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what the risks are endocrine glands, pituitary, tsh, thyrotropin, thyroid stimulating hormone, tsh, test that measures the amount, the hormone tsh, in the blood, adult, child, blood is drawn, a vein, the elbow, the hand, puncture site is cleaned, antiseptic, a tourniquet, around the upper arm to apply pressure, restrict blood flow, the vein, veins below the tourniquet to fill, blood, a needle is inserted, vein, blood is collected in an air-tight vial, a syringe, tourniquet is then removed, restore circulation, after blood has been collected the needle is removed, puncture site is covered to stop any bleeding, infant, young child, area is cleansed, antiseptic, punctured, a sharp needle, a lancet, blood collected, pipette, small glass tube, on a slide, onto a test strip, into a small container, a bandage applied, puncture site, any bleeding, no special preparation, infants, children, test depends on child's age, level of trust, prepare child, infant test, procedure preparation, birth to 1 year, toddler test, procedure preparation, 1 to 3 years, preschooler test, procedure preparation, 3 to 6 years, schoolage test, procedure preparation, 6 to 12 years, adolescent test, procedure preparation, 12 to 18 years, the needle is inserted to draw blood, feel moderate pain, others feel only a prick, stinging sensation, some throbbing, tsh is measured, a screening test, abnormal thyroid function, trh, a hormone produced, in the hypothalamus, stimulates the pituitary gland to release tsh, tsh subsequently stimulates the thyroid to produce thyroid hormone, t3, t4, hormones feedback, hypothalamus, pituitary to regulate the release of both tsh, trh, in certain diseases, regulation pathway is altered under-, over-production of thyroid hormone, a thyroid disorder is suspected clinically, a tsh level is obtained, an initial test, normal values, from 0.4 to 4.0 miu/l, no symptoms of an under-, over-active thyroid, thyroid disorder, tsh, between 0.3, 3.0 miu/l, treated appropriately, a tsh value over 2.5 miu/l, no signs, no other abnormal thyroid function tests, symptoms suggestive of an under-active thyroid, develop hypothyroidism sometime, in the future, anyone, a tsh, above 2.5 miu/l, followed very closely by a doctor, normal value ranges, among different laboratories, greater-than-normal levels, congenital hypothyroidism, cretinism, primary hypothyroidism, tsh-dependent hyperthyroidism, thyroid hormone resistance, lower-than-normal levels, hyperthyroidism, tsh deficiency, excessive bleeding, fainting, feeling lightheaded, hematoma, blood accumulating under the skin, infection, a slight risk, the skin is broken, multiple punctures to locate veins, drugs, affect tsh measurements, antithyroid medications, lithium, potassium iodide, amiodarone, dopamine, prednisone, veins, arteries vary in size, obtaining a blood sample.