What is the significance of hgb and hct being depressed while MCV is elevated? What nutritional deficiencies do these lab values indicate?
Considering elevated LFTs, PT off 2.5 secs, and Dx, it should be clear that Mr. N has a liver that cannot perform normally. This could contribute to the decrease in Hgb, Hct & Ser Alb. However, since Ser Alb is so low and Mr. N lost 22 lbs and is an alcoholic, malnutrition has to be a considered as a contributor also. The actual causes of Hgb and Hct being depressed are probably d/t liver disease and poor intake of iron and protein. MCV is probably elevated 2o to alcohol metabolism and poor intake of folic acid and B12.
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