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분야
doc2. Past History
3. Family History
4. Present Illness (07/03/09)
5. Review of System (07/03/09)
6. Physical Examination (2009.07.03)
7. Intial Impression
8. Initial Plan
9. Image Study
10. Lab Data
11. Diagnosis
12. Progress
7. Intial Impression
Pneumonia
8. Initial Plan
IV antibiotics
Conservative care
Cardiology f/u
9. Image Study
Chest PA (07/03/09)
Increased of collapse/consolidation in RUL
10. Lab Data
일반 혈액 (07/03/09)
검사명 검사명 결과 참고치 단위 판정
CBC WBC COUNT 6.20 4.0~10.8 10^3/μL
RBC COUNT 4.30 4.5~6.1 10^6/μL L
Hemoglobin 12.7 14.0~18.0 g/dL L
Hct 38.1 40.0~50.0 % L
MCV 88.8 80.0~98.0 fL
MCH 29.6 27.0~33.0 pg
MCHC 33.4 33.0~37.0 g/dL
RDW 12.8 11.5~14.5 %
PDW(fL) - 9.0~17.0 fL
PDW(%) 62.1 25~65 %
MPV 8.6 7.4~10.4 fL
PLT Count PLT Count 154 150.0~400.0 10^3/μL
WBC Differential Count Neutrophil(%) 66.2 40~74 %
Lymphocyte(%) 22.2 19~48 %
Monocyte(%) 5.2 3.3~9 %
Eosinophil(%) 1.`4 0~7 %
Basophil(%) 0.3 0~1.5 %
LUC(%) 4.8 0~4 % H
nRBC(%) - 0.0~2.3 %
Neutrophil(#) 4.10 2~7 #
Lymphocyte(#) 1.38 1.5~4 # L
Monocyte(#) 0.32 0.2~0.8 #
Eosinophil(#) 0.09 0~0.5 #
Basophil(#) 0.02 0~0.2 #
LUC(#) 0.30 0.0~0.4 #
ESR 57 0.0~15.0 mm/hr H
혈액응고 (07/03/09)
D-dimer 515 (0~243ng/mL)
뇨 검사 (07/03/09)
Normal
일반화학 (07/03/09)
Routine
Chemistry Calcium 9.1 8.5~10.5 mg/dL
Inorganic P 5.2 2.5~4.5 mg/dL H
Glucose 83 70~110 mg/dL
BUN 9.6 5.0~25.0 mg/dL
Creatinine 0.46 0.50~1.40 mg/dL L
Uric acid 4.9 2.5~7.5 mg/dL
Cholesterol 118 100~220 mg/dL
Total protein 7.8 6.0~8.0 g/dL
Albumin 4.3 3.3~5.3 g/dL
Alk.phospatase 146 38~115 IU/L
