A 73-year-old male has been hospitalized for 2 days with fatigue and bone pain. His family stated that he has been in a confused state. Routine laboratory testing has been ordered on the patient and the chemistry results are as follows: Total protein Albumin 14.8 g/dl 2.9 g/dl 10.3 mg/dl 4.0 mg/dl 28 mg/dl 2.8 mg/dl Calcium Phosphorous BUN Creatinine Urinalysis Protein Positive sulfosalicylic acid test All urine dipstick and other urine test are normal 1. What laboratory results are abnormal? 2. What is this patient's globulin value? B. A scrum protein electrophoresis is performed and has a normal pattern except for the decreased albumin. A urine protein electrophoresis is ordered. The urine pattern shows a monoclonal peak in the gamma region. What diagnosis would be appropriate for this patient? 1. What proteins are most likely being produced over normal limits in this patient?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
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A 73-year-old male has been hospitalized for 2 days with fatigue and bone pain.
His family stated that he has been in a confused state. Routine laboratory testing
has been ordered on the patient and the chemistry results are as follows:
Total protein
Albumin
14.8 g/dl
2.9 g/dl
10.3 mg/dl
4.0 mg/dl
28 mg/dl
2.8 mg/dl
Calcium
Phosphorous
BUN
Creatinine
Urinalysis
Protein
Positive sulfosalicylic acid test
All urine dipstick and other urine test are normal
1. What laboratory results are abnormal?
2. What is this patient's globulin value?
3. A scrum protein electrophoresis is performed and has a normal pattern except
for the decreased albumin. A urine protein electrophoresis is ordered. The
urine pattern shows a monoclonal peak in the gamma region. What diagnosis
would be appropriate for this patient?
4. What proteins are most likely being produced over normal limits in this
patient?
Transcribed Image Text:A 73-year-old male has been hospitalized for 2 days with fatigue and bone pain. His family stated that he has been in a confused state. Routine laboratory testing has been ordered on the patient and the chemistry results are as follows: Total protein Albumin 14.8 g/dl 2.9 g/dl 10.3 mg/dl 4.0 mg/dl 28 mg/dl 2.8 mg/dl Calcium Phosphorous BUN Creatinine Urinalysis Protein Positive sulfosalicylic acid test All urine dipstick and other urine test are normal 1. What laboratory results are abnormal? 2. What is this patient's globulin value? 3. A scrum protein electrophoresis is performed and has a normal pattern except for the decreased albumin. A urine protein electrophoresis is ordered. The urine pattern shows a monoclonal peak in the gamma region. What diagnosis would be appropriate for this patient? 4. What proteins are most likely being produced over normal limits in this patient?
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