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Mr. SADAKCHAR P Reference: Dr.

TAMIL VANNAN VID: 64197775250


Sample Collected At: Registered On:
Tel No : 7092770858 RA-Nirmal Kumar (APSCChitlapakkam)
13/10/2019 07:56 AM
NO 1, FIRST CROSS STREET, JOTHI
PID NO: P64180137980 NAGAR, CHITLAPAKKAM,CHENNAI- Collected On:
Age: 49 Year(s) Sex: Male 600064. 13/10/2019
600064 Reported On:
13/10/2019 06:31 PM

SUMMARY REPORT
Investigation Outside Reference Range (Abnormal)
Investigation Observed Value Unit Biological Reference Interval
Glucose Fasting 104 mg/dL Normal: 70-99
(Plasma-F,Hexokinase) Impaired Tolerance: 100-125
Diabetes mellitus: > 125
(on more than one occassion)
(American diabetes association
guidelines 2018)
Glucose-Post Prandial(2hrs) 234 mg/dL Normal: < 140
(Plasma - P,Hexokinase) Impaired Tolerance: 140-199
Diabetes mellitus: >= 200
(on more than one occassion)
(American diabetes association
guidelines 2018)
Lipid Profile-Mini
(Serum,Calculated)
LDL Cholesterol 108.6 mg/dL Optimal: < 100
Near Optimal: 100-129
Borderline high: 130-159
High: 160-189
Very High: >= 190
CHOL/HDL RATIO 3.21 3.5-5
Thyroid Panel-4 (FT4/TSH)
(Serum,ECLIA)
TSH(Ultrasensitive) 0.059 µIU/mL 0.54-5.3
Medical Remarks: Please correlate clinically
Free T4 0.736 ng/dL 0.8-1.8

Result Trend (For selected tests used for followup)

Page 1 of 6 Dr. Shanmugam


MD Pathology
Mr. SADAKCHAR P Reference: Dr.TAMIL VANNAN VID: 64197775250
Sample Collected At: Registered On:
Tel No : 7092770858 RA-Nirmal Kumar (APSCChitlapakkam)
13/10/2019 07:56 AM
NO 1, FIRST CROSS STREET, JOTHI
PID NO: P64180137980 NAGAR, CHITLAPAKKAM,CHENNAI- Collected On:
Age: 49 Year(s) Sex: Male 600064. 13/10/2019
600064 Reported On:
13/10/2019 06:31 PM

Page 2 of 6 Dr. Shanmugam


MD Pathology
Mr. SADAKCHAR P Reference: Dr.TAMIL VANNAN VID: 64197775250
Sample Collected At: Registered On:
Tel No : 7092770858 RA-Nirmal Kumar (APSCChitlapakkam)
13/10/2019 07:56 AM
NO 1, FIRST CROSS STREET, JOTHI
PID NO: P64180137980 NAGAR, CHITLAPAKKAM,CHENNAI- Collected On:
Age: 49 Year(s) Sex: Male 600064. 13/10/2019
600064 Reported On:
13/10/2019 06:31 PM

Investigation Observed Value Unit Biological Reference Interval


Glucose Fasting 104 mg/dL Normal: 70-99
(Plasma-F,Hexokinase) Impaired Tolerance: 100-125
Diabetes mellitus: > 125
(on more than one occassion)
(American diabetes association
guidelines 2018)
Glucose-Post Prandial(2hrs) 234 mg/dL Normal: < 140
(Plasma - P,Hexokinase) Impaired Tolerance: 140-199
Diabetes mellitus: >= 200
(on more than one occassion)
(American diabetes association
guidelines 2018)
An individual may show higher fasting glucose level in comparison to post prandial glucose level due to following reasons :
The glycaemic index and response to food consumed, Changes in body composition, Increased insulin response and sensitivity,
Alimentary hypoglycemia, Renal glycosuria, Effect of oral hypoglycaemics & Insulin treatment.

Page 3 of 6 Dr. Shanmugam


MD Pathology
Mr. SADAKCHAR P Reference: Dr.TAMIL VANNAN VID: 64197775250
Sample Collected At: Registered On:
Tel No : 7092770858 RA-Nirmal Kumar (APSCChitlapakkam)
13/10/2019 07:56 AM
NO 1, FIRST CROSS STREET, JOTHI
PID NO: P64180137980 NAGAR, CHITLAPAKKAM,CHENNAI- Collected On:
Age: 49 Year(s) Sex: Male 600064. 13/10/2019
600064 Reported On:
13/10/2019 06:31 PM

Investigation Observed Value Unit Biological Reference Interval


Lipid Profile-Mini
Cholesterol-Total 181 mg/dL Desirable: < 200
(Serum,CHOD-POD) Borderline High: 200-239
High: >= 240
Triglycerides 80 mg/dL Normal: < 150
(Serum,GPO-POD) Borderline High: 150-199
High: 200-499
Very High: >= 500
HDL Cholesterol 56.4 mg/dL Major risk factor for heart
(Serum,Direct Homogenous) disease: < 40
Negative risk factor for heart
disease: >= 60
Non HDL Cholesterol 124.6 mg/dL Optimal: < 130
(Serum,Calculated) Desirable: 130-159
Borderline high: 159-189
High: 189-220
Very High: >= 220
LDL Cholesterol 108.6 mg/dL Optimal: < 100
(Serum,Calculated) Near Optimal: 100-129
Borderline high: 130-159
High: 160-189
Very High: >= 190
VLDL Cholesterol 16 mg/dL 6-38
(Serum,Calculated)
LDL/HDL RATIO 1.93 2.5-3.5
(Serum,Calculated)
CHOL/HDL RATIO 3.21 3.5-5
(Serum,Calculated)
Note: Reference Interval as per National Cholesterol Education Program (NCEP) Adult Treatment Panel III Report.

