| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
A
number of Mr. Conrad's results are way off.
-
He's clearly anemic (hemoglobin
of 8.7 with HCT of 27%).
-
The technologist saw rouleaux
formation and nucleated RBCs.
-
His platelet count is
OK, but the function isn't normal.
-
A number of chemistries are
off.
-
Total protein is way
up,
but
-
His albumin is down.
-
Calcium is up
-
LDH is up, indicating
cellular necrosis.
-
Alkaline phosphatase
is up suggesting bone disease. (Since the bilirubin and GGTP are
normal, it would seem to rule out liver as the origin.)
Better look into his high
serum protein.
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