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Order a C-reactive protein (CRP) to detect acute phase inflammation. CRP is a more sensitive and specific reflection of the acute phase of inflammation than is the ESR. Unlike ESR, CRP measurement does not change in the presence of anemia, polycythemia, spherocytosis, macrocytosis, congestive heart failure, or hypergammaglobulinemia. In the first 24 hours of a disease process, the CRP will be elevated, while … ................
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