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Test Directory -  Thyroid Function Tests

Synonyms

TFT's

Clinical Indications

Screening for suspected thyroid disease and monitoring treatment for hypo- and hyperthyroidism. Guidelines on thyroid function testing are available.

Test Includes

TSH is measured as a first line test followed up with free T4, free T3 and thyroid antibodies as indicated - see laboratory TFT strategy. It should be noted that this 'TSH first' strategy can give a false indication of thyroid status in pituitary dysfunction. Therefore, requests for thyroid function where pituitary dysfunction is known or suspected, must be clearly indicated so that appropriate tests can be undertaken. 

Request Form 

Combined Pathology Blood form (Yellow/Black or Blue for GP's). 
In order to help with provision of clinical details and selection of appropriate tests, request forms include several tick boxes for thyroid function:

  • TFT1 - Thyroid Disease?

  • TFT2 - On Thyroxine

  • TFT3 - Anti-Thyroid Rx

Availability

On request.

Specific Criteria

None. It is normally not necessary to repeat TFT's within 4 weeks.

Turnaround Time

Same Day (Monday to Friday)

Specimen

Serum

Volume

0.5 ml

Container

Yellow top (SST) tube

Causes for Rejection

Unlabelled sample

Reference Range

Adults (without non-thyroidal illness): 
TSH 0.4 to 5.0 mU/L; free T4 12.0 to 23.0 pmol/L; free T3 4.0 to 7.8 pmol/L.

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Last edited 07/08/08