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Cum mai stati cu analizele? (III)

Acid UricValoare Normala: 2.4-7.5 mg/dl sau 140-440 umol/l Crescuta: guta, deshidratare, insuficienta renala cronica, diuretice (tiazide), alcoolism, leucemie, limfom, mielom multiplu, boli mieloproliferative, radioterapie, anemie hemolitica, dieta bogata in nucleoproteine, malnutritie, Policitemia Vera, toxemia gravidica, medicamente (chimioterapice), diabet insipid. Scazut: Medicamente (Alopurinol, Probenecid, Salicilati, corticosteroizi, Warfarin), SIADH, Hemocromatoza, boli hepatice, boala Wilson, Sindrom Fanconi. Osmolalitatea (mOsmol / kg # mmol / kg, estimare # 2(Na) ^ Azot ureic / 2.8 ^ glc / 18) Valoare Normala: 274-296 mOsmol / kg Crescuta: deshidratare, hiperglicemie (diabet zaharat, coma hiperosmolara noncetotica), hipernatremie, uremie, diabet insipid (central sau nefrogen), toxine (etanol, metanol, etilen glicol), Medicamente (diuretice, manitol), hipercalcemie. Scazuta: hiponatremie, intoxicatie cu apa, SIADH, hiperhidratare Colesterol Total Preferabil < 200 mg/dl sau 5.18 mmol/l, borderline - risc moderat 200-239 mg/dl, risc crescut > 240 mg/dl sau > 6.20 mmol/l Factori de risc pentru boala coronariana: virsta (barbati > 44, femei > 54), fumat, HTA, HDL < 35 mg/dl, diabet, antecedente familiale, Colest / HDL > 4.5 Crescut: Hipercolesterolemie, Diabet zaharat, hipotiroidism, IMA, trimestrul 3 al sarcinii, afectiuni biliare, colestaza, obstructie biliara, Sindrom Nefrotic, dieta bogata in colesterol, sedentarism, obezitate, Hipercolesterolemie familiala, Hiperlipoproteinemii, Medicamente (steroizi, contraceptive orale, fenotiazide, Fenitoina) Scazut: malnutritie, hipertiroidism, boli hepatice, insuficienta hepatica, mielom multiplu, malabsorbtie, anemie hemolitica, Medicamente (Niacina, Alopurinol, Colchicina, INH, Mevacor, Pravachol, Cholestiramina, Zocor, Lescol, fibre) TriglicerideValori Normale: 30-135 mg/dl sau 0.34-1.52 mmol/l Crescute: Hiperlipoproteinemii primare (I-V), diabet zaharat, hipotiroidism, IMA, pancreatita acuta, alcoolism (acut sau cronic), Sindrom Nefrotic, boli hepatice, dieta bogata in lipide/glucide, guta, sarcina, Medicamente (steroizi, estrogen, contraceptive orale, lipide administrate iv), glicogenoze. Scazute: malnutritie, malabsorbtie, hipertiroidism, medicamente ce scad trigliceridemia LDL colesterol: Preferabil < 130 mg/dl, borderline - risc moderat 130-159 mg/dl, risc crescut > 160 mg/dl; (LDL # colesterol total - TG/5 - HDL) HDL colesterol: risc cardiac scazut > 45 mg/dl sau 1.16 mmol/l, risc cardiac crescut < 35 mg/dl sau 0.90 mmol/l Crescut: sport regulat, aport moderat de alcool, Niacina Scazut: fumat, sedentarism, obezitate, insuficienta renala. 

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