Abstract
Quiz case
Highlights
Presentation and diagnosis (Due to space constraints, the images referred to below are not reproduced here but are in the online June 2011 SAJR at the above URL.)
The patient presented with arm pain after a syncopal episode
The initial series of plain radiographs performed on presentation demonstrate the dialysis catheter in position and ‘rugger jersey’ appearance of the dorsal spine
Summary
Please refer to page 63 of the June 2011 issue of the SAJR (http://www. sajr.org.za/index.php/sajr/article/view/579/443) for the presentation details. Presentation and diagnosis (Due to space constraints, the images referred to below are not reproduced here but are in the online June 2011 SAJR at the above URL.). Prompted by these radiographic features of renal osteodystrophy and secondary hyperparathyroidism, a series of blood tests were performed. This case is another example where the radiologist may offer a definitive diagnosis (renal osteodystrophy with secondary hyperparathyroidism) based on diagnostic radiographic features aiding further clinical management
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