Evaluate Mrs. McCormick's laboratory values. List all abnormal values and explain the likely cause for each abnormal value
What will be an ideal response?
• Calcium (L): Low protein levels, especially albumin, which causes the bound calcium to be low; dietary calcium deficiency, malnutrition, possible hypoparathyroidism
• Protein (L): Malnutrition – decreased visceral protein stores
• Albumin (L): Malnutrition – decreased visceral protein stores
• Prealbumin (L): Malnutrition – decreased visceral protein stores
• Cholesterol (L): PEM, starvation
• HDL (L): Family history of CAD, low physical activity
• RBC (L): Anemia, iron deficiency
• Hgb/Hct/MCV/MCH/MCHC (L): Prolonged iron deficiency/anemia
• Transferrin (H): Chronic iron deficiency (body is trying to allocate iron to put into stores)
• Ferritin (L): Iron deficiency (low iron stores)
• WBC (H): Consistent with infection and possible pneumonia
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