W3S1: The following laboratory investigations have been performed Test Value S. TSH 1.3 mU/L (0.5-5) S. free T4 19 pmol/dL (11.0-21.0) S. free T3 5.1 mg/dL (3.1-6.0) S. Total protein 7.4 g/dL (6.4-8.3) Gamma globulin 0.78 g/dL (0.7-1.6) 25(OH) D 29 ng/ml (20-40) 1,25 (OH) D 123 ng/ml Chest X-ray revealed symmetric hilar and […]
W3S1: The patient was treated with dextromethorphan (anti-tussive), and sevelamer 1600 mg. Calcium carbonate and alfacalcidol had been stopped. Two months later, the patient presented to the clinic with severe abdominal pain and vomiting. She was constantly complaining of a dry cough. Examination revealed multiple purple tender plaques over the back of the neck. Pariser, […]
W3S1: A 36-year-old female with ESKD, maintained on HD for three years presented with persistent dry cough for 2 months. Medication review included calcium carbonate 2000 mg orally, and alfacalcidol 0.5 mcg orally per day. Review of her routine laboratory work-up revealed: Test Value S. Creatinine 3.9 mg/dL S. corrected Calcium 11.52 mg/dL S. Phosphorus […]
W3S2: The patient completed the investigations with the following: Test value 24-hour urinary calcium 80 mg 24-hour urinary creatinine g C. What is the most possible diagnosis? and pathophysiology? D. Why is it important to diagnose FHH? E. How would you treat this case?
W3S2: A 36-year-old man with diabetes mellitus complicated by microalbuminuria is seen for routine follow-up and is found to have asymptomatic hypercalcemia Laboratory investigations show the following: Test Value S. Potassium 4.3 mEq/L S. sodium 140 mEq/L S. Creatinine 1.4 mg/dl S. Calcium 11.2 mg/dl S. Albumin 4.0 g/dl S. Phosphorus 2.4 mg/dl iPTH 110 […]
