Clinical Biochemistry - Case Study Example

Recommendations:

Tests for thyroid autoantibody micromammal or anti-TPO antibodies) and antithyroglobulin (anti-Tag) could help differentiate the causes of the disease. Medical imaging and biopsy also could be applied

#2

Patient Details:  26 years old man

Nature of Test Requested: testosterone & gonadotropic hormones

Summary of results:

Supplementary Info: none

Initial Interpretation of Results:

Decreased amount of testosterone, increased amount of gonadotropic hormones

Overall Conclusion

Endocrine infertility caused by the decline of testicular function. The increased level of FSH and LH is characteristic of decreased sensitivity for their stimulating effect. Thus, there is evidence for primary hypogonadism.

Additional Information Clinical data could be helpful for a definite diagnosis.

Recommendations:

Analysis of ejaculate could be helpful also.

#3

Patient Details:  38 years old man

Nature of Test Requested: serum cholesterol level and serum glucose

Summary of results:

Analyte

Cholesterol

Glucose

Test results

13.0 mmol/l

6.0 mmol/l

Reference range

5.2 mmol/l

3.3-5.5 mmol/l

Supplementary Info: The patient’s father was diabetic (type 1) and his brother recently suffered a myocardial infarction.

Initial Interpretation of Results:

Increased level of serum cholesterol and serum glucose

Overall Conclusion

Familial hypercholesterolemia. This congenital health condition requires both lifestyle modification and treatment with medications

Additional Information: Data about the HDL and LDL rate also could be helpful.

Recommendations: The patient should restrict in his diet the number of refined sugars and fat, eat more food rich in fibers (vegetables, fruits). The doctor should administer and other anti-hypercholesterolemia drugs and provide continuous monitoring of the patient's health state.