Question

what would be your working diagnosis be for a patient whose bloodwork comes back with elevated cpk, ldh, and ast? a) liver issues b) kidney issue c) myocardial infarction d) multiple myeloma

Explanation:

• CPK (Creatine Phosphokinase): Elevated in myocardial infarction as heart muscle damage releases it.
• LDH (Lactate Dehydrogenase): Also rises with tissue damage, including heart muscle damage in MI.
• AST (Aspartate Aminotransferase): While it can be elevated in liver issues, in the context of these three together and considering typical biomarker patterns, myocardial infarction is a strong consideration. Kidney issues and multiple myeloma do not typically present with this specific trio of elevated enzymes in the way myocardial infarction does.

Answer:

c) Myocardial Infarction