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increased, elevated - Shella

Posted: Jan 27, 2012

Hello!

Aren't increased and elevated the same?

This is the sentence:

evaluate for increased elevated TSH.

Do I leave this as is or take out one of them? Which do I take out? Do I just need a comma? Can I leave it as is? Thanks!

NO, they are not! - MT

[ In Reply To ..]
Increased is a relative term, so in order for something to be "increased" you have to have a (lower) point of reference.

Elevated means higher than the upper limit (NOT LIMITS!) of normal.

That is awkward wording at best; I have never seen both terms used that way. Is that exactly how it was dictated?

Yes! - Shella

[ In Reply To ..]
It was dictated that way, and I didn't think it sounded right. Do you have any suggestions for fixing it? Thanks!

To MT, since you brought it up... - sm

[ In Reply To ..]
"Upper limitS of normal" and "upper limit of normal" are both acceptable to use. (Just to note, Stedman's expands "ULN" to "upper limitS of normal.") However, context does play a role:

ALT has an upper limit of normal of ___ for her age group.

Her ALT was within the upper limits of normal for her age.

leave as is... - sm

[ In Reply To ..]
Don't change what was dictated. Perhaps the pt is known to have an elevated TSH, and they are monitoring for further increase.

Place a comma between the words.

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