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  #1  
Old 05-28-2010
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Thyroid A 58-year-old man with a history of diabetes mellituss

Here's a question I got from webpath:
A 58-year-old man with a history of diabetes mellitus has noted the presence of bone pain, especially of his hands, for the past 6 months. On physical examination there is no swelling or redness of his hands, no joint deformity, but the range of motion is slightly decreased. Laboratory studies show sodium 139 mmol/L, potassium 4.0 mmol/L, chloride 98 mmol/L, C02 22 mmol/L, glucose 153 mg/dL, creatinine 7.8 mg/dL, calcium 7.8 mg/dL, phosphorus 5.7 mg/dL, total protein 6.2 g/dL, and albumin 4.0 g/dL. Which of the following conditions is this man most likely to have?

A Adrenal adenoma
B Medullary thyroid carcinoma
C Extra-adrenal pheochromocytoma
D Parathyroid hyperplasia
E Pituitary adenoma
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The above post was thanked by:
khushboo (05-28-2010)



  #2  
Old 05-28-2010
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Default

D

secondary parathyroidism secondary to renal failure
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  #3  
Old 05-28-2010
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Default nice Q

nice one....
i agree....its 2' hypeplasia of parathyroid...
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Old 05-28-2010
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D .parathyroid hyperplasia
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Old 05-28-2010
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i'll go with D too.....................
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  #6  
Old 05-28-2010
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u re right guys.The patient has renal failure due diabetes mellitus.As a result hypovitaminosis D ,then hypocalcemia then elevation PTH ( secondary hyperparathyroidism).
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