Bilete medicina de familie Bilet 1

VSH= 40/65 mm Hb= 12,5 mg% Leucocite= 9.800 Examen u ina= ! "en#itate u ina a$ 1024 ! a%bumina ab#enta ! g%uco&a ab#enta ! 'igmenti ' e&enti ! u obi%inogen ab#ent ! #a u i bi%ia e ' e&ente ! #e"iment cu a e ce%u%e e'ite%ia%e ()*mo%= 4 Su%+at "e ,n= 16 -.(= 18 /0 1(= 5,5 mg% 2o%e#te o%= 335 mg% 45= 8,5 /1 Diagnostic : Icter colestatic

Bilet 2
VSH= 30/60 mm Leucocite= 98.000 - anu%ocite= 53% 6ie%ocite= 8% 6etamie%ocite= 19% Lim+ocite= 15% Eo&ino+i%e= 3% Diagnostic : Leucemie granulocitara acuta !

Bilet 3
()*mo%= 5 (a7ata!5 a8. -.(= 300 /0 5ntigen H1# ' e&ent Diagnostic: Hepatita acuta virala B

Bilet 4
( ombocite= 2.320.000999 5ci" u ic= 11,04 mg% / ee= 0,44 mg% (2:tim' "e coagu%a e;= 3 minute 0.:in"ice%e "e ' ot ombina;= 95% Diagnostic : Trombocitemie esentiala Hiperuricemie

Bilet !
Se %acte#cent VSH= 22/44 mm ()*mo%= 8,< E%ect o+o e&a ' oteine%o $ ' oteine tota%e $ 6,<g a%bumina $ 50% a%+a1!g%obu%ine $ 5,2% a%+a2!g%obu%ine $ 10,4% beta!g%obu%ine $ 12,6 gama!g%obu%ine $ 21,8% Diagnostic: Disproteinemie marcata Hepatita cronica

Bilet "
VSH= 60/0 mm Leucocite= 9.200 =eut o+i%e ne#egmentate= 8%> #egmentate= 68% 1(= 5,20 mg% 45= 12 /1 Diagnostic: Icter colestatic #indrom inflamator

Bilet $
/ obi%inogen ' e&ent 1(= 6,40 mg% -.(= 48 /0 45= 6 /1 ()*mo%= 3 Su%+at "e ,n ' e&ent Su%+at "e 2a ' e&ent Suc "uo"ena% #%ab co%o at :in#eamna ca nu a?unge bi%a; .#eu"oco%ine#te a&a #e ica= 0,8 Diagnostic: Icter mecanic %obstructiv& 'au(e: c)ist )idatic rupt* calcul* ascari(i* giardia* polip cu pedicul lung* inflamatia peretelui* tumori %ampulom +aterian&* tumora de cap de pancreas* tumori gastrice

Bilet ,
1(= 3,20 mg% 10= 2,<5 mg% Hb= 6,5 mg% Leucocite= 3.200 ( ombocite= 100.000 L@H= 225 /0 Vit. 112= 60 mg:==100!200mg;
3

Diagnostic : Icter pre)epatic %)emolitic&- .nemie megaloblastica severa Icterul apare pe ba(a )emoli(ei )ematiilor megaloblaste care au re(istenta globulara sca(uta/

Bilet 0
VSH= 54/180 mm Leucocite= 3.200 Hematii= 3.900.000 ( ombocite= 200.000 ()*mo%= 8 Latex ag%utina ea negatiAe Ba%e !Co#e= 1/64 2e%u%e %u'ice ' e&ente -.(= 160 /0 -ama!g%obu%ina= 30% Diagnostic : Hepatita autoimuna %lupica&

Bilet 11
Hematii= 2.200.000 ( ombocite= 198.000 Leucocite= 4.600 Si"e emie= 125 gama% 1(= 3,43 mg% Ha'tog%obina #ca&uta Hemog%obinu ie minima Diagnostic : Icter )emolitic

