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Kaplan Qbank USMLE



Author4 Posts
  #1

for every unit drop in albumin,the calcium decreases by 0.8 mg/dl in serum.In nephrotic syndrome,the albumin decreases from 4 mg to 2 mg.The total calcium in the serum normally is 6.5.what will be it after nephrotic syndrome sets in?

1.o drop in albumin=0.8mg/dl drop in Ca.

2 unit drop in albumin=6.5 -1.6 OR 6.5+1.6?????


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  #2

6.5-1.6

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  #3

the point is that u will take the ( normal- 1.6) value as normal.


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  #4

but what idone usually in wards is that u report a corrected calcium level, if the pts albumin were normal.

thus the lab gives u the pr's serum calcium.

to it u will add ( normal-pt's albumin) *0.8

and u compare this level to the normal reference range.


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