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Doctor insights on: Lab Test Pth

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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?

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 more

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Dr. Sandra Eleczko
4 doctors shared insights

Laboratory (Definition)

Is facility that provides controlled conditions in which scientific research, experiments & measurements are performed. An example is medical (clinical) lab where tests are done on clinical specimens in order to get info. About the health of a patient in terms ...Read more


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Pathology lab test for thalassemia?

Pathology lab test for thalassemia?

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 more

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Lupus panel negative. Sed rate 30 should b under 20. Ana positive w/ spec pattern. Serum protein electrophoresis test normal. Cbc ok. Metabolic ok.?

Lupus panel negative. Sed rate 30 should b under 20. Ana positive w/ spec pattern. Serum protein electrophoresis test normal. Cbc  ok. Metabolic ok.?

Any joint pain?: Positive ANA and elevated sed rate. If you have joint pains it would be advisable to follow up with a rheumatologist. You have some kind of inflammatory process going on. Both test are very nonspecific and further work-up is needed. ...Read more

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Dr. Alvin Lin Dr. Lin
7 doctors agreed:
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Could a TSH blood test detect low testosterone levels?

Dr. Alvin Lin Dr. Lin
7 doctors agreed:
Could a TSH blood test detect low testosterone levels?

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

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What tests did they do? Test -rpr, rfx qn rpr/confirm tp-pa attribute rpr value (normal range non reactive (non reactive result negativ

What tests did they do?

Test

-rpr, rfx qn rpr/confirm tp-pa 

attribute

rpr 	

value (normal range

non reactive (non reactive 		

result

negativ

Syphyllis : This test was performed as a part of std screening. According to this test, syphilis (at least the secondary form and on) are absent. A directed history, risk factor assessment, symptom inventory and an exam are as if not more important. Practice safety. ...Read more

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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

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I have negative urobilinogen, UA, ql <2.0 (neg) bilirubin, UA <0.5 (neg to follow critical level for glucose+ketones?

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

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Cummulative thyroid function test TSH levels?

Cummulative thyroid function test TSH levels?

I'm sorry: But i don't understand your question. What are cummulative thyroid function tests? If there's a problem with your tsh, check w/your doctor. ...Read more

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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?

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

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Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?

TSH is WAY high!: Must get on a higher dose of synthroid (thyroxine). This can be life threatening, get treated asap, ! other thyroid tests need to be done to know what needs to be done, and to come to a diagnosis. ...Read more

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Does psa blood test need fasting?

Does psa blood test need fasting?

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

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What do these blood tests mean: cmb, cmp, fasting lipid panel?

What do these blood tests mean: cmb, cmp, fasting lipid panel?

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

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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 more

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Blood test shows élévated bilirubin , urine test négative for bilirubin. Any explanation??

Unconjugated: Bilirubin exists in the blood in both the conjugated and Unconjugated forms. Only the conjugated can enter the urine. If you feel well, and this is new, you very likely have Gilbert's non-disease. Best wishes. ...Read more

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My metanephrine free urine was 51, blood test was 63, normetanephrine free urine 181, blood test 150- total urine 232, blood test 213. Normal?

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

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What does quantitative igg subclass measurement blood test show?

What does quantitative igg subclass measurement blood test show?

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

Dr. Ted King Dr. King
11 doctors agreed:
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Slightly elevated d dimer but negative radiology tests. Whats up?

Dr. Ted King Dr. King
11 doctors agreed:
Slightly elevated d dimer but negative radiology tests. Whats up?

Non specific test: I would put more stock in the negative radiology findings. A d-dimer that is slightly elevated is so non-specific that it is really not at all helpful is making a diagnosis of anything. ...Read more

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Parathyroid Hormone (Definition)

Parathormone or parathyrin, is secreted by the chief cells of the parathyroid gland. It acts to increase the concentration of calcium ...Read more