Doctor insights on:
Lab Test Pth
Saliva cortisol tests are abnormally low. Serum cortisol tests are normal. Dr says i don't need an acth stim test due to serum results. Agree?
Yes: If your saliva cortisol tests are low, then you have adrenal insufficiency. Acth stim test will only help determine if the cause is in the adrenal glands, pituitary gland or hypothalamus. Without other hormonal abnormalities or abnormal levels of sodium or potassium, this test is generally not needed and treatment for the adrenal insufficiency can be done. ...Read moreSee 1 more doctor answer
Electrophoresis: Blood counts can suggest thalassemia (small red blood cells). Some thalassemia can be confirmed with electrophoresis, which quantifies the different types of hemoglobin present in rbcs. Similar studies can be done on the parents for additional info. ...Read moreSee 1 more doctor answer
Lupus panel negative. Sed rate 30 should b under 20. Ana positive w/ spec pattern. Serum protein electrophoresis test normal. Cbc ok. Metabolic ok.?
No: Tsh or thyroid stimulating hormone is only good for assessing thyroid function (either good, overactive or underactive). With that said, during that same blood draw, your blood could potentially be checked for testosterone to determine how much you have. This is best done in the morning. Remember that we really should treat the person (and symptoms), not just a number. Make sure benefit > risk. ...Read more
What tests did they do?
-rpr, rfx qn rpr/confirm tp-pa
value (normal range
non reactive (non reactive
If cortisol blood test came back normal, could salivary cortisol lab show diff? Dr is checking for adrenal fatigue.
It depends: This is serious business. The real question is, "Do you have Addison's disease?" A spot serum cortisol is often normal even in Addison's, making the diagnosis tricky. There are decision levels for the easy screens that your physician is aware of, but if there's any doubt, you'll probably get an ACTH stimulation test. Avoid "pop"/"fad" diagnoses like "HPA axis fatigue". Best wishes. ...Read more
I have negative urobilinogen, UA, ql <2.0 (neg) bilirubin, UA <0.5 (neg to follow critical level for glucose+ketones?
Vague question: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. ...Read more
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
After hemithyroidectomy, lab results ft4 5.17 pmol/l (ref value 12-22 pmol/l) TSH 32.04 miu/l (ref value 0.2-4.2 miu/l) cobas e411. Pls interpret.
No. For most blood: fasting is not needed & commonly misleading, though promoted. Optimal PSA value <1.0 ng/dL, though called normal up to 4.0 ng/mL. At 1.3 ng/ml (Avodart Trial; most thorough done to date) prostate size, by ultrasound, has doubled young healthy values. If PSA < 1.0, prostate cancer extremely rare. If elevated, consider https://www.accureference.com "Prostate Health Index" test for better guidance. ...Read more
Various lab test: Cmp: comprehensive metabolic panel: tests for a variety of different metabolites and studies activity of certain enzymes. The lipid panel is used to test cholesterol, high and low density lipids and lipoproteins. In general, theres are screening tests, and are not necessarily drawn for a specific reason. Without knowing your clinical information, it is tough to give guidance. ...Read more
Negative result for thyroid peroxidase antibodies tpoab . Necessary to test my thyroglobulin antibodies tgab ?
Anti-thyroglobulin: Studies have shown that 99% of patients with hashimoto's thyroiditis have anti-microsomal antibodies, whereas only about 1/3rd had anti-thyroglobulin antibodies. In addition, 10-20% of persons without thyroid problems have anti-throglobulin antibodies (tg-a). These persons are likely at higher risk for future problems and should be watched more closely however, testing for tg-a is not necessary. ...Read moreSee 1 more doctor answer
My metanephrine free urine was 51, blood test was 63, normetanephrine free urine 181, blood test 150- total urine 232, blood test 213. Normal?
Sounds normal if....: the upper limits for blood metanephrine and normetanephrine are 0.50nm/l and 0.90nm/l. Urinary levels are, respectively: Total 24 hr. metanephrine =1.3mg for urine; and total plasma ME+NME is less than 205pg/ml. It sound as though you're within the normal ranges, but depending on the units of measure, which vary from lab to lab and med ctr to med ctr., you may not. Meet w/ your endocrinologist. ...Read more
Immunochromatography rapid antibody test negative @42 days.Blood serum CMIA screening [email protected] days(7th week) is 0.15 non reactive. Results conclusive?
IgG subclasses: There are several classes of immunoglobulins like IgA, IgM, and IgE. IgG also has subclasses that we test for. A subclass deficiency can be an explanation for susceptibility to certain types of infections. An Allergist/Immunologist can put the results in perspective for you in the context of your history. ...Read more
D-dimer is very: Sensitive (meaning a negative result is almost never wrong), but it is not specific (meaning a positive test does not help determine what exact diagnosis a patient has). Therefore, there are many reasons for a positive test, and only a few of them are worrisome, such as deep vein thrombus or pulmonary embolism. Radiology tests help rule out those diseases. ...Read moreSee 3 more doctor answers