Albumin Case Study 1) 73 yo female w/ squamous cell carcinoma of the esophagus and subsequent dysphagia. H/O ETOH abuse and TOB. Secondary dx include anxiety, hyperlipidemia and essential HTN. PEG tube placed for nutrition. Height: 63”, Weight 86#. Pt reports significant weight loss but cannot quantify.Albumin 2.4 g/dL Reference Range [3.5-5.2] 2) 99 yo male w/atypical CP, CAD, BPH, and acute cystitis w/o hematuria. Height 5’9” Weight 150.1#.Albumin 3.2 g/dL Reference Range [3.5-5.2] 3) 66 yo male w/ active alcoholism w/ six 40 oz beers qd, acute gastric ulcer w/hemorrhage,pancytopenia, COPD, seizure d/o and hospital acquired pneumonia. Height 5’11”; Weight 96#,Albumin 2.8 g/dL Reference Range [3.5-5.2] 4) 55 yo female w/ morbid obesity, OSA, NASH, hyperlipidemia, HTN, hypothyroidism, and stage 3 CKD.Height 5’6” Weight 380#.Albumin 2.9 g/dL Reference Range [3.5-5.2] For the above scenarios please answer the following questions: 1) What is the etiology of the depressed albumin levels in the scenarios above? There may be more than one contributing. 2) Why isn’t albumin or prealbumin considered a good indicator of malnutrition or nutritional status? 3) Will the albumin levels improve in response to nutrient intake?
[Verified Answer]: Albumin Case Study 1) 73 yo female w/…
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