A 54 year-old woman with a past history of mental illness presented with a new o

Question

A 54 year-old woman with a past history of mental illness presented with a new onset of bizarre psychotic behavior. She had been well for the past two years. She was 5'5" tall and weighed 138 lb. Her heart rate was 80 BPM, and her BP was 130/75 mm Hg. The physical exam was normal, but she was confused as to her current location, the date, & the year.

Patient’s Values Normal Values
Calcium (S) 13.8 mg/dl 8.4 - 10.1
Phosphorus (S) 2.8 mg/dl 2.5 - 4.5
Chloride:Phosphate ratio 38 : 1 <29 : 1
PTH, intact molecule (S) 56 pg/ml 9 - 51
Calcium, total (S) 13.6 mg/dl 8.4 - 10.1
Calcium, ionized (S) 6.9 mg/dl 4.4 - 5.5

What is your diagnosis? Provide evidence (signs and symptoms) to support your answer completely.


How might this patient be treated?

Explanation / Answer

Patient’s Values Normal Values
Calcium (S) 13.8 mg/dl 8.4 - 10.1
Phosphorus (S) 2.8 mg/dl 2.5 - 4.5
Chloride:Phosphate ratio 38 : 1 <29 : 1
PTH, intact molecule (S) 56 pg/ml 9 - 51
Calcium, total (S) 13.6 mg/dl 8.4 - 10.1
Calcium, ionized (S) 6.9 mg/dl 4.4 - 5.5

hypercalcemia

answer :primary hyperparathyroidism

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