Ca and bone disorder-6

Topic: ca and bone disorder-6

Posted on: November 24, 2016

Patient no 28
A 41 years old female was hospitalized in the Oncology Clinic. The patient
had four spontaneous fractures (foot, clavicle, upper arm, forearm) four
years ago. She also reported poor appetite, nausea and vomiting every
day during the last several months.

  • Her biochemical profile is as following:
  • Na: 141 mmol/L (132-144)
  • K: 2.4 mmol/L (3.2-4.8)
  • Urea: 4.3 mmol/L (3.6-6.7)
  • Ca: 3.84 mmol/L (2.1-2.65)
  • P: 0.81 mmol/L (0.81-1.45)
  • Alkaline Phosphatase: 205 U/L (24-125)

a. What is the most important diagnosis in this patient?
b. Name ONE lab test you should advise to confirm your diagnosis?

a. Primary Hyperparathyroidism (Hypercalcaemia of Malignancy is
also acceptable diagnosis)
b. PTH

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