Question 28 · LEK · Hyperparathyroidism
A 56-year-old female smoker with recurrent bilateral nephrolithiasis diagnosed 10 years ago, resistant to treatment depression, and arterial hypertension came to the doctor with the result of her forearm DXA densitometry which showed T-score=-2.9. Indicate the most important tests in further diagnostics:
- A. serum concentrations of TSH, creatinine, and aldosterone.
- B. DXA densitometry of the femoral neck, serum concentrations of calcium and creatinine.
- C. serum concentrations of calcium, phosphates and PTH.
- D. serum concentrations of creatinine, PTH, and TSH as well as urinalysis.
- E. serum concentrations of calcium, ALP, and glucose as well as urinalysis.
Hint
Recurrent kidney stones, depression and low cortical (forearm) bone density point to one endocrine disorder — test its core biochemistry.
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