65歳、男性
主訴：意識喪失、ショック状態
Urinalysis
|
外観 |
褐色、清 |
|
pH |
4.5 |
|
比重 |
1.020 |
|
蛋白 |
− |
|
糖 |
++ |
|
潜血 |
− |
|
ビリルビン |
＋ |
|
ウロビリノーゲン |
＋ |
|
ケトン体 |
＋ |
|
沈渣 |
− |
Hematology
|
|
|
正常値 |
症例 |
|
RBC |
×104/μl |
|
287 |
|
Hb |
g/dl |
|
8.7 |
|
Ht |
% |
|
26.6 |
|
MCV |
|
83−93 |
93.7 |
|
MCH |
|
27−32 |
31.0 |
|
MCHC |
|
32−37 |
32.7 |
|
Retic |
‰ |
|
35 |
|
WBC |
×103/μl |
|
17.46 |
|
Band |
|
|
6.0 |
|
Seg |
|
|
85.0 |
|
Mono |
|
|
3.0 |
|
Lym |
|
|
6.0 |
|
Aty.
Lym |
|
|
− |
|
Plts |
×104/μl |
|
5.7 |
|
PT |
sec.(%) |
|
12.7(47) |
|
APTT |
Sec.(%) |
|
27.7(51) |
|
Fibrinogen |
mg/dl |
170-426 |
150 |
|
FDP |
μg/ml |
16-56 |
42 |
|
ESR |
mm/hr |
|
32 |
Serology
|
|
正常値 |
症例 |
|
CRP |
<0.5 |
0.4 |
|
HBs-Ag |
|
− |
|
HBs-Ab |
|
− |
|
HCV-Ab |
|
＋ |
Protein
|
|
|
正常値 |
症例 |
|
T.P. |
g/dl |
|
6.8 |
|
Alb. |
g/dl |
|
2.7 |
|
α1-glob. |
g/dl |
|
0.54 |
|
α2-glob. |
g/dl |
|
0.52 |
|
β-glob. |
g/dl |
|
0.74 |
|
γ-glob. |
g/dl |
|
2.3 |
Chemistry
|
|
|
正常値 |
症例 |
|
BUN |
mg/dl |
|
21 |
|
Cr |
mg/dl |
|
0.8 |
|
Na |
mEq/L |
|
133 |
|
K |
mEq/L |
|
4.5 |
|
Cl |
mEq/L |
|
101 |
|
NH3 |
μg/ml |
|
43 |
|
T.
Bil |
mg/dl |
0.4-1.2 |
2.5 |
|
D.
Bil |
mg/dl |
0.1-0.4 |
1.24 |
|
γGTP |
U/L |
5-40 |
326 |
|
ALP |
U/L |
95-278 |
593 |
|
LAP |
U/L |
75-167 |
133 |
|
AST |
U/L |
11-34 |
145 |
|
ALT |
U/L |
4-37 |
110 |
|
LDH |
U/L |
286-561 |
1,038 |
|
ChE |
U/L |
110-258 |
89 |
|
FBS |
mg/dl |
|
190 |
|
Amylase |
U/L |
51-176 |
59 |
|
T.
Chol |
mg/dl |
136-200 |
122 |
|
TG |
mg/dl |
40-150 |
130 |
|
CPK |
U/L |
47-212 |
55 |
|
CA19-9 |
U/ml |
<37 |
31 |
|
CEA |
ng/ml |
<5.0 |
2.0 |
|
AFP |
ng/ml |
<20 |
1,200 |
l
検尿所見はなにか
ビリルビン、ウロビリノーゲン、ケトン体をどう解釈するか
l
貧血はどんな特徴か
このようなパターンを呈する貧血にどんな疾患があるか
l
肝障害の特徴はなにか