Medulla oblongata (animation). Medulla and parts (10-16) - (10) pyramid; (11) the anterior median fissure; (15) is the choroid plexus in the fourth ventricle; (13) olive and (7) the pons. Medulla-animated as it protrudes from the foramen magnum of the skull-base, after which it gives rise to the spinal cord. The medulla can be thought of as being in two parts: 1  an upper open part or superior part where the dorsal surface of the medulla is formed by the fourth ventricle.
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Moderate-to-marked hyperproteinemia may also be due to multiple myeloma and other malignant paraproteinemias, although normal total protein levels do not rule out these disorders. A serum protein electrophoresis should be performed to evaluate the cause of the elevated serum total protein. Hypoproteinemia may be due to decreased production (eg, hypogammaglobulinemia) or increased protein loss (eg, nephrotic syndrome, protein-losing enteropathy). A serum protein electrophoresis should be performed to evaluate the cause of the decreased serum total protein.