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Doctor insights on: Antithyroid Micro A Interpretation

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Would a TSH lab reading of 4.680 require thyroid medication?

Would a TSH lab reading of 4.680 require thyroid medication?

It might,,: This is at the upper limit of normal for most lab reference ranges, so it depends on whether or not you have symptoms of hypothyroidism, and your other thyroid readings like freet4, etc.. It would be smart to see your doctor to get these tests of you haven't and to discuss therapy. Good luck. ...Read more

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Can a high thyroid perox AB TPO level give a thyroglobulin reading a false result?

Can a high thyroid perox AB TPO level give a thyroglobulin reading a false result?

No: Hi. No, TPO antibodies do NOT interfere with measurement of thyroglobulin. Perhaps you're thinking of thyroglobulin antibodies, which definitely CAN interfere with the assay to measure thyroglobulin. Since you have a history of papillary thyroid CA and Hashimoto's, your risk of having thyroglobulin antibodies is relatively high. If Tg Ab is negative and TPO Ab is positive, however, no worries. ...Read more

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Deciphering a thyroid hormone test result: is an antithyroglobulin antibody titer of 1:50 too high, or is it alright?

Deciphering a thyroid hormone test result: is an antithyroglobulin antibody titer of 1:50 too high, or is it alright?

It depends: Antithyroglobulin antibody is not a thyroid hormone test. It tells you nothing about the function of your thyroid. It can indicate that you have autoimmune thyroid disease, but your level is not very high. Mild elevations are non-specific and occur more commonly in the population as we get older. Thyroid function is indicated by t4, tsh, and T3 (liothyronine) levels. ...Read more

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Tg=(thyroglobulin) had tg panel 16.0 results, a tg antibody <0.9, a tg by lc-ms/ms, s/p (n/a) ! result not dispersed in flowsheet. What does this mean?

While the: Normal range varies from lab to lab, your results are all normal. Why were they drawn in the first place. There are not as important as more conventional thyroid lab such as free T4 and tsh. Check w/your doctor. ...Read more

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What are normal results for a microsomal thyroid antibody?

What are normal results for a microsomal thyroid antibody?

Autoimmune thyroid: Negative or less than detectable threshold. Repeat testing may be necessary to confirm negative or positive results. ...Read more

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Isn't the effect of thyroid hormones at pituitary level altered in patients without a thyroid under levothyroxine monotherapy? Therefore, TSH cannot always be considered an appropriate marker? Isn't free T4 & T3 a more approriate marker in levothyroxine-

Isn't the effect of thyroid hormones at pituitary level altered in patients without a thyroid under levothyroxine monotherapy? Therefore, TSH cannot always be considered an appropriate marker?  Isn't free T4 & T3 a more approriate marker in levothyroxine-

No: If your body is not handling the levothyroxine well, your TSH level will be off and you will need to increase the dose. As long as your TSH is "normal", then it is accepting the levothyroxine as a hormone and is a good measuring parameter. Ft4 and ft3 varies throughout the day (especially if you are taking levothyroxine), thus they are not good tests to base your treatment on. ...Read more

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FNA predominant solid thyroid nodule with new calcify and increased vascularity is indeterminate-now sent to Afirma for GEC How accurate is this test?

FNA predominant solid thyroid nodule with new calcify and increased vascularity is indeterminate-now sent to Afirma for GEC  How accurate is this test?

Accurate if negative: It now appears that Afirma test result is clinically useful if it comes back as negative. I believe that the test may be associated with a higher false-positive results than false-negative results. Please check with your endocrinologist for an update. ...Read more

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Can you help interpret these lab test results? I have a family history of Hashimoto's Disease: T4 total 8.6 TSH .762 mIU/L and a t3 (liothyronine) uptake of 33%

Can you help interpret these lab test results? I have a family history of Hashimoto's Disease: T4 total 8.6 TSH .762 mIU/L and a t3 (liothyronine) uptake of 33%

Thyroid tests: The units of the t4 test and the lab range matter. If mcg.dl, your tests look to be in normal range. Usually, TSH, free t4, free t3 (liothyronine) are tested. It also helps to know what medications a patient is taking that could affect levels of thyroxine and whether a patient is pregnant. If a + fam history of Hashimoto's, autoimmune antibodies ATA, TPO may be present. ...Read more

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Is micro vascular disease typically picked up on a nuclear stress test?

Is micro vascular disease typically picked up on a nuclear stress test?

Generally, no.: Nuclear stress test is a functional test, which is different from cath or cta. In most cases of microvascular disease, nuclear stress test may be false-negative due to collateral circulation. ...Read more

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A patient with a parathormone (PTH) level of 6pg/mL. What oberservations should a nurse relate to this result when looking at electrocardiogram?

