A 72-year-old man with end-stage renal disease secondary to hypertension presents with several months of back pain. He denies fever, weight loss, difficulty walking, altered sensation in his legs, or incontinence. He was diagnosed with renal disease 20 years ago and was managec medically for many years. However, 2 years agC he began hemodialysis because of a progressive decline in renal function. There is no family
A 72-year-old man with end-stage renal disease secondary to hypertension presents with several months of back pain. He denies fever, weight loss, difficulty walking, altered sensation in his legs, or incontinence. He was diagnosed with renal disease 20 years ago and was managec medically for many years. However, 2 years agC he began hemodialysis because of a progressive decline in renal function. There is no family
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Transcribed Image Text:44. A 72-year-old man with end-stage renal disease
secondary to hypertension presents with several
months of back pain. He denies fever, weight
loss, difficulty walking, altered sensation in his
legs, or incontinence. He was diagnosed with
renal disease 20 years ago and was managed
medically for many years. However, 2 years ago
he began hemodialysis because of a progressive
decline in renal function. There is no family
history of renal disease or malignancy. Physical
examination is unremarkable. X-ray of the
chest shows ill-defined bands of increased bone
density adjacent to the vertebral endplates.
What laboratory abnormalities is most likely in
this patient?
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