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A 60 year old male was diagnosed with end stage kidney disease 5 years ago & has been managed with hemodialysis since then. He is also hypeensive & diabetic. He is not compliant with his medications & hemodialysis schedule & now presented with bone pain & dyspnea. CXR shows hazy bilateral infiltrates. Chest CT shows ground-glass infiltrates bilaterally. Lab studies show elevated levels of calcium & phosphate, PTH levels of 130 pg/ml. What would be the best management for this patient?

ACalcitriol 0.5 mg IV with hemodialysis with sevelamer three times daily
BCalcitriol 0.5 mg orally daily with sevelamer 1600 mg three times daily
CMore aggressive hemodialysis to achieve optimal fluid and electrolyte balance
DParathyroidectomy
Medicine
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