and we’re back! with BRAND SPANKIN' NEW tangents!
to snoo-finity ... and beyond!
NBME 20 Answers
A 30-year-old man comes to the physician because of ...
Increased osteoclast maturation and activity
ugh, bullshit. I was trying to figure out an actual disease process here.
its primary hyperparathyroidism caused by parathyroid adenoma. addition of the peptic ulcer suggest Zollinger ---> MEN1
but none of that is imp because that's not what they are asking. All they are asking for is the function of PTH.
I swear they make up some of this stuff. Like whats up with the thirst, urination, and peptic ulcer diseases.
hypercalcemia can cause nephrogenic diabetes inspidus; so thirst, urination. hypercalcemia can also cause peptic ulcer disease. His symptoms are all about hypercalcemia due to hyperparathyroidism.
Stones, groans, thrones, psychiatric overtones ---> symptoms