Investigaii paraclinice

Hematologie
Hemoglobin (HGB)
Eritrocite
Hematocrit
Volum eritrocitar mediu
HGB eritrocitar medie
Concentraia medie HGB
Leucocite
Limfocite
Eozinofile
Monocite
Bazofile
Neutrofile
Trombocite
Volum trombocitar mediu
VSH
Fibrinogen

g/dL
x106 / L
%
fL
pg
g/dL
x103 / L
x103 / L (30,7 %)
x103 / L (4,4%)
x103 / L (6,2%)
x103 / L (0,2%)
x103 / L (58,6 %)
x103 / L
fL
mm la 1h
mg/dL

Biochimie
Glicemie sg. venos mg/dL
ALAT (ALT, GPT)
U/L
ASAT (AST, GOT)
U/L
Creatinina seric
mg/dL
Uree seric
mg/dL
Acid uric seric
mg/dL
Colesterol seric
mg/dL
HDL-colesterol
mg/dL
LDL-colesterol
mg/dL
Trigliceride serice
mg/dL
Lipide totale
mg/dL
Fosfataza alc. seric U/L
GGT
U/L
Creatinfosfokinaza (CK total)
Bilirubin total
mg/dL
Bilirubin direct
mg/dL
Bilirubin indirect
mg/dL
Proteine totale serice g/dL
Calciu seric total
mg/dL
Calciu ionic seric
mg/dL
Magneziu seric
mg/dL
Fier seric
g/dL
Ionograma seric
Sodiu
mMol/L
Potasiu
mMol/L
Clor
mMol/L
Hemoglobina glicozilat HBA1c
TTGO:
Glicemie a jeun

(N: 74-106 mg/dL)

(N < 50 U/L)
(N < 50 U/L)
(N : 0,51-1,17 mg/dL)
(N: 17-43 mg/dL)
(N: 2,6-7,2 mg/dL)
(N < 200 mg/dL)
(N : 40-60 mg/dL)
(N : 50-100 mg/dL)
(N < 150 mg/dL)
(N: 400 -800 mg/dL)
(N : 30 -120 U/L)
(N : < 55 U/L)
(N: 38-171 U/L)
(N : 0,3-1,2 mg/dL)
(N < 0,2 mg/dL)
(N : 0,3- 1 mg/dL)
(N : 6,6-8,3 g/dL)
(N : 8,8-10,6 mg/dL)
(N : 3,8-4,5 mg/dL)
(N : 1,58-2,55 mg/dL)
(N : 35-168 g/dL)
(N : 135-155 mMol/L)
(N : 3,5-5,5 mMol/L)
(N : 90-110 mMol/L)
5,9 % (N: 4-6%)
mg/dL

Glicemie 2h post-75 g glucoz pulvis mg/dL

Imunologie
IgE
IgA
IgG
IgM
CRP
Complement C4
Complement C3
C1-INH
ASLO
Crioglobuline

UI/mL (N < 100 UI/mL)

g/L
(N : 0,7-4 g/L)
g/L
(N : 7-16 g/L)
g/L
(N : 0,4-2,3 g/L)
mg/L (N < 3 mg/L)
0, g/L (N : 0,1-0,4 g/L)
0, g/L (N : 0,9-1,8 g/L)
0, g/L (N : 0,21-0,39 g/L)
UI/mL ( <200 UI/mL)
absent (72 ore)

Ag HBs
Ac anti-HCV
Ac anti HIV 1 i 2
Ac anti-ADNdc
Factor reumatoid (FR)

absent
absent
absent
negativ
< UI/mL

IgG anti-Helicobacter pylori

Ac. anti-M.tuberculosis
Ag carcinoembrionar (CEA)
Alfa-fetoproteina (AFP)
Ag specific prostatic (PSA)
RPR Carbon sifilis

absent
absent
absent
absent
absent
absent

Ac.anti-tireoperoxidaz (ATPO)
Free T4
TSH
Free T3
Free T4

(imunocromatografic)
(imunocromatografic)
(imunocromatografic)
(latex aglutinare)
(N <60 UI/mL) (turbidimetrie)
(imunocromatografic)
(imunocromatografic)
(imunocromatografic)
(imunocromatografic)
(imunocromatografic)

> UI/mL
ng/dL
UI/mL
.... pg/mL
.... ng/dL

Prob functional respiratorie (flow screen)

Pred
Act
FVC
3,73
3,6
FEV1
3,24
2,84
FEV1/FVC
82,4
80,3
PEF
7,19
5,9
FEF50
4,45
3,31
Bronhodilatator inhalator salbutamol (Ventolin) 200mcg
Exsudat faringian:
Exsudat nazal
Urocultur

