{"id":11333,"date":"2017-04-03T01:00:00","date_gmt":"2017-04-03T06:00:00","guid":{"rendered":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/?guid=42847a0acc77fd021a4ea51b8afd07cd"},"modified":"2017-04-03T23:00:00","modified_gmt":"2017-04-04T04:00:00","slug":"blood-and-bone-looser","status":"publish","type":"post","link":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/2017\/04\/blood-and-bone-looser\/","title":{"rendered":"Blood and Bone Looser"},"content":{"rendered":"<p>Question: A 45-year-old man with a 22-year history of Crohn\u2019s disease was admitted for muscular weakness, and bilateral groin and shoulder pain. On examination the patient presented with waddling walk, proximal muscular weakness, and a positive Gower\u2019s sign. Laboratory tests showed anemia with a hemoglobin concentration of 8.2 g\/dL. He presented with mild hypocalcemia and severe hypophosphatemia (0.46 mmol\/L) with increased urinary excretion of phosphate (fractional excretion of phosphate, 46%).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Question: A 45-year-old man with a 22-year history of Crohn\u2019s disease was admitted for muscular weakness, and bilateral groin and shoulder pain. On examination the patient presented with waddling walk, proximal muscular weakness, and a positive Gower&#8230; <a href=\"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/2017\/04\/blood-and-bone-looser\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":5910,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11333","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/posts\/11333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/users\/5910"}],"replies":[{"embeddable":true,"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/comments?post=11333"}],"version-history":[{"count":26,"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/posts\/11333\/revisions"}],"predecessor-version":[{"id":12362,"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/posts\/11333\/revisions\/12362"}],"wp:attachment":[{"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/media?parent=11333"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/categories?post=11333"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/my.dev.vanderbilt.edu\/richardpeek\/wp-json\/wp\/v2\/tags?post=11333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}