Musculoskeletal and Neurologic System


Musculoskeletaland Neurologic System

Patientscondition description: female, 58years and complained of back andneck pain. She had renal transplant about six years earlier herserum calcium values were 13.9mg/dl when the normal range is 8.5 to10 mg/dl. She has 33%hematocrit (normal hematocrit range for an adultfemale is 37-47%) and 11.1g/dl hemoglobin in her CDC when the knownfemale values range is from 8.5 to 10. 2mg/dl. What is could be thecause this condition? Which assessment could help?

After payingclose attention to the above patient condition descriptions, theprimary cause of her abnormal lab value together with the rapid bonemineral density (BMD) decreased that resulted after a patientunderwent successful transplantation of renal within 12months. Thecondition then persists for many years though at a lower rate. Moststudies show that loss of BMD increases the risk of renal fracture ina patient more considerable compared to kidney patient who is atstage five but has dialysis commence (Ferreira etal.,2002). To prevent early loss of bone, vitamin D and Bisphosphonateshave proved valuable when there is a need to prevent early loss ofbone hence preventing the occurrence of this situation (Ferreira etal.,2002).

Moreover, afrequent and close assessment on hypophosphatemia after successfulrenal transplantation could prevent this situation. It is duedeclined reabsorption of phosphate in the proximal tubule could bethe primary reason leading to post-transplantation hypophosphatemia(Ferreira etal.,2002). There should be the use of both bone scintigraphy and magneticresonance imaging (MRI) to assist in identification of localizedinflammation areas for diagnosis establishment (Ferreira etal.,2002). The Early assessment could lead to prevention of the problemhence saving the patient from the side effects of renaltransplantation.


Ferreira, S.R., Mois├ęs, V. A., Tavares, A., &amp Pacheco-Silva, A. (2002).Cardiovascular effects of successful renal transplantation: a 1-yearsequential study of left ventricular morphology and function, and24-hour blood pressure profile1.&nbspTransplantation,&nbsp74(11),1580-1587.