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NBME 24 Answers

nbme24/Block 1/Question#26

An 80-year-old woman with poorly controlled type 2 ...

Hematocrit: decreased;
Serum parathyroid hormone: increased;
Serum calcitriol: decreased

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submitted by radshopeful(11),

chronic kidney disease --> decreased EPO --> decreased hematocrit chronic kidney disease --> decreased PO4- excretion --> increased PTH chronic kidney disease --> decreased 1,25 dihydrovitD (calcitriol) --> increased PTH

jotajota94  she is also volume overloaded. more fluid leads to a decrease in Hematocrit. +  

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