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Note
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Interpretation
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| NATIONAL LIPID | TOTAL | TRIGLYCERIDE | LDL CHOLESTEROL |NON HDL |
| ASSOCIATION | CHOLESTEROL | in mg/dL | in mg/dL |CHOLESTEROL |
| RECOMMENDATIONS | in mg/dL | | |in mg/dL |
| (NLA-2014) | | | | |
|-------------------|---------------|--------------|-----------------|--------------|
| Optimal | <200 | <150 | <100 | <130 |
|-------------------|---------------|--------------|-----------------|--------------|
| Above Optimal | - | - | 100- 129 | 130 - 159 |
|-------------------|---------------|--------------|-----------------|--------------|
| Borderline High | 200-239 | 150-199 | 130-159 | 160 - 189 |
|-------------------|---------------|--------------|-----------------|--------------|
| High | >=240 | 200-499 | 160-189 | 190 - 219 |
|-------------------|---------------|--------------|-----------------|--------------|
| Very High | - | >=500 | >=190 | >=220 |
-----------------------------------------------------------------------------------
Note
1. Measurements in the same patient can show physiological & analytical variations. Three serial
samples 1 week apart are recommended for Total Cholesterol, Triglycerides, HDL& LDL
Cholesterol.
2. Lipid Association of India (LAI) recommends screening of all adults above the age of 20 years for
Atherosclerotic Cardiovascular Disease (ASCVD) risk factors especially lipid profile. This should be
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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Note
1. In an asymptomatic patient, Non alcoholic fatty liver disease (NAFLD) is the most common cause of
increased AST, ALT levels. NAFLD is considered as hepatic manifestation of metabolic syndrome.
2. In most type of liver disease, ALT activity is higher than that of AST; exception may be seen in Alcoholic
Hepatitis, Hepatic Cirrhosis, and Liver neoplasia. In a patient with Chronic liver disease, AST:ALT
ratio>1 is highly suggestive of advanced liver fibrosis.
3. In known cases of Chronic Liver disease due to Viral Hepatitis B & C, Alcoholic liver disease or NAFLD,
Enhanced liver fibrosis (ELF) test may be used to evaluate liver fibrosis.
4. In a patient with Chronic Liver disease, AFP and Des-gamma carboxyprothrombin (DCP)/PIVKA II can
be used to assess risk for development of Hepatocellular Carcinoma.
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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Physical
pH 5 5.0 - 8.0
Chemical
Microscopy
Result Rechecked,
Please Correlate Clinically.
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Interpretation
HbA1c result is suggestive of Diabetes/ well controlled Diabetes in a known Diabetic
Note: Presence of Hemoglobin variants and/or conditions that affect red cell turnover must be considered,
particularly when the HbA1C result does not correlate with the patient’s blood glucose levels.
---------------------------------------------------------------------------------
| FACTORS THAT INTERFERE WITH HbA1C | FACTORS THAT AFFECT INTERPRETATION |
| MEASUREMENT | OF HBA1C RESULTS |
|--------------------------------------|------------------------------------------|
| Hemoglobin variants,elevated fetal | Any condition that shortens erythrocyte |
| hemoglobin (HbF) and chemically | survival or decreases mean erythrocyte |
| modified derivatives of hemoglobin | age (e.g.,recovery from acute blood loss,|
| (e.g. carbamylated Hb in patients | hemolytic anemia, HbSS, HbCC, and HbSC) |
| with renal failure) can affect the | will falsely lower HbA1c test results |
| accuracy of HbA1c measurements | regardless of the assay method used.Iron |
| | deficiency anemia is associated with |
| | higher HbA1c |
---------------------------------------------------------------------------------
PatientReportSCSuperPanel.HBELECTRO_SC (Version: 7)
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ABO Group AB
Rh Factor Positive
Notes
1. Interpretation of the result should be considered in relation to clinical circumstances.
2. It is recommended to consider supplementary testing with plasma Methylmalonic acid (MMA) or
plasma homocysteine levels to determine biochemical cobalamin deficiency in presence of clinical
suspicion of deficiency but indeterminate levels. Homocysteine levels are more sensitive but MMA is
more specific
3. False increase in Vitamin B12 levels may be observed in patients with intrinsic factor blocking
antibodies, MMA measurement should be considered in such patients
4. The concentration of Vitamin B12 obtained with different assay methods cannot be used
interchangeably due to differences in assay methods and reagent specificity
Interpretation
-------------------------------------------------------------
| LEVEL | REFERENCE RANGE | COMMENTS |
| | IN nmol/L | |
|---------------|-----------------|---------------------------|
| Deficient | < 50 | High risk for developing |
| | | bone disease |
|---------------|-----------------|---------------------------|
| Insufficient | 50-74 | Vitamin D concentration |
| | | which normalizes |
| | | Parathyroid hormone |
| | | concentration |
|---------------|-----------------|---------------------------|
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
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Note
· The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.
