Answer

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ACES for PACES

Medical Revision

Clinical Skills Blogspot

BOF: 115

A young female has the following somatic features:

Short stature, round face, short neck, short fourth and fifth metacarpals and metatarsals

Her investigations are as follows:

Serum calcium 2.2 mmol/l

Serum phosphate 1.2 mmol/l

Alkaline phosphatase 100 U/L

Urea 4.0 mmol/L

Creatinine 90 mmol/L

The diagnosis is:

a)      Pseudohypoparathyroidism

b)      Hypoparathyroidism

c)      Rickets

d)      Vitamin D resistant rickets

e)      Pseudopseudohypoparathyroidism

Answer:

e)

This patient has the somatic features of pseudohypoparathyroidism but biochemistry is normal indicating pseudopseudohypoparathyroidism

Revision Tip

Revise hypoparathyroidism KEYS to SUCCESS in Medicine page 32-33

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