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25 (OH) VIT D TOTAL (Vit D2 + Vit D3) : 15.82 ng/mL Deficiency : < 20
Insufficiency : 20 -30
Sufficiency : 30 - 100
Toxicity : >100
Method : Liquid Chromatography Tandem Mass Spectrometry.
Interpretation :
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- Vitamin D is a steroid hormone involved in the intestinal absorption of calcium and regulation of calcium hemostasis.
- Vitamin D is essential for the formation and maintenance of strong, healthy bones.
- 25 OH Vitamin D is the major circulating form of Vitamin D and precursor of active form of 1, 25, di hydroxy Vitamin D.
- Vitamin D occurs in two forms, D2 ergocalciferol (plant origin) and D3 cholecalciferol (sunlight origin) in the body.
- Vitamin D deficiency can result from inadequate exposure to the sun, inadequate alimentary intake, decreased absorption,
abnormal metabolism or Vitamin D resistance. Recently many chronic disease such as cancer, high blood pressure, osteoporosis
and several autoimmune diseases have been linked to Vitamin D deficiency.
- 25(OH) Vit-D is a reliable indicator of the Vitamin D status because the serum or plasma levels of it reflect the storage
levels of Vitamin D in our body. Lower levels of 25(OH) Vit-D correlates with the clinical symptoms of Vitamin D deficiency.
- Vitamin D2 and Vitamin D3 added together is total Vitamin D.
DR.BIKASH K CHAUDHURY
HOD & CONSULTANT BIOCHEMIST
Comments / Interpretation :
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- Patient preparation is particularly important for hormone studies, results of which may be markedly affected by
many factors such as stress, position, fasting state, time of the day, preceding diet and drug therapy.
- TSH controls biosynthesis and release of thyroid hormones T3 & T4.
- TSH levels are increased in primary hypothyroidism, insufficient thyroid hormone replacement therapy, Hashimotos
thyroiditis, use of amphetamines, dopamine antagonists, iodine containing agents, lithium and iodine induced or deficiency
goiter.
- Increase in TSH is also seen in external neck irradiation, subtotal thyroidectomy, neonatal period, thyrotoxicosis due to
pituitary causes, euthyroid sick syndrome and presence of TSH antibodies.
- Decrease in TSH levels are seen in Toxic multinodular goiter, thyroid adenoma, Graves disease, thyroiditis, extrathyroidal
thyroid hormone source, over replacement of thyroid hormone in treatment of hypothyroidism, secondary hypothyroidism,
severe dehydration, first trimester of pregnancy.
DR ROHIT KUMAR B
Certificate # MC-2657 CONSULTANT BIOCHEMIST
Comments / Interpretation :
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- CRP exhibits dramatic increase in concentration following acute or chronic inflammation that may accompany bacterial
infections - the most potent stimulus to CRP production; autoimmune or immune complex disease, tissue necrosis,malignancy,
myocardial infarction, and trauma. The increase occurs within 24-48 hours and the level may be 2000 times
normal.
- In many cases the changes in plasma CRP level precede changes in the clinical symptoms.
- The degree of elevation of CRP reflects the mass or activity of the inflamed tissue and in acute inflammation or infection
correlates well with disease activity.
- Because the increase is non-specific, it cannot be interpreted without a complete clinical history, and even then, only by
comparison with previous values.
- A persistently raised CRP level generally indicates that therapy is ineffective.
- Normal CRP levels do not exclude the presence of minor degrees of acute, localized inflammation or some chronic diseases
such as SLE and ulcerative colitis.
CREATININE
TEST NAME RESULT BIOLOGICAL REFERENCE INTERVAL
Comments / Interpretation :
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- Useful in the diagnosis of renal insufficiency and is more specific and sensitive indicator of renal disease than of BUN.
- Use of simultaneous BUN and creatinine levels provide more information in the diagnosis of renal insufficiency.
DR ROHIT KUMAR B
Certificate # MC-2657 CONSULTANT BIOCHEMIST
Comments / Interpretation :
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- ADA Guidelines (2018) are adopted for the evaluation of Diabetic Status.
DR ROHIT KUMAR B
Certificate # MC-2657 CONSULTANT BIOCHEMIST
MCH : 27.4 27 - 32 pg
Calculated
Neutrophils : 44 40 - 80 %
VCSn Technology / Microscopy
Lymphocytes : 44 20 - 40 %
VCSn Technology / Microscopy
Eosinophils : 2 1-6 %
VCSn Technology / Microscopy
Monocytes : 9 2 - 10 %
VCSn Technology / Microscopy
Basophils : 1 0-2 %
VCSn Technology / Microscopy
Absolute Leucocyte Count
Platelets : Adequate
Microscopy : Leishman stain/Modified Giemsa Stain
Comments / Interpretation :
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- ESR is a nonspecific phenomenon, clinically useful in disorders associated with an increased production of acute phase proteins.
- Elevated in acute and chronic infections and malignancies.
- Extremely high ESR values are seen in multiple myeloma, leukemia, lymphoma, breast and lung carcinomas, rheumatoid
arthritis, SLE and pulmonary infarction.
Comments / Interpretation :
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- Lipid profile is a panel of blood tests that serves as an initial broad medical screening tool for abnormalities in lipids, the
results of this tests can identify certain genetic diseases and can determine approximate risks for cardiovascular disease,
certain forms of pancreatitis and other diseases.
DR ROHIT KUMAR B
Certificate # MC-2657 CONSULTANT BIOCHEMIST
Comments / Interpretation :
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- Liver function test aid in the diagnosis of various pre hepatic, hepatic & post hepatic causes of dysfunction like hemolytic
anemias, viral & alcoholic hepatitis and cholestasis of obstructive causes.
- The test encompasses hepatic excretory, synthetic function and also hepatic parenchymal cell damage.
- LFT helps in evaluating severity, monitoring therapy and assessing prognosis of liver disease and dysfunction.
DR ROHIT KUMAR B
Certificate # MC-2657 CONSULTANT BIOCHEMIST