Esempio di scheda per screening della calcolosi

AMBULATORIO CALCOLOSI RENALE - screening metabolico

Paziente:                                                        

REGIME DIETETICO:

Calcio,    Fosforo,    Ossalato,    proteine,    %di proteine animali,   Calorie, 

Foglio n°

Peso-Kg

Altezza-cm

Superficie-m²

 DATA

Valori normali

 DATA

valori normali

 Esami delle 24 ore

 Esame urine spot

Volume-ml/24h

>1000

pH

VMU

v.d.

PS

Creatinina-s

0.8-1.4 mg%

Glucosio

Creatinina-u-mg/24h

800-1800

Proteine

Creatinina-u-(mg%)/24h

v.d.

Hb

Creatinina-u/Kgpc/die

v.d.

♀15-20, ♂20-25

Sedimento

Creat.clearance-corr/1.73m²

v.d.

70-140 ml/min

Creatinina-fast (mg%)

Urea-s

11-50 mg%

Calcio-fast (mg%)

Urea-u-g/24h

Stima Ca/creat/24h

v.d.

<250-♀;<300-♂

Urea clearance

v.d.

60-90 ml/min

Citrato-fast (mg%)

Assunzione proteica

v.d.

uricuria-fast (mg%)

Calcemia-tot.

8.4-10.4 mg%

Creatinina-load (mg%)

☺

Calciuria-mg/24h

<250-♀;<300-♂

Calcio-load (mg%)

☺

Calciuria-mg/Kg/24h

v.d.

<4

Calcio/creat-fast

v.d.

<0.12

Calciuria/creat/24h

v.d.

<0.20

CaE (mg/100 ml GFR)

v.d.

<0.11

Ossaluria-mg/24h

20-40

Calcio/creat-load

v.d. ☺

<0.17

Ossaluria-mg/Kg/24h

v.d.

<0.7

Citrato/creat-fast

v.d.

>0.15

Ossaluria/creat/24h

v.d.

<0.024

Uricuria/creat-fast

v.d.

<0.4

Ossaluria/calciuria 24h

v.d.

< 0.2

[Ac.urico libero] mg/l

v.d.

<100 mg/l (pH)

Fosforemia

2.4-4.5 mg%

Na(mEq/L)

Fosfaturia-mg/24h

400-1000

K (mEq/L)

Fosfaturia/creat/24h

v.d.

<0.55

Cl (mEq/L)

TmP/GFR

v.d.

2.5-5

Anion-Gap

v.d.

>-40

TRP%

v.d.

>80

Metabolismo osseo

Uricemia

3-7.5 mg%

PTH-s

10-72 pg/ml

Uricuria-mg/24h

250-750

Ca++

☺

Uricuria/creat/24h

v.d.

0.3-0.4

Idrossiprolina-u

mg/l

Ac.urico totale   mg/l

v.d.

Deossipiridinolina-u

nm/l

pH-u/24h

<6.5

Telopeptide-u

nm/l

[ac.urico libero] mg/l

v.d.

<100 mg/l (pH)

Creatinina-u

mg%

Citraturia-mg/24h

(♂4-600; ♀:6-800)

OHprol/creat.

v.d.

<0.025

Citraturia/Creat/24h

v.d.

0.2-0.4

Deossipiridinolina/creat.

v.d.

<8

Citraturia/100 ml GFR

v.d.

>288 mg

Telopeptide/creat.

v.d.

<47

Citraturia/Calciuria

v.d.

F>3,7 - ♂>4.4

Fosfatasi alcalina ossea  |       ☺

♀10-22 ♂12-23U/L

Assorbimento netto GI alcali

v.d.

Osteocalcina

☺

<14 ng/ml

Na-s

136-145 mEq/l

Vitamina-D-25(OH)

☺

> 15 ng/ml

Na-mEq/24h

50-200

Vitamina-D-1-25(OH)₂

☺

pg/ml

K-s

3.6-5.2 mEq/l

Calcitriolo/PTH

v.d.☺

< 1.8

K-mEq/24h

30-90

Glicolato-u

☺

<= 0.700 mmol/die

Cl-s

98-111 mEq/l

Altri esami

Cl-mEq/24h

170-250

Mg-s

1.5-2.5

Mg-mg/24h

75-150

pH-s

☺

7.40 (+-2)

HCO3^-

25(+-2)

Anion-Gap-s

v.d.

12(+-2)

Urocoltura

neg

Anion-Gap-u

v.d.

>-40

Esame dei calcoli