High PTH, Phosphorus in a Diabetic Hemodialysis Patient

A 40-year-old man with a history of type 2 diabetes mellitus and hypertension and who had been on hemodialysis thrice weekly for the past 6 months via a left upper extremity arteriovenous fistula developed chronic angina with exertion for 1 week. The patient has been compliant with his dialysis treatment and took calcium acetate 2100 mg with meals, calcitriol ...