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ATTACHMENT

LABORATORY INDICATORS OF CLINICAL VALUE



Introductory comment



Since the Internal Diseases Guide is a textbook used in many countries around the world, preparing the Appendix, the authors took into account the fact that many laboratories use a system of international units. In this regard, when possible and necessary, the usual laboratory indicators are given in both traditional and international units. Values ​​in international units are shown in brackets after traditional units. The use of the System of International Units was supported by the 30th WHO Assembly (May 1977) in order to introduce the international language of measurement into medical practice1. The main, derived international units, other units of measurement used in this Annex are presented in Table. 1-3 applications. These and other tables of laboratory values ​​can be found at the end of the Appendix.



Ascitic fluid See table. 39-1.



Body fluids and body mass indicators



Body fluid, total volume: 50% (for obesity) - 70% (for people with reduced body weight) body weight. Intracellular fluid: 30-40% of body weight. Extracellular fluid: 20-30% of body weight. Blood: total volume in men: 69 ml / kg body weight; in women: 65 ml / kg body weight. Plasma volume in men: 39 ml / kg body weight; among women:

40 ml / kg body weight. The volume of red blood cells in men: 30 ml / kg body weight (1.15-1.21 l / m2 body surface); in women: 25 ml / kg body weight (0.95–1.00 l / m body surface).







1 SI for medical professions, Geneva, World Health Organization. 1977.

Cerebrospinal fluid1



Osmolarity - 292-297 mosm / l. Volume (adults) - 100-160 ml. Pressure - 50-180 mm of water. Art.

Electrolytes: sodium - 137–145 meq / l; potassium - 2.7–3.9 mEq / l; calcium — 2.1–3.0 meq / l; magnesium - 2.0-2.5 mEq / l; phosphorus - 12-20 mg / l; chlorides - 116-112 mEq / l; bicarbonates - 20–24 mEq / l.

PCO2 - 45-49 mm Hg. Art. pH - 7.31-7.34. Glucose - 400-700 mg / l. Lactate - 100–200 mg / l. Pyruvate - 0.078–0.081 meq / l. The ratio of lactate: pyruvate - 26,0. Total protein - 200-450 mg / l; prealbumin - 2-6%; albumin - 56-75%; ? 1-globulin - 2-7%; ? 2-globulin - 4-12%; ? -globulin - 8-16%; ? -globulin - 3-12%; IgG - 10-14 mg / l; IgA - 1-3 mg / l;

IgM - 0.1-1.2 mg / l; The rate of synthesis of IgG (-) 9.9 - (+) 3.3 mg / day. Nitrogen - 250-800 µg / l. Urea - 4.4-4.8 mmol / l. Creatinine - 5-19 mg / l. Uric acid - 2.3-2.7 mg / l. Putrestsin - 130-230 pmol / ml. Spermidine - 110–190 pmol / ml. AMP - 3-10 nmol / l. Homovanilic acid - 35–85 µg / ml. 5-hydroxyindolecetic acid - 0.03-0.05 µg / ml. 3-Methoxy-4-hydroxyphenylethylene glycol - 13-17 mg / l. The main myelin protein is less than 4 ng / ml. White blood cells: total - less than 0.004 * 10 / l; lymphocytes - 60–70%; monocytes - 30-50%; neutrophils - 1-3%.



Blood biochemical parameters



See also the “Functional Tests” section, in particular, the “Metabolic and Endocrine Tests” subsection.

Acetoacetate, plasma: less than 10 mg / l (less than 0.1 mmol / l) Albumin, serum: 35–55 g / l Aldolase: 0–8 unit / l [0–130 nmol / (s ”l)]? 1 -Antitrypsin, serum: 0.85-2.13 g / l? - Aminoazot, plasma: 30-55 mg / l (2.1-3.9 mmol / l)? -Fetoprotein (adults), serum: less than 30 mg / ml Aminotransferase serum:

Aspartic (ACT, SGS): 10–40 units. Carmen / ml; 6-18 u / l; [100-300 µmol / (s · l)] __

Alanine (ALT, SGPT): 10-40 units. Carmen / ml; 3-26 u / l [50-430 μmol / (s "l)]

Ammonia, whole blood, venous: 0.8-1.1 mg / l (47-65 µmol / l) Amylase, serum: 60-180 units. Somoggia / DL; 0.8–3.2 U / L (13–53 nmol / L) Arterial blood gas composition:

HCO3–: 21–28 mEq / l (21–28 nmol / l) PCO2: 35–45 mm Hg Art. (4.7–6.0 kPa) pH: 7.38–7.44 Po2: 8–100 mm Hg. Art. (11–13 kPa)

Ascorbic acid (vitamin C), serum: 4–10 mg / l (23–57 μmol / l).

