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General Medicine General d55b376d

A 35-year-old woman, on hemodialysis for chronic renal disease, complains of pain in the hands. On examination, the joints are normal with no inflammation or tenderness on palpation. Lab values reveal a low calcium, high phosphate, and high PTH level. What is the most likely diagnosis?

A
scleroderma
B
gout
C
secondary hyperparathyroidism
D
pseudogout

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