Savitri Singh Thyrocare
Savitri Singh Thyrocare
Savitri Singh Thyrocare
Thyrocare
D-37/1,TTC MIDC,Turbhe,
Navi Mumbai-400 703
Method :
ICP - MASS SPECTROMETRY
Note:Reference range has been obtained after considering 95% population as cutoff.
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
CYSTATIN C IMMUNOTURBIDIMETRY 1.2 mg/L
Reference Range :-
Clinical significance
Cystatin c, is a small 13-kda protein and is a member of the cysteine proteinase inhibitor family, it is produced at a constant rate by all
nucleated cells. Due to its small size it is freely filtered by the glomerulus and is not secreted but is fully reabsorbed and broken down
by the renal tubules. This means that the primary determinate of blood Cystatin c levels is the rate at which it is filtered at the
glomerulus making it an excellent gfr marker. Cystatin c is also a marker of inflammation and like many other markers of
inflammation; its serum concentration may be higher in patients with decreased renal clearance. There is mounting evidence, however,
that Cystatin c may be a predictor of adverse outcomes independent of renal function with its higher sensitivity to detect a reduced
GFR than Creatinine determination, also in the so-called “Creatinine-blind” range. Thus, Cystatin c is suggested to be a better marker
for GFR than the ubiquitous serum Creatinine.
Reference
1. Barrett aj, Davies me, Grubb a. the place of human gamma-trace (Cystatin c) among the cysteine proteinase inhibitors. Biochem
biophys res common 1984; 120: 631-6.
2. Grubb a. diagnostic value of analysis of Cystatin c and protein HC in biological fluids. Clin Nephrol 1992; 38: S20-7.
Please correlate with clinical conditions.
Method:- LATEX ENHANCED IMMUNOTURBIDIMETRY
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
HOMOCYSTEINE C.L.I.A 21.5 µmol/L
Reference Range :-
< 30
Clinical Significance:
Homocysteine is linked to increased risk of premature coronary artery disease, stroke and thromboembolism. Moreover, alzheimer’s
disease, osteoporosis, venous thrombosis, schizophrenia, cognitive deficiency and pregnancy complications also elevates Homocysteine
levels.
High Values:
Elevated homocysteine levels might be due to increasing age, genetic traits, drugs, renal dysfunction and dietary deficiency of vitamins
or smoking. To lower your homocysteine, eat more green vegetables, stop smoking, alcohol. Folic acid helps lowering elevated levels.
Please correlate with clinical conditions.
Method:- FULLY AUTOMATED CHEMI LUMINESCENT IMMUNO ASSAY
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
Vitamin D Total test is analyzed on Siemens ADVIA Centaur, standardized against ID-LC/MS/MS, as per Vitamin D Standardization
Program (VDSP).
Clinical significance :
Vitamin B12 or cyanocobalamin, is a complex corrinoid compound found exclusively from animal dietary sources, such as meat, eggs
and milk. It is critical in normal DNA synthesis, which in turn affects erythrocyte maturation and in the formation of myelin sheath.
Vitamin-B12 is used to find out neurological abnormalities and impaired DNA synthesis associated with macrocytic anemias. For
diagnostic purpose, results should always be assessed in conjunction with the patients medical history, clinical examination and
other findings.
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
HIGH SENSITIVITY C-REACTIVE PROTEIN (HS-CRP) IMMUNOTURBIDIMETRY 3.83 mg/L
Reference Range :-
INTERPRETATION:
HIGH SENSITIVITY C-REACTIVE PROTEIN, WHEN USED IN CONJUNCTION WITH OTHER CLINICAL LABORATORY EVALUATION OF ACUTE
CORONARY SYNDROMES, MAY BE USEFUL AS AN INDEPENDENT MARKER OF PROGNOSIS FOR RECURRENT EVENTS, IN PATIENTS
WITH STABLE CORONARY DISEASE OR ACUTE CORONARY SYNDROMES. HSCRP LEVELS SHOULD NOT BE SUBSTITUTED FOR
ASSESSMENT OF TRADITIONAL CARDIOVASCULAR RISK FACTORS. PATIENTS WITH PERSISTENTLY UNEXPLAINED, MARKED
EVALUATION OF HSCRP AFTER REPEATED TESTING SHOULD BE EVALUATED FOR NON - CARDIOVASCULAR ETIOLOGIES
CLINICAL SIGNIFICANCE:
HSCRP MEASUREMENTS MAY BE USED AS AN INDEPENDENT RISK MARKER FOR THE IDENTIFICATION OF INDIVIDUALS AT RISK FOR
FUTURE CARDIOVASCULAR DISEASE. ELEVATED CRP VALUES MAY BE INDICATIVE OF PROGNOSIS OF INDIVIDUALS WITH ACUTE
CORONARY SYNDROMES, AND MAY BE USEFUL IN THE MANAGEMENT OF SUCH INDIVIDUALS.