Page 4 of 6 Dr. Shanmugam


MD Pathology
Mr. SADAKCHAR P Reference: Dr.TAMIL VANNAN VID: 64197775250
Sample Collected At: Registered On:
Tel No : 7092770858 RA-Nirmal Kumar (APSCChitlapakkam)
13/10/2019 07:56 AM
NO 1, FIRST CROSS STREET, JOTHI
PID NO: P64180137980 NAGAR, CHITLAPAKKAM,CHENNAI- Collected On:
Age: 49 Year(s) Sex: Male 600064. 13/10/2019
600064 Reported On:
13/10/2019 06:31 PM

Investigation Observed Value Unit Biological Reference Interval


Creatinine, advanced(Above18 years)
GFR With Creatinine (Adult - Above 18 Years)
Creatinine 0.66 mg/dL 0.70-1.20
(Serum,Jaffe)
Age 49.00 Years
(Serum)
eGFR (CKD-EPI) Above 90 ml/min/1.73 Normal OR high: >= 90
(Serum,Jaffe) sq m Mild decrease : 60-89
Mild moderate decrease: 45-59
Moderate to severe decrease:
30-44
Severe decrese: 15-29
Kidney failure: < 15

Note: Equation is not valid for patients below 18 years of age.Calculated by IDMS-Traceable CKD-EPI creatinine equation.

Page 5 of 6 Dr. Shanmugam


MD Pathology
Mr. SADAKCHAR P Reference: Dr.TAMIL VANNAN VID: 64197775250
Sample Collected At: Registered On:
Tel No : 7092770858 RA-Nirmal Kumar (APSCChitlapakkam) 13/10/2019 07:56 AM
PID NO: P64180137980 NO 1, FIRST CROSS STREET, JOTHI Collected On:
NAGAR, CHITLAPAKKAM,CHENNAI-
Age: 49 Year(s) Sex: Male 13/10/2019
600064.
600064 Reported On:
13/10/2019 06:31 PM

Investigation Observed Value Unit Biological Reference Interval


Thyroid Panel-4 (FT4/TSH)
(Serum,ECLIA)
Free T4 0.736 ng/dL 0.8-1.8
TSH(Ultrasensitive) 0.059 µIU/mL 0.54-5.3
Medical Remarks: Please correlate clinically
INTERPRETATION
TSH T3 / FT3 T4 / FT4 Suggested Interpretation for the Thyroid Function Tests Pattern
Within Range Decreased Within Range • Isolated Low T3-often seen in elderly & associated Non-Thyroidal illness. In
elderly the drop in T3 level can be upto 25%.
Raised Within Range Within Range •Isolated High TSHespecially in the range of 4.7 to 15 mIU/ml is commonly
associated with Physiological & Biological TSH Variability.
•Subclinical Autoimmune Hypothyroidism
•Intermittent T4 therapy for hypothyroidism
•Recovery phase after Non-Thyroidal illness"
Raised Decreased Decreased •Chronic Autoimmune Thyroiditis
•Post thyroidectomy,Post radioiodine
•Hypothyroid phase of transient thyroiditis"
Raised or within Raised Raised or within •Interfering antibodies to thyroid hormones (anti-TPO antibodies)
Range Range •Intermittent T4 therapy or T4 overdose
•Drug interference- Amiodarone, Heparin,Beta blockers,steroids,
anti-epileptics"
Decreased Raised or within Raised or within •Isolated Low TSH -especially in the range of 0.1 to 0.4 often seen in elderly &
Range Range associated with Non-Thyroidal illness
•Subclinical Hyperthyroidism
•Thyroxine ingestion"
Decreased Decreased Decreased •Central Hypothyroidism
•Non-Thyroidal illness
•Recent treatment for Hyperthyroidism (TSH remains suppressed)"
Decreased Raised Raised •Primary Hyperthyroidism (Graves’ disease),Multinodular goitre,
Toxic nodule
•Transient thyroiditis:Postpartum, Silent (lymphocytic), Postviral
(granulomatous,subacute, DeQuervain’s),Gestational
thyrotoxicosis with hyperemesis gravidarum"
Decreased or Raised Within Range •T3 toxicosis
within Range •Non-Thyroidal illness
References:  1. Interpretation of thyroid function tests. Dayan et al. THE LANCET • Vol 357 • February 24, 2001
2. Laboratory Evaluation of Thyroid Function, Indian Thyroid Guidelines, JAPI, January 2011,vol. 59

-- End of Report --

Page 6 of 6 Dr. Shanmugam


MD Pathology

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