· 25 (OH)D is influenced by sunlight, latitude, skin pigmentation, sunscreen use and hepatic function.
· Optimal calcium absorption requires vitamin D 25 (OH) levels exceeding 75 nmol/L.
· It shows seasonal variation, with values being 40-50% lower in winter than in summer.
· Levels vary with age and are increased in pregnancy.
· A new test Vitamin D, Ultrasensitive by LC-MS/MS is also available
Comments
Vitamin D promotes absorption of calcium and phosphorus and mineralization of bones and teeth. Deficiency
in children causes Rickets and in adults leads to Osteomalacia. It can also lead to Hypocalcemia and
Tetany. Vitamin D status is best determined by measurement of 25 hydroxy vitamin D, as it is the major
circulating form and has longer half life (2-3 weeks) than 1,25 Dihydroxy vitamin D (5-8 hrs).
Decreased Levels
· Inadequate exposure to sunlight
· Dietary deficiency
· Vitamin D malabsorption
· Severe Hepatocellular disease
· Drugs like Anticonvulsants
· Nephrotic syndrome
Increased levels
Vitamin D intoxication
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
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Note
1. TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a
minimum between 6-10 pm . The variation is of the order of 50% . hence time of the day has
influence on the measured serum TSH concentrations.
2. Alteration in concentration of Thyroid hormone binding protein can profoundly affect Total T3 and/or
Total T4 levels especially in pregnancy and in patients on steroid therapy.
3. Unbound fraction ( Free,T4 /Free,T3) of thyroid hormone is biologically active form and correlate
more closely with clinical status of the patient than total T4/T3 concentration
4. Values <0.03 uIU/mL need to be clinically correlated due to presence of a rare TSH variant in
some individuals
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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AHEEEHAPMKHIBIANLKIDOJNCBILLJCECCKLCIKPKNKEDFBFAPPAHEEEHA
BNFFFNBPAPBLJOAGFGEHFGAPAOAHFHALBKNOBCJONLEKMCJGMPBNFFFNB
CIEGDHFJPONELBFOPFIAAJHFJGFEHEDFLKPHENFLMLKIOEFLBLHDEHANP
DJBAOCFNBKJIEDIOFJNELFMFAFPKBLBFJIFEOBPAKCLJPDNLILFBKEMEK
KCDKLHFJOFJFDIAPNJCCKPJHLENNMBAHKKMBEKEIPLKGKPNGKFFFOKIMG
LDCBBEFMNICGDJFKIDILKIPBADHFOFAINDFCBKDKALIKOMNALNEJPOEKL
DLIMIJFJILOJOFDIEKMCAGHHIHAFJBAKODMPBLMEKJCHKJNJAJNJMDILD
NJJJAMFNBLOBGEHJGANHDJBILLBMFMBBIFCCAMNNIIKNOPNOBNFNBHILL
NKBKHGFNFHDGFAABGMOIHMAKHEEFEKFBJFFKBKPFOOBIOCNKDJPHNEKLJ
MPLOIHFCEDBJJDCHFHCFGPNJJDFKPNJHKEPFEJHLNKCKIGEOCFKKHICJK
GAIKOLFLGKCBMOAMPNNIPJEEINMGMJEBJMFEBFOFPNDMKPFKEPCIGCAEO
MKICGJFCPLDAIEPMHHGCAMAEIEOPPFOFBGPPBLNOOLJBIKNJPKONHDICL
MNNNNNEPKEAGCKKJOCFLHBMHJBAHFHABPKPFCMNLMKJCLFNIAHFHAHIKL
APBBBPAPBMMAEJBGCMBKCNCFAHGCHHCAONFEPLPGOLMHNLNNEDFHDBKHH
HHHHHHHPHHHPHPPHHPPPPPHPPHPPPPPPPPPHHHHPPHHHPHPHHHHHPHPHP
Result/s to follow:
MICROALBUMIN/ALBUMIN : CREATININE RATIO (ACR), URINE
* Test conducted under NABL scope MC-2113,LPL-NATIONAL REFERENCE LAB at NEW DELHI
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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ŸTest results released pertain to the specimen submitted .ŸAll test results are dependent on the quality of the sample received by the Laboratory .
ŸLaboratory investigations are only a tool to facilitate in arriving at a diagnosis and should be clinically correlated by the Referring
Physician.ŸSample repeats are accepted on request of Referring Physician within 7 days post reporting.ŸReport delivery may be delayed due to
unforeseen circumstances. Inconvenience is regretted .ŸCertain tests may require further testing at additional cost for derivation of exact value .
Kindly submit request within 72 hours post reporting.ŸTest results may show interlaboratory variations .ŸThe Courts/Forum at Delhi shall have
exclusive jurisdiction in all disputes /claims concerning the test(s) & or results of test(s).ŸTest results are not valid for medico legal purposes .
ŸContact customer care Tel No. +91-11-39885050 for all queries related to test results.
(#) Sample drawn from outside source.
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
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