usmle6789
Forum Senior
Topics: 33
Posts: 49
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10 yr old boy is brought to the physician becos of weakness and decreased apetite for 3 months.he weighs 30kg[66 ib] and is 142 cm[56inch] tall.he has had a 2.3kg[5 lb] loss since his last examination 6 months ago.he appears thin.deep tendon reflexes are brisk. Chvostek’s sign is positive. His serum calcium level is 6.5 mg/dl.and serum intact pth level is 190pg/ml[n= 9-65].in addition to calcium supplementation most appropriate next step in management?
1] oral phosphate supplementation
2] oral vitD supplementation
3] intranasal calcitonin therapy
4] parenteral bisphosphate therapy
5] parenteral PTH therapy
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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1] :|
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| usmle6789
Forum Senior
Topics: 33
Posts: 49
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why not vitamin D?
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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you are right. I was just confused between the phosphate supplementation and Mg, since in hypocalcemia is Mg deficiency as well.
D. is correct.
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| usmle6789
Forum Senior
Topics: 33
Posts: 49
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HI ! i have another 30 questions to post. if u dont mind plz come tomarrow around this time or even 2hrs earlier . i will post all q.i have to go now. thanks for ur participation.good luck.
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| tamriko
Forum Elite
Topics: 23
Posts: 296
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Perfect. I'll be on the site around this time, (maybe all day).
Thanks for your questions.
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| ELM
Forum Guru
Topics: 28
Posts: 936
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The boy needs Vit D.
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ELM
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