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11579 Medicine

A 65-year-old woman with type 2 diabetes is on hemodialysis for chronic kidney disease. She now presents to the clinic with symptoms of pain in the hands. The symptoms started many months age and are now getting worse. She does not recall any injury to the hands and has not noticed any swelling or redness in the joints.On examination, the joints are normal with no inflammation or tenderness on palpation. There is full range of motion of the fingers and wrists.Lab investigations: calcium (7.2 mg/dL), phosphate (5.5 mg/dL), and PTH level (710 ng/L). (See Figure below) What is the most likely diagnosis?

Ascleroderma
Bgout
Csecondary hyperparathyroidism
Dpseudogout
Medicine
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11580 Medicine

A 65-year-old woman with type 2 diabetes is on hemodialysis for chronic kidney disease. She now presents to the clinic with symptoms of pain in the hands. The symptoms started many months age and are now getting worse. She does not recall any injury to the hands and has not noticed any swelling or redness in the joints.On examination, the joints are normal with no inflammation or tenderness on palpation. There is full range of motion of the fingers and wrists.Lab investigations: calcium (7.2 mg/dL), phosphate (5.5 mg/dL), and PTH level (710 ng/L). (See Figure below) What is the most likely diagnosis?

Ascleroderma
Bgout
Csecondary hyperparathyroidism
Dpseudogout
Medicine
View Explanation →
11581 Medicine

A 72-year-old man is brought to the clinic by his daughter because she is concerned about his memory. A careful history, mini mental status, and physical examination confirm your suspicions of the patient having Alzheimer disease. Which of the following investigations is included in the initial work up for reversible causes of dementia?

Aelectroencephalogram (EEG)
Burine tests for heavy metals
Cthyroid function tests
Dred blood cell (RBC) folate
Medicine
View Explanation →
11582 Medicine

A 72-year-old man is brought to the clinic by his daughter because she is concerned about his memory. A careful history, mini mental status, and physical examination confirm your suspicions of the patient having Alzheimer disease. Which of the following investigations is included in the initial work up for reversible causes of dementia?

Aelectroencephalogram (EEG)
Burine tests for heavy metals
Cthyroid function tests
Dred blood cell (RBC) folate
Medicine
View Explanation →