Curofy
Dr. Parveen Yograj (General Surgery) needs a second opinion on this medical case.
52 years old female Chief complaints - Generalised weakness will loss of appetite History of present illness - This 52 years old female -a staff nurse posted at GMC - gives history of gradual loss of appetite, general debility ,Generalised aches and pains,and dynoea . No history of respiratory symptoms , no history of fever O/ Examination- Pallor ++, No icterus , Chest and CVS - NAD Neurollgical Examination- Normal INVESTIGATIONS- CBC - Significant finding is Hb - 5.7 gms Iron Studies - Normal S.Vitamin D - 1.34 Intact PTH - Parathyroid hormone - 900 ,8 pg / ml ( Normal range - 15 - 65 pg / ml ) Significantly raised S.Calcium - initially it was less than 5 - but with intensive calcium supplements it raised to 7 mg K.F.T - deranged S. Urea - 82 mg / dl S.creatinine- 4. 1 mg / dl Sodium- 130 meq/ l Potassium- 5.5 meq / l Ultrasonography- CKD changes in kidneys PROVISIONAL DIAGNOSIS- HYPERPARATHYROIDISM WITH CKD OPINIONS WELCOMED - REGARDING MANAGEMENT
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