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You suspect that Sharon has hypoparathyroidism because, in addition to her
other signs and symptoms, she has:
Elevated serum phosphate levels
Signs of hypoparathyroidism
elevated serum phosphate levels; decreased serum calcium levels; increased
neuromuscular activity, which may progress to tetany; decreased bone
resorption; hypocalciuria; and hypophosphatemia
Which of the following statements about metformin is untrue?
Metformin is typically used in conjunction with other diabetes medications
Juanita, age 23, complains of palpitations that started a few weeks ago; they
occur 2 to 4 times a day and last 5 to 10 minutes. She feels nervous and is
having trouble sleeping. Her stools have been frequent (1-3 per day) and
loose. She is taking levothyroxine 150 µg daily. Her labs indicate free thyroxine
(T4) 2.28 and thyroid-stimulating hormone (TSH) 0.022. She has a history of
Graves disease and had radioactive iodine (RAI) treatment a few months ago.
She has been on thyroid replacement for 2 months. Based on these data, you
decide to:
Decrease the levothyroxine dosage
Martin, age 62, has acute nontransient abdominal pain that grows steadily
worse in the epigastric area and radiates straight through to the back. The pain
has lasted for days. He is also complaining of nausea, vomiting, sweating,
weakness, and pallor. Physical examination reveals abdominal tenderness and
distention and a low-grade fever. What do you suspect?
Acute pancreatitis