W1S2: Three months later after diet control and doubling of phosphate binders and use of calcium supplements, the patient presented with the following laboratory investigations Test Value S. Creatinine 4.2 mg/dL S. corrected Calcium 8.6 mg/dL S. Phosphorus 5.9 mg/dL iPTH 481 pg/mL D. Interpret the current laboratory investigations. E. Suggest your management plan based […]
W1S1: Other labs are revealed in table 2: Test 2 years ago, TSH 0.9mU/l Free T3 2.7 nmols/l (1.2-2.8) Free T4 148 nmols/l (50-150) S. PTH 53 pg/mL 25-OH vit-D 15 ng/ml (33-100) Total Alkaline Phosphatase 140 U/L (30- 130) D. Interpret the above investigations.E. Discuss the spectrum of bone disease in a patient with […]
W1S2: A 50-years-old male patient, HTN for 10 years, ESKD on hemodialysis for 6 years, presented with generalized itching for 3 months. Routine review of the patient’s Laboratory investigation revealed: Test Value S. Creatinine 5.1 mg/dL S. corrected Calcium 7.9 mg/dL S. Phosphorus 8.2 mg/dL iPTH 338 pg/mL A. Interpret the previous laboratory investigations. B. […]
W1S1: A 29-year-old male track athlete who agreed to participate in a bone density pilot study using DEXA investigating bone density in track athletes, presented for screening. Unfortunately, his DEXA revealed a T-score of -1.6, and -1.8 at lumbar spine and femur neck, respectively. The study investigator sent him to his primary care physician (PCP) […]
