Secondary Hyperparathyroidism in Hemodialysis Patients

A 55-year-old African-American man with a history of hypertensive nephrosclerosis who has been on hemodialysis (HD) for the past 7 years was doing dialysis rounds. On physical exam he was well appearing, BP was 138/90 mm Hg, and his pulse was 84 bpm. He had no lower extremity edema and no rashes or skin lesions.  A chest radiograph obtained the ...