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1. Jeff Smith, a 15-year-old boy, has been referred to an orthopedic specialist because he has an elevated ALP.

1. Jeff Smith, a 15-year-old boy, has been referred to an orthopedic specialist because he has an elevated ALP. Discuss the implication of an elevated ALP. Review the range of diseases indicated by an elevated ALP. Evaluate Jeff Smith’s situation and describe why he is seeing an orthopedic physician.

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2. You are reviewing the record of Russ Walker, a 58-year-old man with a family history of heart disease. He has just been admitted to the hospital with chest pain. Dr. Rupert Wilbert, a cardiologist, has noted and ordered a thallium stress test for Mr. Walker. Why do you think Dr. Wilbert chose this particular test? What is involved with this study? If Mr. Walker cannot complete the treadmill portion of the test, what effect will that have on the test results?

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1. In the case of elevated levels of ALP, Jeff Smith referred to an orthopedic specialist as this increased levels indicates Osteosarcoma. Osteosarcoma (also called osteogenic sarcoma) is the most common type of cancer that starts in the bones. The c…

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