A 45yearold housewife complains of abdominal pain of gradual

A 45-year-old housewife complains of abdominal pain of gradually increasing severity. This is associated with thirst and polyuria. On exam she is found to be hypertensive. The test results show the following on biochemical screen: Test Result Bilirubin 15 mmol/L AST (SGOT) 30 IU/L Albumin 32 g/L Alkaline Phosphatase 712 IU/L Calcium 2.9 mmol/L 1. What tissue is the likely source for the elevated alkaline phosphatase? 2. Why might the calcium be elevated? 3. What two further test might help you make a definitive diagnosis?

Solution

1.

Thus the above mentioned tissues might results in the elevated alkaline phosphatase.

2.

Thus these are the causes that calcium be elevated.

3.

Thus these tests might help to make definitive diagnosis.