Leukocytes: 250–400 mg / l (1420–2270 μmol / l).

Barbiturates, serum: not detected, phenobarbital, “potentially lethal” level (Schrainer): approximately 90 mg / l (390 μmol / l). Barbiturates of the shortest action: 35 mg / l (150 μmol / l). General bases, serum: 145–155 meq / l (145–155 mmol / l).
? -Hydroxybutyrate, plasma: less than 30 mg / l (less than 0.3 mmol / l). Total bilirubin, serum (Malloy — Evelyn): 3–10 mg / l (5.1–17 μmol / l); direct bilirubin, serum: 1–3 mg / l (1.7–5.1 μmol / l), indirect bilirubin, serum: 2–7 mg / l (3.4–12 μmol / l).



1 Since the values ​​of the parameters of cerebrospinal fluid are equal to the corresponding values ​​of blood, it is recommended to use blood plasma for analysis.

Ceruloplasmin serum:

Bromides, serum: not determined. Toxic levels: more than 17 meq / l;

1500 mg / l (17 mmol / l). Bromsulfalen, BSF (5 mg / kg body weight, intravenously): a delay in the body after 45 minutes is not more than 5%.

C-reactive protein, serum: 0.07–8.2 mg / l.

Calciferols (vitamin D), plasma: 1,25-dihydroxyvitamin D [1.25 (OH) 2D]: 20–60 pg / ml (48–144 nmol / l). 25-Hydroxyvitamin D [25 (OH) D]:

8–42 ng / ml (20–100 µmol / l).

Calcium ionized: 2.3-2.8 mEq / l; 45–56 mg / l (1.1–1.4 mmol / l).

Calcium, plasma: 4.5-5.5 mEq / l; up to 105 mg / l (2.2-2.6 mmol / l).

C02 binding force, serum (sea level): 21–28 mEq / l; 50–65% by volume (21–28 mmol / l).

Content of COA, plasma (sea level): 21–30 mEq / l; 50-70% by volume (21-30 mmol / l).

Voltage C02, arterial blood (sea level): 35-45 mm Hg. Art. (4.7–6.0 kPa).

Carbon monoxide content, blood: no symptoms when hemoglobin is more than 20% saturated.

Carcinoembryonic antigen (CEA): 0-2.5 ng / ml (in healthy non-smokers) (0-2.5 µg / l).

Carotenoids, serum: 0.5-3 mg / l (0.9-5.6 micromol / l). 270–370 mg / l (1.8–2.5 µmol / l).

Chlorides, serum (as C1 ~): 98–106 mEq / l (98–106 mmol / l).

Cholesterol, see tab. 4 Applications.

Serum complement: General hemolytic (CHso): 150-250 units / ml.

NW: 0.55-1.20 g / l. C4: 0.20—0.50 g / l.

Copper, serum (mean ± 1 standard deviation): 114 ± 14 µg / dl (17.9 µmol / L).

Creatine phosphokinase, serum (total): women - 10–70 units / ml [0.17–1.18 mmol / (s) l]; men: 25–90 units / ml [0.42–1.51 mmol / (s ”l)].

Isoenzymes, serum: fraction 2 (MB) less than 5% of the total.

Creatinine, serum: less than 15 mg / l (less than 133 μmol / l).

Digoxin, serum: therapeutic level: 1.2 ± 4 ng / ml (1.54 ± 0.5 nmol / l); toxic level: more than 2.4 ng / ml (more than 3.2 nmol / l).

Ethanol, blood: mild or moderate intoxication: 0.8–2.0 g / l (17–43 mmol / l); severe intoxication: 2.5-4.0 g / l (54-87 mmol / l); severe intoxication: more than 4.0 g / l (more than 87 mmol / l).

Free (unesterified) fatty acids, plasma: less than 180 mg / l (less than 0.7 mmol / l).

Ferritin, serum: 15–200 ng / ml (15–200 µg / l). fibrinogen, plasma: see the section "Platelets and blood clotting."

Fibrinogen cleavage products: see the section "Platelets and blood clotting."

Folic acid, serum: 6-15 ng / ml (14-34 nmol / l).

Folic acid, erythrocytes: 150-450 ng / ml of cells (340-1020 nmol / l of cells). y-g lutamyltransferase (transpeptidase), serum: 4–60 units / l [0.07– 1.00 μmol / (s ”l)].

Gastrin, serum: 40–200 pg / ml (40–200 ng / l).

Globulins, serum: 20-30 g / l.

Glucose (fasting), plasma: the norm - 750-1150 mg / l (4.2-6.4 mmol / l).

