44歳、女性
主訴:腰部痛
Urinalysis
|
2/22 |
4/19 |
外観 |
黄色、清 |
黄色、清 |
pH |
|
8.0 |
比重 |
|
1.014 |
蛋白 |
65mg/dl |
− |
糖 |
125mg/dl |
++ |
潜血 |
|
− |
ビリルビン |
|
− |
ウロビリノーゲン |
|
− |
ケトン体 |
|
− |
沈渣 |
|
|
赤血球 |
|
1-5/数 |
白血球 |
|
1-5/各 |
扁平上皮 |
|
1-2/数 |
円柱 |
|
硝子、顆粒 |
Hematology
|
|
2/22 |
4/19 |
|
RBC |
X104/μl |
308 |
233 |
|
Hb |
g/dl |
10.2 |
8.0 |
|
Ht |
% |
31.2 |
23.6 |
|
MCV |
|
101 |
|
|
MCH |
|
32.7 |
|
|
MCHC |
|
|
|
|
Retic |
‰ |
20 |
16 |
|
WBC |
X103/μl |
2.9 |
2.2 |
|
Band |
|
2 |
3 |
|
Seg |
|
28 |
35 |
|
Eosino |
|
10 |
4 |
|
Baso |
|
0 |
1 |
|
Lym |
|
53 |
49 |
|
Mono |
|
7 |
8 |
|
Aty.
Lym |
|
- |
- |
|
Plts |
X104/μl |
201 |
186 |
|
PT |
sec. |
10.2 |
10.6 |
|
|
Control(sec) |
10.9 |
10.9 |
|
APTT |
Sec. |
35.7 |
37.5 |
|
|
Control(sec) |
34.0 |
36.0 |
|
FDP |
μg/ml |
2-8 |
<5 |
<5 |
D-Dダイマー |
μg/ml |
<10 |
|
<1 |
Fibrinogen |
mg/dl |
150-400 |
370.1 |
464.2 |
AT
V |
77-110(%) |
91.1 |
|
|
ESR |
mm/hr |
51 |
75 |
Serology
|
|
2/22 |
4/19 |
CRP |
<0.5 |
0.3 |
0.4 |
HBs-Ag |
|
- |
|
HBs-Ab |
|
- |
|
HCV-Ab |
|
- |
|
STS |
|
- |
|
TPHA |
|
- |
|
Protein
|
|
2/22 |
4/19 |
T.P. |
g/dl |
7.3 |
6.7 |
Alb. |
% |
65 |
67 |
α1-glob. |
% |
3.2 |
3.2 |
α2-glob. |
% |
7.1 |
8.7 |
β-glob. |
% |
7.1 |
12.1 |
γ-glob. |
% |
17.6 |
8.9 |
A/G |
1.4-1.7 |
1.9 |
2.0 |
β2 MG |
0.8-2.4(μg/L) |
4.7 |
4.2 |
C3 |
70-130(mg/dl) |
|
108 |
C4 |
30-50(mg/dl) |
|
38 |
IgG |
800-1,8000(mg/dl) |
1,235 |
938 |
IgA |
90-400(mg/dl) |
<20 |
21 |
IgM |
60-250(mg/dl) |
28 |
31 |
Chemistry
|
|
|
2/22 |
4/19 |
Na |
mEq/L |
|
149 |
146 |
K |
mEq/L |
|
4.0 |
3.4 |
Cl |
mEq/L |
|
112 |
108 |
P |
mg/dl |
|
4.5 |
3.1 |
Fe |
μg/dl |
80-170 |
158 |
|
BUN |
mg/dl |
|
9 |
8 |
Cr |
mg/dl |
|
0.49 |
0.66 |
UA |
mg/dl |
2.0-6.0 |
4.0 |
3.3 |
T.
Bil |
mg/dl |
0.4-1.2 |
0.50 |
0.63 |
D.
Bil |
mg/dl |
0.1-0.4 |
0.17 |
0.41 |
γGTP |
U/L |
5-40 |
11 |
24 |
ALP |
U/L |
95-278 |
331 |
313 |
LAP |
U/L |
75-167 |
154 |
161 |
AST |
U/L |
11-34 |
32 |
40 |
ALT |
U/L |
4-37 |
26 |
44 |
LDH |
U/L |
286-561 |
408 |
451 |
ChE |
U/L |
110-258 |
261 |
257 |
BS |
mg/dl |
|
94 |
160 |
Amylase |
U/L |
51-176 |
171 |
169 |
T.
Chol |
mg/dl |
136-200 |
156 |
127 |
TG |
mg/dl |
40-150 |
87 |
78 |
CK |
U/L |
47-212 |
|
151 |
尿生化学 |
||||
Cr |
mg/dl |
|
69 |
|
β2 MG |
μg/L |
<250 |
47,250 |
32,915 |
l
血沈の亢進をどう理解するか
l
Clの上昇はどう理解するか
l
尿中β2 MGの増加はなにを意味するか