CC: Chronic Constipation x 5 years

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Case: Why is my potty trained child having pee accidents?

Katie Witmerにより

Mind map assignment

Madeline O'Donnellにより

Hypertension(High Blood Pressure)

Tanzina Khondakarにより

Genitourinary System

April Saldanaにより

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