Answers To Case 17 Calcium Disorders

Summary: This is a 58-year-old female with a history of recurrent nephrolithiasis, presenting for follow-up and found to have calcium oxalate stones. She had an initial serum calcium level that was elevated, as was the repeat serum calcium 1 week later. At the time of her follow up. she was completely asymptomatic. She takes no medications, and has a family history only significant for hypertension.

^ Diagnosis: Hypercalcemia and recurrent nephrolithiasis

^ Most likely cause: Hyperparathyroidism

^ Next step: Further laboratory work-up, including serum parathyroid hormone (PTH)

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