Blood work results

[BrandiJeane]

I went to the ER and was told i had hyperthyroidism and than went to my nurse practioner and told it was a pituitary dysfunction but cant get into the endo until september. I have never been told i have a thyroid issue.. Could these results be why i have been sick the last 10 years and basically debilitated the past year. Please give your imput as what these results could mean! Thank you so much! On top of the brain fog i have had for the last 10 years and it never goes away and severe fatigue but yet cant and dont slee much i have started having heart/ breathing issues the past week or so!

Ok, so I went and got my results from the bloodwork from when I was at the ER.

TSH3RD- 0.09 (reference: 0.465-4.68 MIU/L)
Thyroxine Level T4- 5.50 (reference: 5.53-11.0 mcg/dL)
T3 Uptake- 35.4 (reference: 23.5-40.5%)
Free T3- 2.5 (reference: 2.3-4.2 pg/mL)
Total T3- 64 (reference: 76-181 ng/dL)

And here are some other levels that they flagged as low none of which were or have ever been mentioned to me. Pretty upset about this!!!

Potassium Level- 3.4 (reference: 3.5-5.1 MMOL/L)
BUN- 5 (reference: 7-17mg/dL)

And than under the liver panel this was flagged as well

ALT/SGPT- 9 (reference: 13-69 UNITS/L)

Any imput would be much appreciated! Thanks

[BrandiJeane]

I also wanted to add under my urine dip results my glucose level in my urine is 250 when it should be negative. I am not pregnant and i do not have diabetes... None of these things have EVER been mentioned to me! In the note the er dr wrote to the nurse practioner he wrote " Urine,pH was 6.0, specific gravity 1.025,250 of glucose, which makes no sense with normal serum glucose and negative for ketones, blood, nitrite and leukocyte esterase. Urine hCG was negative as well" I just dont understand. Its looking like i have more than one thing working against me.

[Mark Lupo, M.D.]

The first thing we usually do in these cases is to repeat the thyroid function testing and because the TSH was low in addition to the T4 and T3 being low we would screen for pituitary dysfunction.  This is typically done with additional labs including prolactin, ACTH and cortisol as well as taking a complete history.