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), LDH (lactate dehydrogenase), and AST (aspartate aminotransferase) are enzymes. In myocardial infarction (heart attack), damaged heart muscle cells release these enzymes into the bloodstream, causing elevated levels. Liver issues might also affect AST and LDH but CPK elevation is more strongly associated with muscle (including heart muscle) damage. Kidney issues typically relate more to other markers like creatinine. Multiple myeloma is a cancer of plasma cells and not directly linked to these enzyme elevations in the context of the question.

Answer:

C. Myocardial Infarction