によって Pablo Perez 4年前.
292
CC: Chronic Constipation x 5 years
PTH
Elevated
Primary hyperparathyroidism
Low to normal, consider...
Granulomatous disease: sarcoidosis, TB
Multiple Endocrine Neoplasia (MEN)
Metastatic tumors
CC: Chronic Constipation x 5 years
Imaging: Colonoscopy
Management
Laxatives more than 1/week
High-fiber supplements
Stool softeners
Demographics
Female
48 y/o
Too young for DEXA scan
Labs
Calcium: elevated
Recheck
11.2 mg/dL (elevated)
Renal function
TSH
Normal
FHx
Both parents with HTN
PMHx
Tobacco use
HTN
Managed with Metoprolol