isease, stroke, corönaly dysluncllull, allu inflammator cancer.21,31 CASE STUDY
ID: 128937 • Letter: I
Question
isease, stroke, corönaly dysluncllull, allu inflammator cancer.21,31 CASE STUDY 34-2 A healthy 70-year-old woman is seen by her primary care physician for an annual check-up. She complains of muscle weakness, drowsiness and confusion. Her laboratory results are shown in Case Study Table 34- CASE STUDY TABLE 34-2.1 LABORATORY RESULTS RESULT REFERENCE (MG/DL RANGE TEST Calcium Parathyroid hormone 111 12.08.5-10.2 mg/dL 12-72 pg/mL Questions 1. Based on the laboratory data, how might the PTH test be interpreted? 2. Should any additional testing be done? Ferritin levels can be low in the elderly population, and when this is seen, it is usually due to iron deficiency ane- Back to page 2842 2720 of 3040Explanation / Answer
Parathyroid gland controls serum calcium level. Usually a higher level of calcium leads decreased parathyroid hormone levels. But in the above mentioned case the serum calcium and parathyroid hormone levels are elevated which almost confirm the presence of one or more parathyroid gland tumors. Usually hyperparathyroidism is undiagnosed for long as it doesn't show any symptoms in early phase.
Other diagnostic measures include low vitamin D level that is below 20mg/ dl and presence of kidney stones.
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