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BOF: 51

 A 56-year-old female presents with a history of feeling tired, excessive thirst and abdominal pain.

Investigations show

Hb 11.5 g/dL

WBC 6.3 x109 /L

Platelets 350

ESR 12 mm in 1^st hour

Sodium 136 mmol/L

Potassium 4.4 mmol/l

Urea 11.6 mmol/L

Creatinine 142 mmol/L

Calcium (corrected) 3.3 mmol/L

Phosphate 0.71 mmol /L

Chloride 117 mmol/L

Bicarbonate 12 mmol/L

Alkaline phosphatase 172 iu/L

In this patient which one of the following features would make hyperparathyroidism the most likely diagnosis in this patient?

a)      Low phosphate

b)      Normal ESR

c)      Hyperchloraemic metabolic acidosis

d)      Calcium > 3.0 mmol/L

e)      Elevated urea

 

 

 

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