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
(renal stones, peptic ulcers, pancreatitis, confusion, lethargy, weakness)
Undifferentiated seronegative spondyloarthropathy (history, clinical presentation and what is the most likely