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Case of the Month

  February

An 80 year old female with stable CKD3 ( eGFR between 31 and 35mls/min/1.73m2) for the last 5 years fractures her hip (X ray shown) has after a low impact fall.

Medications include: Clopidogrel, Furosemide, Atorvastatin. Ramipril, Spironolactone, Bisoprolol, cholecalciferol

Investigations revealed

  • Calcium 2.34 mmol/l (normal range 2.2-2.6mmol/l).
  • Phosphorus 1.35 mmol/l (0.8 to 1.5 mmol/l)
  • PTH 80 ng/l (15-60ng/l).
  • Vitamin D 94.7nmol/l (<30nmol/l high dose supplementation required)

She had a DXA scan that revealed a Lumbar T score of -2.3 and a hip T score of -4.3

3 years ago she had a low impact fracture of her wrist

COM Feb2015 1

Which of the following are true?

Read: 746 times Answered: 238 times Top score: 100%

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