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Thyroid function tests (TFTs) is a collective term for blood tests used to check the function of the thyroid. [1] TFTs may be requested if a patient is thought to suffer from hyperthyroidism (overactive thyroid) or hypothyroidism (underactive thyroid), or to monitor the effectiveness of either thyroid-suppression or hormone replacement therapy.
An alternative standardised form (standardised TSH index or sTSHI) is calculated with. [1] = as a z-transformed value incorporating mean (2.7) and standard deviation (0.676) of TSHI in a reference population [5]
An increase in TSH above the normal range indicates under-replacement or poor compliance with therapy. A significant reduction in TSH suggests over-treatment. In both cases, a change in dose may be required. A low or low-normal TSH value may also signal pituitary disease in the absence of replacement. [citation needed]
Deutsch: Referenzbereiche für die Sekretionsleistung der Schilddrüse (SPINA-GT) und den TSH-Index nach Jostel (TSHI oder JTI) verglichen mit univariablen Referenzbereichen für Thyreotropin (TSH) und freies Thyroxin (FT4), dargestellt im zweidimensionalen Phasenraum, der durch TSH- und FT4-Serumkonzentrationen definiert ist.
The diagnosis of hyperthyroidism is confirmed by blood tests that show a decreased thyroid-stimulating hormone (TSH) level and elevated T 4 and T 3 levels. TSH is a hormone made by the pituitary gland in the brain that tells the thyroid gland how much hormone to make. When there is too much thyroid hormone, the TSH will be low.
Thyroid function tests include a battery of blood tests, including the measurement of the thyroid hormones, as well as the measurement of thyroid stimulating hormone (TSH). [84] They may reveal hyperthyroidism (high T 3 and T 4), hypothyroidism (low T 3, T 4), or subclinical hyperthyroidism (normal T 3 and T 4 with a low TSH). [84]
Each time the dose is adjusted, TSH levels may be measured at that frequency until the correct dose is determined. [71] Once titrated to a proper dose, TSH levels will be monitored yearly. [ 71 ] The target level for TSH is the subject of debate, with factors like age, sex, individual needs and special circumstances such as pregnancy being ...
If the increase in serum TSH level following TRH administration is absent or very slight, then the cause of the hypothyroidism is in the anterior pituitary gland, i.e. the pituitary is not secreting TSH. Therefore, even when TRH is given exogenously, TSH levels do not rise as the pituitary is diseased. [citation needed]