Situational task №3/7

Protein electrophoresis of blood

8 years aged child

Protein, total 46 g/l

Albumin 29%

Globulin:

α₁ 8%

α₂ 10%

β 14%

γ 39%

А/G ratio 0,74

1. Estimate the analysis.

2. What is your preliminary diagnosis?

Situational task №3/8

Sputum analysis of 8 years aged child

Consistency mucoid, tenacious

Color and transparence vitreous, transparent

Epithelium: squamosus 1-2 /hpf

columnar 1/3 hpf

RBC 1-2 / hpf

WBS 30-40 / hpf

eosinophiles 70%

lymphocytes 20%

neutrophiles 10%

1. Estimate the analysis.

2. What is your preliminary diagnosis?

Situational task №3/9

Urinalysis of 9 years aged girl

Amount 100,0

Appearence clear

Specific gravity 1.022

рН 6,0

Protein 4,6 g/l

Glucose -

Transitional epithelial cells 0-1 /hpf

WBC 5-6 /hpf

Dismorphic RBCs 1/4 /hpf

Casts:

Hyaline 0-1 /hpf

Granular 2-5 /hpf

1. Estimate the analysis.

2. What is your preliminary diagnosis?

Situational task №3/10

Urinalysis of 15 years aged boy

Amount 100,0

Appearence clear

Specific gravity 1.011

рН 5,5

Protein 0,035 g/l

Glucose -

WBC 5-7 /hpf

Dismorphic RBCs total hpf

RBC casts 5-10 /hpf

1. Estimate the analysis.

2. What is your preliminary diagnosis?

Situational task №3/11

Urinalysis of 14 years aged boy

Amount 150,0

Appearence cloudy

Specific gravity 1.022

рН 8.0

Protein 0,056 g/l

Glucose -

Epithelial cells 3-5 /hpf

WBC 1/2 /hpf

RBC 1-3 /hpf

Crystals oxalate – plenty

1. Estimate the analysis.

2. What is your preliminary diagnosis?

Situational task №3/12

Total blood count of 12 years aged child

Hemoglobin 48 g/l

RBC 1,8·10¹²/l

Color index 0,8

Reticulocytes 1‰

Platelets 12·10⁹/l

WBC 0,5·10⁹/l (totally 50 cells)

Neutrophil granulocytes 25%

Lymphocytes 20%

Monocytes 5%

ESR 80 mm/hour

1. Estimate the analysis.

2. What is your preliminary diagnosis? Situational task №3/13

Troponin Level in blood serum of 8 years aged child

Troponin І 1,4 ng/l (normal value 0-0,5 ng/l)

Troponin Т 12,2 ng/l (normal value 0-1 ng/l)

What is your preliminary diagnosis?

Situational task №3/14

Total blood count of 7 years aged child

Hemoglobin 65 g/l

RBC 2.3·10¹²/l

Color index 0,85

Reticulocytes 3‰

Platelets 12·10⁹/l

WBC 100·10⁹/l

Neutrophil granulocytes 18%

Lymphocytes 60%

Monocytes 2%

Blast cells 20%

ESR 56 mm/hour

1. Estimate the analysis.

2. What is your preliminary diagnosis?