Hyperphosphatemia is a serum phosphate concentration > 4.5 mg/dL (> 1.46 mmol/L). Causes include chronic kidney disease, hypoparathyroidism, and metabolic or respiratory acidosis. Clinical features may be due to accompanying hypocalcemia and include tetany. Diagnosis is by serum phosphate measurement.
Fire Chief  Michael Kain. Fire Chief Michael Kain is a life long resident of the valley. He currently oversees operations, fire suppression, EMS services, training, facility management, and fleet. Fire Chief Michael Kain was hired by the Selma Fire Department in 1987 as a Firefighter/Paramedic. He has promoted to each rank within the Selma Fire Department.
Selma, CA Fresno County Welfare Office. YP - The Real Yellow PagesSM - helps you find the right local businesses to meet your specific needs. Search results are sorted by a combination of factors to give you a set of choices in response to your search criteria.