Rotations 2.0 Ep 32 GERD

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Episode 32 GERD

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 Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Comedy Cartoon Funny Background Music by Hitslab

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 31 Vitamin D

Question 1: Vitamin D Metabolism

A 45-year-old woman with chronic liver disease is found to have low serum 25-hydroxyvitamin D [25(OH)D] levels despite adequate sun exposure and oral vitamin D₃ supplementation. Which of the following best explains her low 25(OH)D levels?

 
B. Impaired hepatic 25-hydroxylation

Question 2: Clinical Application of Supplementation

A 68-year-old man with a history of bariatric surgery presents for evaluation of vitamin D status. His serum 25(OH)D is 12 ng/mL. Which of the following is the most appropriate form of vitamin D supplementation for this patient?

C. Calcifediol (25-hydroxyvitamin D)

Question 3: Vitamin D Toxicity

A 55-year-old woman presents with fatigue, nausea, and confusion. Labs reveal hypercalcemia, suppressed PTH, and a serum 25(OH)D level of 180 ng/mL. She reports taking high-dose vitamin D supplements for several months. Which of the following best explains her condition?

C. Exogenous vitamin D toxicity

Paper for next week:

Tomoari Kamada, Kiichi Satoh, Toshiyuki Itoh, Masanori Ito, Junichi Iwamoto, Tadayoshi Okimoto, Takeshi Kanno, Mitsushige Sugimoto, Toshimi Chiba, Sachiyo Nomura, Mitsuyo Mieda, Hideyuki Hiraishi, Junji Yoshino, Atsushi Takagi, Sumio Watanabe,Kazuhiko Koike,

Evidence-based clinical practice guidelines for peptic ulcer disease 2020, J Gastroenterol (2021) 56:303–322

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