ujdgusfguisdfbds dfg sdfgdsgfd hgfd hdfhnjdfgbjksdbfdsfvfd h fdh fdgh Bilete medicina de familie Bilet 1 VSH= 40/65 mm Hb= 12,5

mg%ltkyjopfgykprtuhy yht fghfg h fg jh gf jh fg j ghkjhgk hgk h k ghk hg k gh k gh k gh k hj klg klhg k g ik fg jg h k Leucocite= 9.800 Examen urina= - densitate urinara: 1024 albumina absenta glucoza absenta pigmenti prezenti urobilinogen absent saruri biliare prezente sediment cu rare celule epiteliale Thymol= 4 Sulfat de Zn= 16 GPT= 18 UI

BT= 5,5 mg% Colesterol= 335 mg% FA= 8,5 UB Diagnostic : Icter colestatic Bilet 2 VSH= 30/60 mm Leucocite= 98.000 Granulocite= 53% Mielocite= 8% Metamielocite= 19% Limfocite= 15% Eozinofile= 3% Diagnostic : Leucemie granulocitara acuta !

Bilet 3 Thymol= 5 Takata-Ara . GPT= 300 UI Antigen HBs prezent Diagnostic: Hepatita acuta virala B Bilet 4 Trombocite= 2.320.000!!! Acid uric= 11,04 mg% Uree= 0,44 mg% TC(timp de coagulare)= 3 minute IP(indicele de protrombina)= 95% Diagnostic : Trombocitemie esentiala ; Hiperuricemie Bilet 5 Ser lactescent VSH= 22/44 mm Thymol= 8,7 Electroforeza proteinelor : proteine totale : 6,7g albumina : 50% alfa1-globuline : 5,2% alfa2-globuline : 10,4% beta-globuline : 12,6 gama-globuline : 21,8% Diagnostic: Disproteinemie marcata ? Hepatita cronica

Bilet 6

VSH= 60/0 mm Leucocite= 9.200 Neutrofile nesegmentate= 8%; segmentate= 68% BT= 5,20 mg% FA= 12 UB Diagnostic: Icter colestatic; Sindrom inflamator Bilet 7 Urobilinogen prezent BT= 6,40 mg% GPT= 48 UI FA= 6 UB Thymol= 3 Sulfat de Zn prezent Sulfat de Ca prezent Suc duodenal slab colorat (inseamna ca nu ajunge bila) Pseudocolinesteraza serica= 0,8 Diagnostic: Icter mecanic (obstructiv); Cauze: chist hidatic rupt/ calcul/ ascar izi/ giardia/ polip cu pedicul lung/ inflamatia peretelui/ tumori (ampulom Vater ian)/ tumora de cap de pancreas/ tumori gastrice Bilet 8 BT= 3,20 mg% BI= 2,75 mg% Hb= 6,5 mg% Leucocite= 3.200 Trombocite= 100.000 LDH= 225 UI Vit. B12= 60 mg(N=100-200mg) Diagnostic : Icter prehepatic (hemolitic), Anemie megaloblastica severa ;Icterul apare pe baza hemolizei hematiilor megaloblaste care au rezistenta globulara sc azuta. Bilet 9 VSH= 54/180 mm Leucocite= 3.200 Hematii= 3.900.000 Trombocite= 200.000 Thymol= 8 Latex aglutinarea negative Waler-Rose= 1/64 Celule lupice prezente GPT= 160 UI Gama-globulina= 30% Diagnostic : Hepatita autoimuna (lupica) Bilet 10 Hematii= 2.200.000 Trombocite= 198.000 Leucocite= 4.600 Sideremie= 125 gama% BT= 3,43 mg% Haptoglobina scazuta Hemoglobinurie minima Diagnostic : Icter hemolitic

Bilet 11 Hematii=2,4 milione Trombocite= 98.000 Leucocite=2500 Reticulocite= 12% BT=5,25 mg Sideremie= 160 Hemosiderina prezenta in urina Diagnostic: Pancitopenie cu reticulocitoza ? Hipersplenism cu icter hemolitic Bilet 12 Ht= 28% Reticulocite= 12% (semn de regenerare medulara ? criza reticulocitara) Sideremie=165 gama Leucocite=6200 Trombocite= 310.000 Transaminaze= 3 UI BT= 4,13 % FA=2 UB Diagnostic : Icter prehepatic (hemolitic) Bilet 13 Urobilinogen prezent BT= 5,40% GPT= 800 UI FA= 4 UB Diagnostic: Hepatita acuta Bilet 14 Hematii= 2,2 milioane Trombocite= 90.000 Leucocite = 2700 Sideremie= 175 BT= 3,43% Siderurie prezenta Haptoglobina scazuta Hb prezente in urina Diagnostic : Icter prehepatic (hemoliza evidentiata de sideremie crescuta, sider urie etc.) ; Posibil Hipersplenism datorat pancitopeniei.

Bilet 15 Leucocite= 50.000 Promielocite= 2% Neutrofile nesegmentate= 2%; segmentate= 60% Limfocite= 18% Cromozomul Philadelphia prezent! FA= 50 UB Acid uric= 12 mg% Diagnostic: Guta (hiperuricemie); Leucemie granulocitara cronica.

Bilet 17 Hb= 14 mg% BT= 3,25 mg% BD= 2,80 mg% FA= 8 UB Colesterol= 325 mg% Sideremie= 110 gama% Thymol= 4 Takata-Ara= 20 GPT= 14 UI Reticulocite= 0,5% Haptoglobina normala Diagnostic: Icter colestatic Bilet 18 VSH= 60/120 mm BT=4,15 mg Leucocite=5200 GPT= 8 UI Colesterol=295 mg FA= 12 UB In urina sunt prezenti pigmenti si saruri biliare Diagnostic: icter colestatic Bilet 19 Hematii= 2.150.000 Leucocite= 16.000 Neutrofile nesegmentate= 25%, segmentate= 36% Eozinofile= 2% Bazofile= 1% Mieloblasti diferentiati= 21% Diagnostic= Leucemie mieloblastica Bilet 20 Hematii= 2.150.000 Leucocite= 16.000 Neutrofile nesegmentate= 2%, segmentate= 36% Eozinofile= 2% Bazofile= 1% Limfocite= 28% Mieloblaste nediferentiate= 21%; differentiate= 5% Diagnostic: Leucemie mieloblastica Bilet 21 VSH= 40/65 mm Hb= 12,5 g% Leucocite= 98.000 Ex. urina : densitate urinara-1024 albumina absenta glucoza absenta pigmenti prezenti Thymol= 4 GPT= 12 UI

BT= 5,5% Colesterol= 335 mg% FA(fosfataza alcalina)= 8.5 UB Diagnostic: Icter colestatic (BT+Colesterol+FA) Bilet 23 Hematii= 3 milioane Trombocite=180000 Leucocite= 30.000 Limfocite=25,5% Neutrofile= 32% Monocite= 40% Eozinofile= 2% Bazofile= 0,5% Diagnostic: Sindrom infectios ? Mononucleoza Bilet 24 Ht= 31% Hb= 6 mg Urobilinogen prezent GOT= 24 UI GPT= 18 UI FA= 4,8 UB Thymol= 2 Diagnostic: Anemie hemolitica severa

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