[Clinical usefulness of essential laboratory tests].
Clinical usefulness of Essential Laboratory Tests (1), proposed by Japan Society of Clinical Pathology, was retrospectively evaluated in 500 outpatients who first visited the medical clinic of a prefectural general hospital. Sixty percent of the patients were diagnosed with gastrointestinal disease or respiratory disease. Performance rates of urinalysis, blood counts, serum total protein, A/G ratio, C-reactive protein, erythrocyte sedimentation rate and fecal occult blood were 87.6%, 55.8%, 49.6%, 48.8%, 37.8%, 10.0% and 5.6%, respectively. Abnormal test results rate of urinalysis, blood counts, serum total protein, A/G ratio, C-reactive protein, erythrocyte sedimentation rate and fecal occult blood were 12.3%, 12.9%, 14.1%, 5.7%, 21.6%, 22.6% and 25.9%, respectively. The clinical diagnoses and the abnormal test results indicated that the patients general condition was assessed properly from the A/G ratio, 92% of patients with proteinuria were transient cases and urobilinogen has poor sensitivity and specificity for the diagnosis of liver diseases.
Kuwajima
M
M
Department of Clinical Laboratories, Kagawa Central Hospital, Takamatsu.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D019411:Clinical Laboratory Techniques / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care; D012189:Retrospective Studies; D016482:Urinalysis; D014558:Urobilinogen / Q000652:urine
D014558:Urobilinogen