Chest (lungs + heart) pictures are there.
Brain documents are there.
| Urine output | 229 g/d |
| Condensed milk | 720 g/d |
| Supplementary food | |
| Apple baby food | 80 to 90 g/d |
| Fruit yogurt | 30 to 40 g/d |
(The mother says the amount of baby food Solongo eats varies much, but is usually about 360 g/d. That day was a bad day.)
| Bilirubin Total Gen.2 | 2.4 | umol/L | [ | 0.0 | - | 17.0 | ] |
| CRP Latex 2 | 0.51 | mg/L | [ | 0.0 | - | 5.00 | ] |
| Item | Result | Amount of reference | ||||
|---|---|---|---|---|---|---|
| Amount | 10.0 | |||||
| Colour | straw yellow | Bamboo yellow | ||||
| clear | ||||||
| Proper weight | 1.015 | [ | 1.015 | - | 1.025 | ] |
| Proteins | no | (-) | ||||
| Epithelium tissue | ||||||
| Flat | 1 | 0 | - | 4 | ||
| Leucocyte | 2 | 1 | - | 5 | ||
| WBC | 7.2 |
| RBC | 3.72 |
| HGB | 10.0 |
| HCT | 36.9 |
| mCV | 94.1 |
| mch | 25.5 |
| mchc | 27.1 |
| PLT | 340 |
| mXD | 4.6 |
| LYM | 69.4 |
| GRA | 26.0 |
| T. bilirubin | 8.5 |
| T. protein | 64.5 |
| AST | 76.8 |
| gluc | 4.6 |
| Creat. | 50.6 |
| Leucocytes | 5.2 | ⋅109/l | [ | 4 | - | 8 | ] |
| Erythrocytes | 2.2 | ⋅1012/l | [ | 3.7 | - | 4.7 | ] |
| Hemoglobin | 85.6 | g/l | [ | 110 | - | 140 | ] |
| Leucogram | |||||||
| Long neutrophile granulocytes? | 2 | out of 100 | [ | 0 | - | 6 | ] % |
| Multilobulated neutrophiles | 47 | out of 100 | [ | 47 | - | 70 | ] % |
| Lymphocytes | 50 | out of 100 | [ | 18 | - | 40 | ] % |
| Monocytes | 1 | out of 100 | [ | 2 | - | 9 | ] % |
| T | 37.0 | °C | ||||||
| FO2(I) | 21.0 | % | ||||||
| ↑ | cGlu | 8.9 | mmol/L | [ | 3.9 | - | 5.8 | ] |
| ↑ | cLac | 2.4 | mmol/L | [ | 0.5 | - | 1.6 | ] |
| ↓ | pH | 7.275 | [ | 7.350 | - | 7.450 | ] | |
| pCO2 | 40.9 | mmHg | [ | 35.0 | - | 45.0 | ] | |
| ↓ | pO2 | 31.9 | mmHg | [ | 80.0 | - | 100 | ] |
| cBase(Ecf),c | -7.2 | mmol/L | ||||||
| cHCO3-(P),c | 18,4 | mmol/L | ||||||
| sO2 | 53.4 | % | ||||||
| ↑ | cK+ | 4.9 | mmol/L | [ | 3.5 | - | 4.5 | ] |
| ↑ | cCl- | 125 | mmol/L | [ | 96 | - | 108 | ] |
| ↑ | cNa+ | 152 | mmol/L | [ | 135 | - | 145 | ] |
| ↓ | cCa2+ | 1.08 | mmol/L | [ | 1.15 | - | 1.29 | ] |
| ↓ | ctHb | 11.1 | g/dL | [ | 12.0 | - | 17.0 | ] |
| ↓ | FO2Hb | 51.3 | % | [ | 94.0 | - | 98.0 | ] |
| ↑ | FCOHb | 1.3 | % | [ | 0.0 | - | 0.8 | ] |
| FHHb | 44.7 | % | [ | - | ] | |||
| ↑ | FMetHb | 2.7 | % | [ | 0.2 | - | 0.6 | ] |
| ctO2,c | 8.0 | Vol% | ||||||
| p50,c | 30.33 | mmHg | ||||||
| cBase(Ecf),c | -7.2 | mmol/L | ||||||
| cHCO3-(P,st),c | 17.6 | mmol/L | ||||||
BUN: 13.4 mg/dL (reference: 8 - 20)
Creatinine: 0.4 mg/dL (reference: L 0.6 - 1.2)
Measurement report Orhon general hospital
Omni C: 7194
Date/Time: 2009-10-22 14:05
____
Sample no. 449
Past ID: 411
First name: Solongo
Sample type: serum/plasma
____
Baro : 639.3 mmHg
Temp.: 37.0 °C
A/F: adult
____
PO2: 112.1 mmHg
PCO2: 47.5 mmHg
pH: 7.224
tHb: pos. sample 1624
