Clinical situation
The patient of 50 years
complains on colicky pain in the right leg, chill and feeling
numbness stupor extremities. At walking the is complled stop, then
pain abates an alternating lameness. Recently on fingers of the right
leg trophic ulcers have appeared.
The general analysis of
blood:
Leukocytes – 9* 10 9
/l
Erythocytes or red blood
cells - 4* 10 12 /l
Biochemical blood test:
The total cholesterol -
10,3 mmol/l
Free cholesterol – 6,18
mmol/l
Esters of cholesterol –
4,12 mmol/l
Triglycerides – 5.00
mmol/l
The ratio of ophospholipids
to cholesterol – 0.8:1.7 (normal – 1.5:1.0)
The urine analysis:
Diunal diuresis (diurnal
urine exertion) – 1.8 ml
Reaction of medium –
slightly – acidic
Color – straw – yelow
Specific gravity – 1 .029
Protein – is absent
The formed elemets – are
absent
1. What are the changes
in blood and urine test?
2. Which metabolic
processes are damages?
3. With which
pathological condition it may be?
4. What is the mechanism
of these malfunctioins?
