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[Joy]

apt was started on steroid after a diagnosis of minimal change GN same time started supplement of calcium and vit D

3 months later he presented with polyuria polydypsia fatigue

[redoxe]

glucose

[Joy]

Please

justify ur ansr
why this and why not this

[redoxe]

OK i am not sure from the answer but it's came to my mind because diabetics more serious and should always be first to ordered and it's is a well known complication of uses of steroids and the sings and symptoms also point towards it thought i fit for both and use of steroids cause adrenal cortical insufficiency which is lead to Hypercalcaemia

[Joy]

Dear
thank u for ur response
already the pt is at risk of hypercalcaemia because he is is receiving ca and vit d

really i do not know the correct answer but it seems the time period is the key to answer

this was one of difficult first part mrcpi questions

[redoxe]

i hope u find the correct answer........ inform me when you did
i think this is why doctors also known as hake-em for judgment like that
thank you