SO2: pos. sample 1624
Na: 128.5 mmol/L
Cl: 108.1 mmol/L
iCa: Out of range 1006
K: Out of range 1006
Hct: Not activated 1072
___
BE: -9.0 mmol/L
BEecf: -9.2 mmol/L
cHCO3st: 17.2 mmol/L
P50: 26.7 mmHg
ctO2: 20.6 Vol%
| Test | Result | Unit | Flag | Reference range |
|---|---|---|---|---|
| Albumin Gen.2 | 36.75 | g/L | 35.00 - 52.00 | |
| ALP IFCC Gen.2 | 148.4 | U/L | H | 35.0 - 130.0 |
| Alanine aminotrans. liquid | 89.5 | U/L | H | 0.0 - 41.0 |
| Aspartate aminotrans. liquid | 110.6 | U/L | H | 0.0 - 40.0 |
| Bilirubin total Gen.2 | 1.9 | umol/L | 0.0 - 17.1 | |
| Bilirubin direct | 0.13 | umol/L | 0.00 - 5.30 | |
| GGT ver.2 IFCC | 128.6 | U/L | H | 6.0 - 71.0 |
| Glucose HK liquid | 4.43 | mmol/L | 4.10 - 5.89 | |
| Total protein Gen.2 | 58.5 | g/L | L | 66.0 - 87.0 |
The liver size increased???
According to medioclavicular line
6,7
The echography reflection increased.
The bile cyst has no stone.
The neck part is bent.
The pancreas and the spleen are normal.
Right kidney 6,2 [cm] ✕ 3,1 [cm].
r[ight] kidney Change: many cysts of size 1,5 [cm] ✕ 1,5 [cm].
Left kidney 01 [cm], 1,3 [cm] ✕ 1,4 [cm], 1,1 [cm] ✕ 1,23 [cm] (cysts).
Source of echo-negativity.
Dr. Ùdènbor.








While the health is getting better the child slept with no extra pain.
Byambaa.
(Mobile device 3,5 MHz)
Comparatively to the previous consultation: the abdomen is a bit big, the bladder has no urine.
Change in the right kidney cyst.
Became d = 1,4 - 1,7 cm.
Pancreas, spleen, left kidney are not distinct (There is much wind/gas.).
Both lungs have a pneumonia.
Respiration defect : 1st degree.
Congenital heart disease : big interventricular septal defect,
small interatrial septal defect.
Cardiac deficit IIa.
Hydronephrosis: 1st degree.
Emaciation: 2nd degree.
Anemia: 1st degree.
![[temperatures]](2009-10-first_half/E3 temperatures.jpg)
![[Old blood count]](2009-10-first_half/E9 blood numeration.jpg)
![[Blood]](2009-10-first_half/E7 blood 2009-10-01.jpg)
m = 4,2 kg
Number of respirations: 64 per minute. Pulsations : 136 per minute.
According to the stethoscope in the left part of the sternum: noise of systole 3/6.
Belly a bit big.
The liver is asymtomatic.
The child is said not to urinate much. Diagnosis unchanged.
+ Furosemid 1mg/kg/dose or 2mg/kg/dose
+ Capitopril 0,5 mg/kg/dose
⇓
Make drink Furosemid 40 mg 1/10 × 2 times
Drink Capitopril 25 mg 1/10 × 1
Ariunaa E. [cardiac surgeon of the 3rd national hospital, according to what Henri have understood]
Brain focal unchanged.
No visible pathological change of the liver, spleen, pancreas, gall-bladder, left kidney, nor the bladder.
The right kidney calyces, pyramids, tubulars are deformed and dilated.
The right ureter is dilated in all its parts up to 1,3 cm.
The parenchyma didn’t get thinner.
Hydronephrosis: 1st degree
Megaureter.
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