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3) An 38 year-old woman presents with constipation and polyuria. Labs include:
3) An 38 year-old woman presents with constipation and polyuria. Labs include:
Calcium 12.8 mg/dl
LFTs:
Total Protein 8.2 g/dl (6.7-8.6)
Albumin 3.9 g/dl (4.1-5.3)
T. Bili 1.2 mg/dl (.30-1.30)
D Bili 0.2 mg/dl (.04-.38)
AST 26 U/l (12-38)
ALT 34 U/l (7-41)
Alk Phos 422 U/l (33-96)
All of the following are appropriate in the evaluation of the patient except:
PTHrP
ACE levels
PPD
Anti smooth muscle antibody
1,25 vitamin D levels