A patient with a parathormone (PTH) level of 6pg/mL. What oberservations should a nurse relate to this result when looking at electrocardiogram?

Depends: low PTH can be primary or secondary thus hypercalcemia or hypocalcemia. Hypocalcemia causes QT prolongation or prolonged ST segment. Hypercalcemia causes shortened QT interval. I guess the first step is to know what is going with the calcium level so you can look for the appropriate changes on EKG. ...Read more

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Positive for thyroid paroxidase antibodies and thyroglobulin antibodies. What does this mean? Had pap thyroid cancer in 2008 with thyroidectomy

Immunity to thyroid: The thyroid makes thyroglobulin (tg) and thyroid peroxidase (tpo). Even though you had your thyroid removed, your body's immune system sees tg and tpo as foreign and has made antibodies to them. This means that following your tg as a way to monitor your thyroid cancer might be unreliable. It could also mean you have thyroid tissue that is still present in your body. Ask your endocrinologist! ...Read more

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What is a result of TSH ultra sensible 092 mean?

Incomplete info: You have not provided the units of measure nor the reference range for the lab. It is likely that the result is within normal limits. All lab results need to be interpreted in the clinical context and the doctor who ordered the test is usually in the best position to do that. ...Read more

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Is afirma thyroid fna analysis-molecular marker test by veracyte any good for diagnosing papillary thyroid cancer? Http://carolinaendocrine.Com

Is afirma thyroid fna analysis-molecular marker test  by veracyte  any good for diagnosing papillary thyroid cancer?
Http://carolinaendocrine.Com

Pathologist: Already answered(and saw some other answers) to this post earlier today; there is no better way to diagnose this than with a tissue biopsy and an experienced pathologist. ...Read more

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Could a micro discectomy bring positive results?

Could a micro discectomy bring positive results?

Yes: In the proper scenario, a microdiscectomy can be very helpful. Disc herniations can cause pain, numbness and weakness. If the symptoms have not gone away with conservative modalities, such as anti-inflammatory medications, physical therapy, epidural injections, then surgery is a good option. The procedure takes out the herniated portion through a small incision. ...Read more

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My TSH is .02, free T4 is 1.9. thyroid antibody panel results are thyroid per oxidase Ab of 338 And thyroglobulin Ab is 1.7. What does this mean?

My TSH is .02, free T4 is 1.9. thyroid antibody panel results are thyroid per oxidase Ab of 338 And thyroglobulin Ab is 1.7. What does this mean?

Hyperthyroid: Your free T4 level is mildly high, TSH low, both consistent with hyperthyroidism. The positive antibodies indicate that you likely have autoimmune thyroid disease (Graves disease or Hashitoxicosis) causing the levels to be high. You should see an endocrinologist to help decide on the best treatment ...Read more

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What is the new fna molecular marker test by veracyte. Is it a very good biopsy technique for papillary cancer?Please explain http://www.Veracyte.Com

What is the new fna molecular marker test by veracyte. Is it a very good biopsy technique for papillary cancer?Please explain
http://www.Veracyte.Com

Hmmm...: Seems to be a lot of queries on the topic of thyroid cancer these past few days; and my answer is still the same so please refer to my earlier post(s) the best test for you is the one your doctor orders; as far as the compnay the makes the test that decision is usually up to the lab that processes the pathology; best to leave this to the experts(oncologists/endocrinologists/hospitals) involved. ...Read more

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FNA results 2.4cm thyroid nodule was FLUS.Please explain good vs bad for US.Mildly hypervascular solid circumscribed. Histo is microfollicles. ?

FNA results 2.4cm thyroid nodule was FLUS.Please explain good vs bad for US.Mildly hypervascular solid circumscribed. Histo is microfollicles. ?

Referral: Most thyroid nodules are benign and this is a common problem. However, this can be serious. Usually a fine needle aspiration biopsy (FNA) will determine if the nodule is cancerous or benign. This test can get right to the bottom of the issue. Often an ultrasound is needed to determine the characteristics of a thyroid nodule. You need a pathologist and radiologist you can trust! ...Read more

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What Specific Lab tests would be ordered by A Neurologist To Diagnose a dramatic Chemical & Electrical Dysfunction ' . ?

What Specific Lab tests would be ordered by A Neurologist To Diagnose a dramatic Chemical & Electrical Dysfunction ' . ?

Clarify: What are you referring to? Have never heard of a "dramatic Chemical & Electrical Dysfunction"! Do you think you have some special unique disease? Suggest you handle this through our Concierge Service. ...Read more