discussion-presentation01

The patient is 56 years old woman that was referred from  a nephrologist to our clinic because of high blood level of PTH (1116 ng/ml nl:15-65

ALKP:1141   Ca:8.8  P:4.9   VITD3:8.27 ) . 95/11

She received medical treatment (cinacalcet 30/TDS from 2month ago, PTH:1002). She had bone pain from one year ago which is exaggerated in 6 month ago and because of this pain she came to the clinic with using walker.

The patient is the known case of ESRD from 1.5 years ago . She  is under hemodialysis by permicath .the cause of ESRD is unknown .she had no history of diabetes , HTN or kidney biopsy .