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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.


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

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

Click Submit below to view the clinical case answer rationale.