Diabetes mellitus: more than 1400 mg / l (with more than a single measurement) (more than 7.8 mmol / l). Glucose, 2 hours after a meal, plasma: the norm is less than 1400 mg / l (less than 7.8 mmol / l). Impaired glucose tolerance: 1400–2000 mg / l (7.8–11.1 mmol / l). Diabetes mellitus: more than 2000 mg / l (more than 11.1 mmol / l), with more than a single measurement. Blood hemoglobin (sea level): men - 140–180 g / l (8.7–11.2 mmol / l); women - 120–160 g / l (7.4–9.9 mmol / l). Hemoglobin Aic: up to 6% of total hemoglobin.

Immunoglobulins, serum: IgA: 0.9–3.2 g / l; IgD: 0–0.08 g / l; IgE less than 0.00025 g / l; IgG: 8.0-15.0 g / l; IgM: 0.45–1.5 g / l.

Iron, serum: men and women (mean ± 1 standard deviation
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ATTACHMENT

  1. Applications
    APPENDIX 1 {foto17} APPENDIX 2 {foto18} APPENDIX 3 {foto19} APPENDIX 4 {foto20} {foto21} APPENDIX 5 {foto22} APPENDIX 6 {foto23} APPENDIX 7 {foto24} APPENDIX 8 {foto25} {foto26} APPENDIX 6 } APPENDIX 10 ADAPTABILITY 1. It happens that I am angry. 2. Usually in the morning I
  2. Appendix 2
    San PiN 2.3.2.1324-03 "Hygienic requirements for shelf life and storage conditions of food products" Storage conditions, shelf life of perishable and perishable goods at a temperature of 4 +/- 2 ° C (except paragraphs 39-42, 56) {foto25} Continued Annex 2 {foto26} {foto27} Continuation of application 2 {foto28} {foto29} Continuation of application 2
  3. Appendices 2 and 3
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  4. Application design
    Applications (add-ons) are numbered in large letters of the Ukrainian alphabet (and we write: add-on A, add-on B, etc.). When in the text you refer to the application, you do this in parentheses, for example: (div. Dod. A, page 54). The application necessarily bears the name: that is, we write “dodatok A”, and below what it is, for example: Dodatok A. The questionnaire is fixed for the link of singers
  5. Appendix 3
    Evaluation scale of the quality of sunflower oil used as frying {foto37} Appendix 4 Evaluation scale of cooking fats used as frying {foto38} Appendix 5 The scheme of accounting for the use of deep fat
  6. Appendix 5
    Report on the results of psychological work in (name of the military unit) for 200 (period) 1) The report is addressed to the commander of the military unit and the head of the higher education authority. 2) The report is signed by the deputy commander of the military unit for educational work. 3) The report is submitted following the results of the winter period of study and for the academic year
  7. APPLICATIONS
    Appendix 1 1. Student’s t-test boundary values ​​for confidence values ​​of 0.95; 0.99; 0,999 {foto66} Appendix 2. 2. Transfer of ranks to the wall scale. {foto67} Appendix 3 4. Dependence of the proportion of suitable persons (in%) in the selected group on the validity of the test, the relationship of selection and the difficulty of the profession. {foto68} {foto69} ANNEX 4 4.Psychological
  8. Appendix 5
    ON THE INTRODUCTION TO THE NOMENCLATURE OF MEDICAL AND PROVISOR SPECIALTIES "TRANSFUSIOLOGY" (Order of the Ministry of Health of the Russian Federation N 172 of May 29, 1997) Transfusion therapy is widely used in the treatment of various diseases and injuries, surgical interventions. The scientific and practical basis for transfusion therapy, the organization and activities of the blood service and transfusiological assistance in therapeutic and prophylactic
  9. Appendix 6
    Report on the results of the socio-psychological study of the recruitment replenishment spring (autumn) of 200 in (name of the military unit) 1) The report is addressed to the commander of the military unit and the head of the higher authority of educational work. 2) The report is signed by the deputy commander of the military unit for educational work. 3) The report is submitted on the basis of the winter
  10. Annex 1
    Norms of sanitary clothes, sanitary shoes and sanitary gear for workers of catering {foto23} Continuation of Annex 1
  11. Annexes to the relevant subsections of section 2.
    "The quantitative and qualitative composition of emissions of pollutants into the air from the main technological processes" Appendix 2.2.1. Dust formation during machining of wood [1, 6] {foto22} {foto23} {foto24} {foto25} {foto26} {foto27} {foto28} Appendix 2.2.2. The dispersed composition of the dust generated during the main machining processes
  12. APPLICATIONS
    Appendix 1 The list of infectious forms in which military personnel are subject to treatment in the isolation ward of a medical center of the Influenza and other acute respiratory diseases: mild and moderate forms, uncomplicated. Angina primary, follicular and lacunar forms, uncomplicated. Worm invasions. Patients with severe flu and tonsillitis, with complications and all others.
  13. Applications
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