Scenario 2 – Part 2: The patient underwent a bone biopsy, which is represented in Figure A. A decision has been taken to add Teriparatide therapy 20 mcg /day to the patient’s previous treatment. One year later, the patient follow-up laboratory investigations are as follow: Test Value S. Creatinine 3.2 mg/dL S. corrected Calcium […]
Scenario 2 – Part 1: A 30-year-old male, with end stage kidney disease secondary to diabetic nephropathy on maintenance hemodialysis for seven years. The patient underwent total parathyroidectomy because of tertiary hyperparathyroidism 10 months ago and now presents with bony pains, agitation, and muscle cramps. Review of his laboratory values are shown in table I […]
Scenario 1 – Part 2: Unfortunately this patient was malmanaged, he has been prescribed calcium containing phosphate binders and calcitriol. Three months later, the following blood results has been obtained Test Value S. Creatinine 4.8 mg/dL S. Corrected Calcium 10.65 mg/dL S. Phosphorus 5.2 mg/dL iPTH 44 pg/mL An echocardiography has been performed […]
Scenario 1 – Part 1: Part I: A 50-yr-old male with ESKD who came in for routine follow up. He has been on maintenance hemodialysis for 2 years. The patient had a myocardial infarction requiring coronary artery bypass graft (CABG) surgery 9 months ago. Review of his laboratory values are shown in table I Test […]
