Q:

What investigations would you order in a case of hypercalcemia?

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A 54-year-old female presents with drowsiness to the emergency. Her BP is 140/90 mm of Hg with pulse after rate 100/minute. Her investigations reveals serum creatinine 2.4 mg/dL, Na 140 mEq/L, K 4.3 mEq/L. Complete blood count (CBC) and liver function test (LFT) is normal. CT scan head is normal. Her past evaluation reveals a cervical lymph node fine needle aspiration cytology (FNAC) suggestive of granulomatous inflammation. Her bone marrow examination is suggestive of non-Hodgkin’s lymphoma.

What investigations would you order in a case of hypercalcemia?

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The recommended investigations are:

• Serum calcium total and ionized

• Serum albumin

• Serum phosphorus

• 25(OH)D

• Serum iPTH.

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