30歳、女性
主訴:全身倦怠感、食思不振
Urinalysis
外観 |
褐色混濁 |
pH |
6.0 |
比重 |
1.030 |
蛋白 |
− |
糖 |
− |
潜血 |
++ |
ビリルビン |
+++ |
ウロビリノーゲン |
++ |
ケトン体 |
− |
沈渣 |
|
赤血球 |
100以上/HF |
白血球 |
6-10/HF |
扁平上皮 |
0-1/HF |
顆粒円柱 |
5-10/HF |
Hematology
RBC |
×104/μl |
189 |
|
Hb |
g/dl |
7.6 |
|
Ht |
% |
22.2 |
|
MCV |
|
117.5 |
|
MCH |
|
40.2 |
|
MCHC |
|
34.2 |
|
Retic |
‰ |
35 |
|
赤血球形態:大小不同(+)、多染性(+)、奇形(+) |
|||
WBC |
×103/μl |
15.4 |
|
Band |
|
24.5 |
|
Seg |
|
56.5 |
|
Mono |
|
12.0 |
|
Lmy |
|
5.5 |
|
Aty.Lym |
|
− |
|
Plat |
×104/μl |
3.9 |
|
PT |
sec. |
20.3(17%) |
|
APTT |
Sec. |
71.9 |
|
FDP |
μg/ml |
2-8 |
18.1 |
D-Dダイマー |
μg/ml |
<10 |
12.0 |
Fibrinogen |
mg/dl |
170-426 |
60 |
ESR |
mm/hr |
16 |
|
|
|
|
Serology
CRP |
<0.5 |
|
HBs-Ag |
|
− |
HBs-Ab |
|
− |
HCV-Ab |
|
− |
Protein
T.P. |
5.60
g/dl |
% |
Alb. |
2.43
g/dl |
43.2 |
α1-glob. |
0.13
g/dl |
2.3 |
α2-glob. |
0.20
g/dl |
3.6 |
β-glob. |
0.28
g/dl |
5.1 |
γ-glob. |
2.56
g/dl |
45.8 |
Chemistry
|
|
正常値 |
症例 |
BUN |
mg/dl |
|
27 |
Cr |
mg/dl |
|
1.6 |
Na |
mEq/L |
|
134 |
K |
mEq/L |
|
2.8 |
Cl |
mEq/L |
|
95 |
NH3 |
μg/ml |
|
123 |
T.
Bil |
mg/dl |
0.4-1.2 |
29.6 |
D.
Bil |
mg/dl |
0.1-0.4 |
17.5 |
γGTP |
U/L |
5-40 |
24 |
ALP |
U/L |
95-278 |
194 |
LAP |
U/L |
75-167 |
135 |
AST |
U/L |
11-34 |
68 |
ALT |
U/L |
4-37 |
26 |
LDH |
U/L |
286-561 |
1,402 |
ChE |
U/L |
110-258 |
85 |
FBS |
mg/dl |
|
90 |
Amylase |
U/L |
51-176 |
222 |
T.
Chol |
mg/dl |
136-200 |
65 |
TG |
mg/dl |
40-150 |
37 |
CK |
U/L |
47-212 |
157 |
CA19-9 |
U/ml |
<37 |
31 |
CEA |
|
<5.0 |
2.5 |
AFP |
|
<20 |
35 |
|
|
|
|
|
|
|
|
l
検尿所見の解釈をどうするか
l
貧血をどう考えるか
l
血清蛋白をどう考えるか
l
黄疸の特徴はなにか