REFERENCES:
1. CHENILLOT O, HENNY J, STEINMEZ J, ET AL. HIGH SENSITIVITY C-REACTIVE PROTEIN: BIOLOGICAL VARIATIONS AND REFERENCE
LIMITS. CLIN CHEM LAB MED 2000;38:1003-11.
2. HIND CRH, PEPYS MB. THE ROLE OF SERUM C-REACTIVE PROTEIN MEASUREMENTS IN CLINICAL PRACTICE. INT MED
1984;5:112-51.
Please correlate with clinical conditions.
Method:- FULLY AUTOMATED LATEX AGGLUTINATION – BECKMAN COULTER
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
LIPOPROTEIN (A) [LP(A)] IMMUNOTURBIDIMETRY 56.4 mg/dl
Reference Range :-
INTERPRETATION:
DETERMINATION OF LPA MAY BE USEFUL TO GUIDE MANAGEMENT OF INDIVIDUALS WITH A FAMILY HISTORY OF CHD OR WITH
EXISTING DISEASE. THE LEVELS OF LPA IN THE BLOOD DEPENDS ON GENETIC FACTORS; THE RANGE OF VARIATION IN A
POPULATION IS RELATIVELY LARGE AND HENCE FOR DIAGNOSTIC PURPOSE, RESULTS SHOULD ALWAYS BE ASSESSED IN
CONJUNCTION WITH THE PATIENT’S MEDICAL HISTORY, CLINICAL EXAMINATION AND OTHER FINDINGS.
SPECIFICATIONS:
PRECISION: INTRA ASSAY (%CV): 3.4 %, INTER ASSAY (%CV): 2.0 %; SENSITIVITY: 0.002 GM/L
COLLEGE OF AMERICAN PATHOLOGISTS: GENERAL CHEMISTRY AND TDM; CAP NUMBER: 7193855-01
KOSCHINSKY ML, MARCOVINA SM. LIPOPROTEIN A: STRUCTURAL IMPLICATION FOR PATHOPHYSIOLOGY. INT J CLIN LAB RES, 1997;
27: 14-23.
Please correlate with clinical conditions.
Method:- LATEX ENHANCED IMMUNOTURBIDIMETRY
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
SERUM COPPER PHOTOMETRY 153 µg/dL
Reference Range :-
CLINICAL SIGNIFICANCE
COPPER IS AN IMPORTANT TRACE ELEMENT AND A COMPONENT OF NUMEROUS ENZYMES AND PROTEINS INVOLVED IN ENERGY
PRODUCTION, CONNECTIVE TISSUE FORMATION, MELANIN SYNTHESIS, IRON METABOLISM, DEVELOPMENT OF CENTRAL NERVOUS
SYSTEM, ANGIOGENESIS AS WELL AS AN ANTIOXIDANT.
DEFICIENCY CAN CAUSE - MALNOURISHMENT, CARDIOVASCULAR DISEASE, ANEMIA & NEUROPATHY. TOXICITY MAY BE MANIFESTED
AS ACUTE RENAL FAILURE, GASTROENTERITIS & CHRONIC LIVER DISEASE.
REFERENCE: CARL A. BURTIS, EDWARD R. ASHWOOD, DAVID E. BRUNS. TIETZ TEXTBOOK OF CLINICAL CHEMISTRY AND MOLECULAR
DIAGNOSTICS. CHAPTER 31.VITAMINS AND TRACE ELEMENTS. PAGE: 948-952.
Please correlate with clinical conditions.
Method:- 3,5-DIBR-PAESA
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
SERUM ZINC PHOTOMETRY 136.53 µg/dL
Reference Range :-
52 - 286
CLINICAL SIGNIFICANCE
ZINC IS ONE OF THE ESSENTIAL TRACE ELEMENTS IN THE BODY. ITS METALLOENZYMES PLAY A KEY ROLE IN PROTEIN AND NUCLEIC
ACID SYNTHESIS, GENE EXPRESSION, WOUND HEALING, AS AN ANTIOXIDANT, ETC.
DEFICIENCY CAN CAUSE - POOR WOUND HEALING, GASTROENTERITIS, IMPAIRED SPERMATOGENESIS, ALZHEIMER’S DISEASE, ETC.
TOXICITY MAY BE MANIFESTED AS PANCREATITIS, GASTRIC ULCER, ANEMIA, PULMONARY FIBROSIS.
REFERENCE: CARL A. BURTIS, EDWARD R. ASHWOOD, DAVID E. BRUNS. TIETZ TEXTBOOK OF CLINICAL CHEMISTRY AND MOLECULAR
DIAGNOSTICS. CHAPTER 31.VITAMINS AND TRACE ELEMENTS. PAGE:960-965.
