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Please provide your thoughts below and note that this is for future planning purposes only. CME and MOC credits are available through the meeting evaluations; links to these evaluations are provided at the end of this survey.

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Clinical Follow-up Question:

Use the clinical case information below to determine the appropriate next evaluation.

50 year old male former correctional officer
7 year history of progressive fatigue, muscle weakness, recurrent fractures including both hips, eventually became walker and wheelchair dependent
PMH: parathyroidectomy 2010, 2011, diagnosed with Celiac Disease
SH: no ETOH, tobacco, occupational exposure
FH: negative for bone disorders, calcium disorders
Physical Exam significant only for proximal muscle weakness most pronounced in LE and parathyroidectomy scar

Baseline Laboratory Data:
Ca (8.5-10.5 mg/dl)   8.7
Phos (2.5-4.5 mg/dl)   1.7
Creatinine   1.23
25 D (30-100 ng/ml)    32
Alk phos    253

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Answer rationale available after submitting this form.
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DefinitelyVery likelyPossiblyUnlikelyNot at allNot applicable
Expand your medical knowledge?
Enhance your clinical practice skills?
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DefinitelyVery likelyPossiblyUnlikelyNot at allNot applicable
Lead to improvement to your clinical practice?
Lead to benefits for your patients?
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Click Submit below to view the clinical case answer rationale.