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Emre Gorgun Such a privilege to host such an ESD world renowned specialist, great mentor and colleague. Thank you Emre Gorgun

Dear Prof. This is my approach. I think the patient had significant impact & now has Rhabdomyolysis need to prevent AKI from settling in. Again the external fixers is malaligned, marked muscle & subcut edema may point to bleeding, low Hb supports this. Beware of Fat Embolism

Musawo Eddy Bbaale Jipson, MD Dr. Oriba Dan Langoya Tariq Mir Nirav Valand Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 ndirugendawa Dennis ALTON 🩺 Dr Kansiime Grace Dr. Keith Kakame Dr. Joseph Ogavu Gyagenda MUMSA African Community Center for Social Sustainability Dr.Mutunga Writes ✍️ Thank you, Rhabdo is definitely in the Ddx and being managed. Look at these results too!

kappokhan Bbaale Jipson, MD Dr. Oriba Dan Langoya Tariq Mir Nirav Valand Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 ndirugendawa Dennis ALTON 🩺 Dr Kansiime Grace Dr. Keith Kakame Dr. Joseph Ogavu Gyagenda Musawo Eddy MUMSA African Community Center for Social Sustainability Dr.Mutunga Writes ✍️ Thanks

Kiyingi Edison Bbaale Jipson, MD Dr. Oriba Dan Langoya Tariq Mir Nirav Valand Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 ndirugendawa Dennis ALTON 🩺 Dr Kansiime Grace Dr. Keith Kakame Dr. Joseph Ogavu Gyagenda Musawo Eddy MUMSA African Community Center for Social Sustainability Dr.Mutunga Writes ✍️ Here you go! Calcium was 11.5mg Any further thoughts?

Muwonge Distinct MD Dr. Oriba Dan Langoya Bbaale Jipson, MD Tariq Mir Nirav Valand Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 ndirugendawa Dennis ALTON 🩺 Dr Kansiime Grace Dr. Keith Kakame Dr. Joseph Ogavu Gyagenda Musawo Eddy MUMSA African Community Center for Social Sustainability Dr.Mutunga Writes ✍️ Are you departing from your earlier submissions of possible MM?

Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) Musawo Eddy Bbaale Jipson, MD Tariq Mir Nirav Valand Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 ndirugendawa Dennis ALTON 🩺 Dr Kansiime Grace Dr. Keith Kakame Dr. Joseph Ogavu Gyagenda MUMSA African Community Center for Social Sustainability Dr.Mutunga Writes ✍️ The elevation of PTH here zi think can still be explained by Rhabdomyolysis induced AKI and hypocalcemia [ This is because damaged muscle tissue can rapidly sequester calcium, reducing the amount calcium available] Also important to know the Serum Vit. D levels

Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) Bbaale Jipson, MD Tariq Mir Nirav Valand Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 ndirugendawa Dennis ALTON 🩺 Dr Kansiime Grace Dr. Keith Kakame Dr. Joseph Ogavu Gyagenda Musawo Eddy MUMSA African Community Center for Social Sustainability Dr.Mutunga Writes ✍️ The elevation of PTH here zi think can still be explained by Rhabdomyolysis induced AKI and hypocalcemia [ This is because damaged muscle tissue can rapidly sequester calcium, reducing the amount calcium available] Also important to know the Serum Vit. D levels

The elevation of PTH here zi think can still be explained by Rhabdomyolysis induced AKI and hypocalcemia [damaged muscle tissue can rapidly sequester calcium, reducing the amount calcium available] yet serum level looks normal Also important to know the Serum Vit. D levels

Dr. Oriba Dan Langoya Association of Physicians of Uganda Internal Medicine Residents @Makerere Makerere University School of Medicine MUMSA Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 Dr. Nicholus Mavine ChefKarim02 Life Spring Health Musinguzi Goodluck R #KigeziNews #Mohdelivers Great submissions as always. Here is more wood for the fire! Any other thoughts with these results

Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) Association of Physicians of Uganda Internal Medicine Residents @Makerere Makerere University School of Medicine MUMSA Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 Dr. Nicholus Mavine ChefKarim02 Life Spring Health Musinguzi Goodluck R #KigeziNews #Mohdelivers Goimg back to Physiology: Calcium is stored in muscles within the sarcoplasmic reticulum and so during damage like in this patient they are sequestered and there is an apparent increase in serum concentration due to sequestration & stimulate PTH production with high PTh coming in

Goimg back to Physiology: Calcium is stored in muscles within the sarcoplasmic reticulum and so during damage like in this patient they are sequestered and there is an apparent increase in serum concentration due to sequestration & stimulate PTH production with high PTh coming in

Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) Association of Physicians of Uganda Internal Medicine Residents @Makerere Makerere University School of Medicine MUMSA Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 Dr. Nicholus Mavine ChefKarim02 Life Spring Health Musinguzi Goodluck R #KigeziNews #Mohdelivers Because of low Ca within the SR

Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) Association of Physicians of Uganda Internal Medicine Residents @Makerere Makerere University School of Medicine MUMSA Dr Celestino Gutiérrez González MD 🇪🇸🍏🇻🇪 Dr. Nicholus Mavine ChefKarim02 Life Spring Health Musinguzi Goodluck R #KigeziNews #Mohdelivers Going back to Physiology: Calcium is stored in muscles within the sarcoplasmic reticulum & so during damage like in this patient they are sequestered & there is an apparent increase in serum conc due to sequestration & stimulate PTH production due to low levels of calcium in SR

Neil Smart The Dukes' Club Neil Smart I just want you to know how many people you’ve impacted,not only through your work, but through who you are. The knowledge you’ve shared, the people you’ve mentored, and the example you’ve set will live on long after any of us are gone. That’s a real legacy. And I