Miradautas Vras
Forum Senior
Topics: 8
Posts: 154
|
32. A 10-year-old boy is brought to the physician
because of
weakness and decreased appetite for 3 months. He
weighs 30 kg (66 lb) and is
142 cm (56 in) tall; he has had a 2.3-kg (5-lb) weight
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 parathyroid hormone level is
190 pg/mL
(N=9–65). In addition to calcium supplementation,
which of the following is
the most appropriate next step in management?
A
) Oral phosphate supplementation
B
) Oral vitamin D supplementation
C
) Intranasal calcitonin therapy
D
) Parenteral bisphosphate therapy
E
) Parenteral parathyroid hormone therapy
I went for Oral Vit D supplements but i aren't sure
___________________
Man who fights too long against the dragons becomes a dragon himself.
|
| dr.wad
Forum Senior
Topics: 3
Posts: 335
|
B
|
| Miradautas Vras
Forum Senior
Topics: 8
Posts: 154
|
Well couple of solutions say it's bisphosphonates but i don't agree . They are DoC for Paget's, this guy certainly has secondary hyperPTH mostly due to Rickets. Thanks!
___________________
Man who fights too long against the dragons becomes a dragon himself.
|
| Vietnamese
Forum Elite
Topics: 12
Posts: 283
|
B-
Perhap he had secondary hyperparathyroid from chronic renal failure.
What disease did patient suffer from?
___________________
Nothing is impossible.
|
| drhouse
Forum Senior
Topics: 21
Posts: 192
|
i think its vit D supplementation
___________________
everybody can do it.... its just matter of time
|
|
| |
| | | | | |