Please correlate with clinical conditions.
Method:- NITRO - PAPS
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
TESTOSTERONE C.L.I.A 9.34 ng/dL
Reference Range :-
Adult Male
21 - 49 Yrs : 164.94 - 753.38
50 - 89 Yrs : 86.49 - 788.22
Adult Female
Pre-Menopause : 12.09 - 59.46
Post-Menopause: < 7.00 - 48.93
Boys
2-10 Years : < 7.00 - 25.91
11 Years : < 7.00 - 341.53
12 Years : < 7.00 - 562.59
13 Years : 9.34 - 562.93
14 Years : 23.28 - 742.46
15 Years : 144.15 - 841.44
16-21 Years : 118.22 - 948.56
Girls
2-10 Years : < 7.00 - 108.30
11-15 Years : < 7.00 - 48.40
16-21 Years : 17.55 - 50.41
Clinical Significance:
Clinical evaluation of serum testosterone, along with serum LH, assists in evaluation of Hypogonadal males. Major causes of lowered
testosterone in males include Hypogonadotropic hypogonadism, testicular failure Hyperprolactinema, Hypopituitarism some types of
liver and kidney diseases and critical illness.
Specifications: Precision: Intra assay (%CV): 8.5 %, Inter assay (%CV): 12.6%; Sensitivity: 7 ng/dL.
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS NORMAL RANGE
TOTAL CHOLESTEROL PHOTOMETRY 243 mg/dl < 200
HDL CHOLESTEROL - DIRECT PHOTOMETRY 65 mg/dl 40-60
TRIGLYCERIDES PHOTOMETRY 98 mg/dl < 150
LDL CHOLESTEROL - DIRECT PHOTOMETRY 152 mg/dl < 100
TC/ HDL CHOLESTEROL RATIO CALCULATED 3.7 Ratio 3-5
LDL / HDL RATIO CALCULATED 2.3 Ratio 1.5-3.5
VLDL CHOLESTEROL CALCULATED 19.6 mg/dl 5 - 40
NON-HDL CHOLESTEROL CALCULATED 177.8 mg/dl < 160
Please correlate with clinical conditions.
Method :
CHOL - Cholesterol Oxidase, Esterase, Peroxidase
HCHO - Direct Enzymatic Colorimetric
TRIG - Enzymatic, End Point
LDL - Direct Measure
TC/H - DERIVED FROM SERUM CHOLESTEROL AND HDL VALUES
LDL/ - Derived from serum HDL and LDL Values
VLDL - DERIVED FROM SERUM TRIGLYCERIDE VALUES
NHDL - Derived from serum Cholesterol and HDL values
*REFERENCE RANGES AS PER NCEP ATP III GUIDELINES:
BORDERLINE HIGH 200-239 HIGH >60 NEAR OPTIMAL 100-129 BORDERLINE HIGH 150-199
Alert !!! 10-12 hours fasting is mandatory for lipid parameters. If not, values might fluctuate.
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS NORMAL RANGE
ALKALINE PHOSPHATASE PHOTOMETRY 118.4 U/L 45 - 129
BILIRUBIN -DIRECT PHOTOMETRY 0.21 mg/dl < 0.3
BILIRUBIN - TOTAL PHOTOMETRY 0.67 mg/dl 0.3-1.2
BILIRUBIN (INDIRECT) CALCULATED 0.46 mg/dl 0-0.9
GAMMA GLUTAMYL TRANSFERASE (GGT) PHOTOMETRY 16 U/l < 38
ASPARTATE AMINOTRANSFERASE (SGOT ) PHOTOMETRY 52.6 U/l < 31
ALANINE TRANSAMINASE (SGPT) PHOTOMETRY 57.3 U/l < 34
PROTEIN - TOTAL PHOTOMETRY 6.9 gm/dl 5.7-8.2
ALBUMIN - SERUM PHOTOMETRY 4.6 gm/dl 3.2-4.8
SERUM GLOBULIN PHOTOMETRY 2.3 gm/dL 2.5-3.4
SERUM ALB/GLOBULIN RATIO CALCULATED 2 Ratio 0.9 - 2
Please correlate with clinical conditions.
