Investigations

(a) Screening Purposes

1. ECG – to rule out heart problem and anxiety (cheap, fast and most available)

2. Full blood count – The determination of the quantity of each type of blood cell in a given sample of blood, often including the amount of hemoglobin, the hematocrit, and the proportions of various white cells. Also called blood profile. The FBC is used for the following purposes:

· as a preoperative test to ensure both adequate oxygen carrying capacity and hemostasis

· to identify persons who may have an infection

· to diagnose anemia

· to identify acute and chronic illness, bleeding tendencies, and white blood cell disorders such as leukemia

· to monitor treatment for anemia and other blood diseases

· to determine the effects of chemotherapy and radiation therapy on blood cell production

· to rule out infections e.g HIV or other infectious diseases

3. Fasting blood glucose/ urine test – to rule out Diabetes Mellitus

(b) Diagnostic Purposes

1. Thyroid Function Test – check for T3/T4 and TSH level

2. Radioisotope – for e.g diffuse uptake of isotope (Grave’s Disease) vs low patchy uptake of isotope ( multinodular goiter)

3. TSHr antibody – check for the proliferation of antibody to TSH receptor

Prepared by,

Sri Murniati Rosli