Review Question - QID 210603

A 29-year-old woman presents to the emergency department with a broken arm after she tripped and fell at work. She says that she has no history of broken bones but that she has been having bone pain in her back and hips for several months. In addition, she says that she has been waking up several times in the middle of the night to use the restroom and has been drinking a lot more water. Her symptoms started after she fell ill during an international mission trip with her church and was treated by a local doctor with unknown antibiotics. Since then she has been experiencing weight loss and muscle pain in addition to the symptoms listed above. Urine studies are obtained showing amino acids in her urine. The pH of her urine is also found to be < 5.5. Which of the following would most likely also be seen in this patient?