June 2003, Volume 33 Number 6 , p 68 - 70
MARY ZAMORA, 76, is admitted to your unit after reporting lethargy, constipation, and flank pain. Her daughter tells you that she has metastatic bone cancer, and you also discover that she’s dehydrated. A blood test reveals that she has a total serum calcium of 12.2 mg/dl and abnormally low levels of phosphorous and albumin. Let’s examine how these levels relate to Mrs. Zamora’s condition...