Hyperparathyroidism. overactivitiy of the parathroid gland PTH strong osteoclastic hormone Primary parathyroid gland adenoma Secondary chronic renal disease Hemodialysis (endstage renal glomerular disease) aka renal osteodystrophy. Primary HPT. most common type
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chronic renal disease
stones, bones, abdominal groans and psychiatric moans
(renal stones, peptic ulcers, pancreatitis, confusion, lethargy, weakness)
Salt and Pepper Skull
Pre and Post treatment
Undifferentiated seronegative spondyloarthropathy (history, clinical presentation and what is the most likely