A month after Micah's fourth birthday, his mother notices that Micah's eyes seem puffy and his ankles look swollen. Over the next couple of weeks, Micah's feet and ankles continue to swell and he seems to be short on energy, so his mother takes him to the local clinic. The nurse practitioner orders several lab tests, including a measurement of the concentration of albumin in Micah's blood and urine.
a.) Is it normal to exhibit increasing puffiness, also known as edema, around the eyes, ankles, and feet? Why or why not?
b.) Micah's urine test results showed significant amounts of albumin. Why would this be of concern?
c.) Given Micah's significant amount of proteinuria/albuminuria, why would his serum blood level of albumin be significantly lower than usual?
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