W2S2: Two years later, the patient was seen in the bone clinic with low back pain. The patient underwent a plain X-ray on pelvis and lumbosacral spines that showed sacroiliac osteoarthritis (sacroiliitis). He had a GFR of 9 ml/min/1.73m2. His new labs are seen in table 2 Test Value S. Creatinine 6.9 mg/dL Hgb 9.8 […]
W2S1: The patient has been started on oral calcium carbonate, Lanthanum, and vitamin D analogue supplements. However, his symptoms are not improving. A repeat PTH three months later was 840 pg/mL and corrected serum calcium was 8.5 mg/dL. D. What might be the best strategy to control the patient’s condition? E. Discuss the rationale of […]
W2S2: A 59-year-old man with a long history of hypertension and 10-months history of chronic kidney disease, presents to the clinic for routine follow-up. His current medications include lisinopril, amlodipine, and oral ferrous sulfate. On physical examination, blood pressure is 122/78 and pulse is 82 per minute. In general, he is a well-appearing man. His […]
W2S1: A 56-year-old male who has been on maintenance hemodialysis for two years, complains of increasing bony pains. Review of the patient’s laboratory investigations are shown in table 1 Test Value S. Creatinine 4.5 mg/dL S. Corrected Calcium 7.9 mg/dL S. Phosphorus 6.9 mg/dL iPTH 978 pg/mL A. Interpret the above laboratory investigations. B. Explain the […]
