목차
1, Urinalysis
2, Special urinalysis
본문내용
Ⅰ, 신장 기능 선별검사
1, Urinalysis
Routine urinalysis
physical tests
color, turbidity, odor, specific gravity, pH
chemical tests
albumin, glucose, ketone, bilirubin, urobilinogen, nitrite
microscopic tests
epitherial cell, RBCs, WBCs, casts, crystals, microorgamisms Special urinalysis
physical tests
volume, osmolality chemical tests
Bence-Jones protein, amino acids, metabolites, carbohydrates (lactose, fructose, galactose), hemosiderin, porphobilinogen, serotonin metabolites (5-HIAA (hydroxy indole acetic acid)) porphyrins (uroporphyrin, coproporphyrin)
<중 략>
요로감염, 오염여부 주의.
Casts 정상 hyaline cast
waxy cast RBC cast WBC cast epithelial cell cast granular cast fatty cast
2-3 hyaline casts/all field
healthy, renal disease, exercise, fever congestive heart failure, diuretics
tubular inflammation, chronic renal failure, amyloidosis acute glomerulonephritis, lupus nephritis, SBE, renal infarction
pyelonephritis acute tubular necrosis
phelonephritis, viral infections, chronic lead poisoning, acute tubular necrosis
참고 자료
cecil medicine 23 edit. ---Arend 외-chap.428/ chap.115,121
Harrison's Principles of Internal Medicine 17th Edition---Fauci 외-part.12