Question

question 8 (mandatory) (10 points)
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a 73 - year - old male patient presents with elevated ca, phos, globulin, and ldh. she also has low albumin. she has an inverted a/g ratio. cbc reveals abnormal plasma proteins(rouleaux). what do you suspect and what is your confirmatory test?

Explanation:

The patient is an elderly male with elevated calcium (ca), phosphorus (phos), globulin, and lactate dehydrogenase (LDH), low albumin, an inverted albumin/globulin (A/G) ratio, and abnormal plasma proteins (rouleaux) on CBC. These are classic findings in multiple myeloma. For confirmation, a bone marrow biopsy is the gold - standard test as it can show an excessive number of plasma cells (myeloma cells).

Answer:

Suspect multiple myeloma. Confirmatory test: bone marrow biopsy.