(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)
(imunonefelometrie)

(N < 5,61 UI/mL)

(N : 0,7-1,48 ng/dL)
(N : 0,35-4,94 UI/mL)
(N : 1,71-3,71 pg/mL)
(N : 0,70-1,48 ng/dL)
%Pred
96
89
97
82
74

(CMIA)
(CMIA)
(CMIA)
(CMIA)
(CMIA)

postbronhodilatator
3,63
3,06
84,1
5,55
4,98

%Ref
101
106
105
94
151

Candida absent, stafilococ auriu absent, streptococ beta-hemolitic absent.

Candida prezent, streptococ beta-hemolitic absent, stafilococ auriu absent.
negativ (< 1000 UFC/mL)

Electroforeza proteinelor serice

%
g/L
Albumin

Globuline
Alfa 1
Alfa 2
Beta 1
Beta 2
Gama
Raport A/G

Exsudat faringian
Exsudat nazal

Candida absent, stafilococ auriu absent, streptococ beta-hemolitic absent.

Candida absent, streptococ beta-hemolitic absent, stafilococ auriu absent.

Ex. sumar urin

pH 6, :1015, proteine, nitrii, corpi cetonici, glucoz, leucocite, eritrocite absente

Ex. sumar urin

(analizor iRICELL)

pH 6, SG:1015, proteine, nitrii, corpi cetonici, glucoz negativ

bilirubin negativ, urobilinogen normal, leucocit esteraza negativ
epitelii plate, celule epiteliale nonscuamoase, tranziionale, renale: absente
leucocite absente, hematii absente, mucus absent,
cilindri hialini i granuloi abseni, Trichomonas absent,
cristale de oxalat de calciu, acid uric, trifosfat absente,
flor microbian absent, bacili, levuri, filamente levuri absente

Urocultur

negativ (< 1000 UFC/mL).

Proba funcional ventilatorie (Flow-screen):

Valori bazale normale CVF ( L, % prezis), VEMS ( L, % prezis), FEV1/FVC % i FEF50 ( L/s, % prezis),
cu/fr creteri semnificative post-bronhodilatator (Ventolin inhaler 200 mcg) a VEMS la % ref
Probe funcionale ventilatorii (flow-screen) n timpul tratamentului controller cu ......
Prezis actual
procent
FVC
FEV1
FEV1/FVC
FEF50
Prob funcional ventilatorie (flow screen)
Pred
Act
FVC
3,74
3,54
FEV1
3,27
3,5
FEV1/FVC
84,2 %
99 %
PEF
7,18
6,47
FEF50
4,55
5,25
*Bronhodilatator inhalator Salbutamol 200 g

postbronhodilatator

%Pred
94 %
107 %
90 %
115 %

Post-bronh*
3,93
3,73
95 %
6,33
5,08

%Ref
111 %
107 %
98 %
97 %

ECG: RS, AV= /min, QTc= ms.

Rx cord-pulmon (Dr. Gavril Simona):
Fr leziuni pleuro-pulmonare evolutive. Cord normal.
Ecografie abdominal i pelvin (Dr. Pun Marconescu):
Ficat lob stng dimensiuni normale i lob drept uor mrit, structur omogen.
Colecist alungit, fr calculi. CBP - aspect normal.
Rinichi drept dimensiuni normale, parenchim normal; rinichi stng dimensiuni normale, parenchim
normal, posibil duplicitate pielo-caliceal.
Splin ax lung 12 cm, structur omogen.
Pancreas normal.
Prostat uor mrit diametru transvers, structur normal./ Fr imagini patologice n micul bazin.
Consult ORL (Dr. Ion Toporeanu): Rinit cronic.

Consult endocrinologic (Dr. Iulia Calot):

Markeri de imunitate umoral prezeni, dozri hormonale n limite normale.
Consult cardiologic (Dr. A. Hussein):
HTA. CIC. Se recomand
Consult reumatologic (Dr. Mariana Racu):
cu recomandare de test provocare la etoricoxib (Arcoxia).
Consult oftalmologic (Dr. Adrian Burloiu):
Ex. sediment urinar epitelii plate, celule epiteliale nonscuamoase, tranziionale, renale: absente
(analizor iRICELL)
leucocite absente, hematii absente, mucus absent,
cilindri hialini i granuloi abseni, Trichomonas absent,
cristale de oxalat de calciu, acid uric, trifosfat absente,
flor microbian absent, bacili, levuri, filamente levuri absente