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4th April 2024
A 45-year-old man with a history of poorly controlled T1DM and hypertension presents 7 days post uncomplicated parathyroidectomy complaining of facial twitches, perioral numbness, and painful legs.
A 45-year-old man with a history of poorly controlled T1DM and hypertension presents 7 days post uncomplicated parathyroidectomy complaining of facial twitches, perioral numbness, and painful legs. Blood tests reveal the following:
| Pre-operative | 3 days post-operative | Reference Range | |
|---|---|---|---|
| ALT | 35 iu/L | 32 iu/L | 3-40 iu/L |
| AST | 17 iu/L | 19 iu/L | 3-30 iu/L |
| ALP | 132 umol/L | 159 umol/L | 30-100 umol/L |
| AdjCa | 2.05 mmol/L | 1.82 mmol/L | 2.1-2.6 mmol/L |
| Phosphate | 1.61 mmol/L | 0.89 mmol/L | 0.8-1.4 mmol/L |
| PTH | 22.2 pmol/L | 3.1 pmol/L | 0.9-5.4 pmol/L |
Which of the following would not increase the risk of the patient developing hungry bone syndrome?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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