's a standard protocol flow-chart drawn there, that is the standard followed in this scenario..

So first of all you need to get FT3, FT4 as well as anti-TPO antibody done at the earliest and schedule an appointment with an Endocrinologist to get your grand-mom thoroughly examined and also to decide about the further course of management (it'll be based on her clinical features, the complete thyroid function test results as well as anti-TPO antibody)..

She doesn't appear to be hypertensive, that's why you don't need to give her any medicine now..sudden elevation of blood pressure can be due to various causes, that's why it's so important to get medical attention immediately..

Just get those tests done, and get her checked by the Endocrinologist in the first place..

Do update me later on how she stays..

Let me know if your having any further queries..


Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 12 hours later
Thank you Doctor! can please confirm if these tests are done empty stomach?
doctor
Answered by Dr. Arnab Banerjee 6 hours later
Brief Answer:
Overnight fasting for 8 hrs is enough for morning's first blood sample..

Detailed Answer:
Hello XXXXXXX Welcome back,

Overnight fasting for 8 hrs(as usually happens considering bed time 11pm and wake up at 7 am next day) is enough, no extra precaution required..

The Anti TPO can be done at any time of the day, however, blood should be drawn one time only , so better to give sample for everything together after overnight fasting (as the first thing in the morning, in empty stomach off course)..

I'd request you to kindly check in with the lab from where your planning to do these, so that no delay or time gap happens, also different labs have some fixed protocol for different investigations, so please discuss with them accordingly as they'll be the best person to opine regarding their requirements in this regard..


Let me know how she stays in the due course.. Meanwhile try to get the scheduled appointment with the Endocrinologist at the earliest..

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Arnab Banerjee 2 hours later
Thanks Doctor!
She is doing fine right now. As you advised, I have taken morning appointment for blood sample. And same blood sample will be used for T3, T4 & Anti TPO. I will share the details post my discussion with Endocrinologist.
doctor
Answered by Dr. Arnab Banerjee 13 minutes later
Brief Answer:
yes, keep me posted later on..

Detailed Answer:
Thanks XXXXXXX

Yes, just go ahead with these at first then get the Endocrinologist's scheduled appointment (as you can understand, I don't have the privilege to examine her in this regard), and let me know how it goes..

Any further queries most welcome..

Please keep my follow-up link in this regard (as it seems your follow-up counter is almost finished)..

Let me know how she stays afterwards..

For future reference you can always get in touch with me, below is my direct follow-up link through which you can contact me anytime anywhere, I'll be happy to help -

http://www.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=71041


Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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