Bilet 11
Hematii=2,4 mi%ione ( ombocite= 98.000 Leucocite=2500 Ceticu%ocite= 12% 1(=5,25 mg Si"e emie= 160 Hemo#i"e ina ' e&enta in u ina
4

Diagnostic: 2ancitopenie cu eticu%ocito&a Hipersplenism cu icter )emolitic

Bilet 12
Ht= 28% Ceticu%ocite= 12% :#emn "e egene a e me"u%a a c i&a eticu%ocita a; Si"e emie=165 gama Leucocite=6200 ( ombocite= 310.000 ( an#amina&e= 3 /0 1(= 4,13 % 45=2 /1 Diagnostic : Icter pre)epatic %)emolitic&

Bilet 13
/ obi%inogen ' e&ent 1(= 5,40% -.(= 800 /0 45= 4 /1 Diagnostic: Hepatita acuta

Bilet 14
Hematii= 2,2 mi%ioane ( ombocite= 90.000 Leucocite = 2<00 Si"e emie= 1<5 1(= 3,43% Si"e u ie ' e&enta Ha'tog%obina #ca&uta Hb ' e&ente in u ina Diagnostic : Icter pre)epatic %)emoli(a evidentiata de sideremie crescuta- siderurie etc/& 2osibil Hipersplenism datorat pancitopeniei/

Bilet 1!
Leucocite= 50.000 . omie%ocite= 2% =eut o+i%e ne#egmentate= 2%> #egmentate= 60% Lim+ocite= 18% 2 omo&omu% .)i%a"e%')ia ' e&ent9 45= 50 /1 5ci" u ic= 12 mg% Diagnostic: 3uta %)iperuricemie& Leucemie granulocitara cronica/

Bilet 1$
Hb= 14 mg% 1(= 3,25 mg% 1@= 2,80 mg% 45= 8 /1 2o%e#te o%= 325 mg% Si"e emie= 110 gama% ()*mo%= 4 (a7ata!5 a= 20 -.(= 14 /0 Ceticu%ocite= 0,5% Ha'tog%obina no ma%a Diagnostic: Icter colestatic

Bilet 1,
VSH= 60/120 mm 1(=4,15 mg Leucocite=5200 -.(= 8 /0 2o%e#te o%=295 mg 45= 12 /1 0n u ina #unt ' e&enti 'igmenti #i #a u i bi%ia e
6

Diagnostic: icter colestatic

Bilet 10
Hematii= 2.150.000 Leucocite= 16.000 =eut o+i%e ne#egmentate= 25%, #egmentate= 36% Eo&ino+i%e= 2% 1a&o+i%e= 1% 6ie%ob%a#ti "i+e entiati= 21% Diagnostic4 Leucemie mieloblastica

Bilet 21
Hematii= 2.150.000 Leucocite= 16.000 =eut o+i%e ne#egmentate= 2%, #egmentate= 36% Eo&ino+i%e= 2% 1a&o+i%e= 1% Lim+ocite= 28% 6ie%ob%a#te ne"i+e entiate= 21%> "i++e entiate= 5% Diagnostic: Leucemie mieloblastica

Bilet 21
VSH= 40/65 mm Hb= 12,5 g% Leucocite= 98.000 Ex. u ina $ "en#itate u ina a!1024 a%bumina ab#enta g%uco&a ab#enta 'igmenti ' e&enti ()*mo%= 4 -.(= 12 /0 1(= 5,5% 2o%e#te o%= 335 mg%
<

45:+o#+ata&a a%ca%ina;= 8.5 /1 Diagnostic: Icter colestatic %BT5'olesterol56.&

Bilet 23
Hematii= 3 mi%ioane ( ombocite=180000 Leucocite= 30.000 Lim+ocite=25,5% =eut o+i%e= 32% 6onocite= 40% Eo&ino+i%e= 2% 1a&o+i%e= 0,5% Diagnostic: #indrom infectios 7ononucleo(a

Bilet 24
Ht= 31% Hb= 6 mg / obi%inogen ' e&ent -D(= 24 /0 -.(= 18 /0 45= 4,8 /1 ()*mo%= 2 Diagnostic: .nemie )emolitica severa