CC: Chronic Constipation x 5 years

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SLIDING FILAMENT THEORY

luonut Nazrin Nazriq

PANC-2 -Resectable Disease

luonut rachel rowling

Loop Diuretics

luonut Courtney Rockwood

OBESITY AND METABOLIC SYNDROME ISAAC MARÍN MATA

luonut ISAAC MARIN MATA

PTH

Elevated

Primary hyperparathyroidism

Low to normal, consider...

Granulomatous disease: sarcoidosis, TB

Multiple Endocrine Neoplasia (MEN)

Metastatic tumors

CC: Chronic Constipation x 5 years

Imaging: Colonoscopy

Management

Laxatives more than 1/week

High-fiber supplements

Stool softeners

Demographics

Female

48 y/o

Too young for DEXA scan

Labs

Calcium: elevated

Recheck

11.2 mg/dL (elevated)

Renal function

TSH

Normal

FHx

Both parents with HTN

PMHx

Tobacco use

HTN

Managed with Metoprolol