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BOF: 33

A 51-year-old woman was found to have hypercalcaemia on a routine blood sample a year ago. Further investigations show

Calcium 2.81 mmol/L                         Sodium 141 mmol/L

Phosphate 0.8 mmol/L             Potassium 3.9 mmol/L

Albumin 42 g/L                         Urea 4.5 mmol/L

PTH 6.9 nmol/L                          Creatinine 78 umol/L

Urinary calcium 0.5 mmol in 24 hrs

She is not taking any medications and complains of no symptoms beyond occasional hot flushes. She has no history of renal stones.

What would you do next?

a) Arrange parathyroidectomy

b) Arrange a Chase-Auerbach test

c) Screen for myeloma

d) Arrange a bone scan

e) See her in a years time

 

 

 

 

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