Method :
ALKP - Modified IFCC method
BILD - Vanadate Oxidation
BILT - Vanadate Oxidation
BILI - DERIVED FROM SERUM TOTAL AND DIRECT BILIRUBIN VALUES
GGT - Modified IFCC method
SGOT - IFCC* WITHOUT PYRIDOXAL PHOSPHATE ACTIVATION
SGPT - IFCC* WITHOUT PYRIDOXAL PHOSPHATE ACTIVATION
PROT - BIURET METHOD
SALB - ALBUMIN BCG¹METHOD (COLORIMETRIC ASSAY ENDPOINT)
SEGB - DERIVED FROM SERUM ALBUMIN AND PROTEIN VALUES
A/GR - DERIVED FROM SERUM ALBUMIN AND PROTEIN VALUES
PATIENTID : SS17165886
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS NORMAL RANGE
BLOOD UREA NITROGEN (BUN) PHOTOMETRY 11.42 mg/dl 7 - 25
CREATININE - SERUM PHOTOMETRY 0.57 mg/dl 0.5-0.8
URIC ACID PHOTOMETRY 4.5 mg/dl 3.2 - 6.1
CALCIUM PHOTOMETRY 8.99 mg/dl 8.8-10.6
BUN / SR.CREATININE RATIO CALCULATED 20.04 Ratio 9:1-23:1
Please correlate with clinical conditions.
Method :
BUN - KINETIC UV ASSAY.
SCRE - CREATININE ENZYMATIC METHOD
URIC - Uricase / Peroxidase Method
CALC - ARSENAZO III METHOD, END POINT.
B/CR - DERIVED FROM SERUM BUN AND CREATININE VALUES
PATIENTID : SS17165886
TEST NAME TECHNOLOGY VALUE UNITS
EST. GLOMERULAR FILTRATION RATE (eGFR) CALCULATED 107 mL/min/1.73 m2
Reference Range :-
> = 90 : Normal
60 - 89 : Mild Decrease
45 - 59 : Mild to Moderate Decrease
30 - 44 : Moderate to Severe Decrease
15 - 29 : Severe Decrease
Clinical Significance
The normal serum creatinine reference interval does not necessarily reflect a normal GFR for a patient. Because mild and moderate
kidney injury is poorly inferred from serum creatinine alone. Thus, it is recommended for clinical laboratories to routinely estimate
glomerular filtration rate (eGFR), a “gold standard” measurement for assessment of renal function, and report the value when serum
creatinine is measured for patients 18 and older, when appropriate and feasible. It cannot be measured easily in clinical practice,
instead, GFR is estimated from equations using serum creatinine, age, race and sex. This provides easy to interpret information for the
doctor and patient on the degree of renal impairment since it approximately equates to the percentage of kidney function remaining.
Application of CKD-EPI equation together with the other diagnostic tools in renal medicine will further improve the detection and
management of patients with CKD.
Reference
Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF, 3rd, Feldman HI, et al. A new equation to estimate glomerular filtration rate.
Ann Intern Med. 2009;150(9):604-12.
Please correlate with clinical conditions.
Method:- CKD-EPI Creatinine Equation
~~ End of report ~~
Name: MRS SAVITRI SINGH Age: 52Y Sex: F Customer Mobile No: 9169930001
Page : 19 of 20
CONDITIONS OF REPORTING
v The reported results are for information and interpretation of the referring doctor only.
v It is presumed that the tests performed on the specimen belong to the patient; named or identified.
v Results of tests may vary from laboratory to laboratory and also in some parameters from time to time for the
same patient.
v Should the results indicate an unexpected abnormality, the same should be reconfirmed.
v Only such medical professionals who understand reporting units, reference ranges and limitations of technologies
should interpret results.
v This report is not valid for medico-legal purpose.
v Neither Thyrocare, nor its employees/representatives assume any liability, responsibility for any loss or damage
that may be incurred by any person as a result of presuming the meaning or contents of the report.
v Thyrocare Discovery video link :- https://youtu.be/nbdYeRgYyQc
v For clinical support please contact @8450950851,8450950852,8450950853,8450950854 between 10:00 to 18:00
EXPLANATIONS
v Majority of the specimen processed in the laboratory are collected by Pathologists and Hospitals we call them
as "Clients".
v Name - The name is as declared by the client and recored by the personnel who collected the specimen.
v Ref.Dr - The name of the doctor who has recommended testing as declared by the client.
v Labcode - This is the accession number in our laboratory and it helps us in archiving and retrieving the data.
v Barcode - This is the specimen identity number and it states that the results are for the specimen bearing
the barcode (irrespective of the name).
v SCP - Specimen Collection Point - This is the location where the blood or specimen was collected as declared by
the client.
v SCT - Specimen Collection Time - The time when specimen was collected as declared by the client.
v SRT - Specimen Receiving Time - This time when the specimen reached our laboratory.
v RRT - Report Releasing Time - The time when our pathologist has released the values for Reporting.
v Reference Range - Means the range of values in which 95% of the normal population would fall.
SUGGESTIONS
v Values out of reference range requires reconfirmation before starting any medical treatment.
v Retesting is needed if you suspect any quality shortcomings.
v Testing or retesting should be done in accredited laboratories.
v For suggestions, complaints or feedback, write to us at info@thyrocare.com or call us on
022-3090 0000 / 6712 3400
v SMS:<Labcode No.> to 9870666333
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