A 72-year-old woman known to the medical oncology team presents to the ED with lethargy, anorexia and some confusion. The triage nurse took bloods one hour ago.
Her results are shown below.
| Test |
Result |
Reference range |
| Na |
141 mmol/L |
135-145 |
| K |
3.8 mmol/L |
3.5-4.5 |
| Cl |
100 mmol/L |
95-110 |
| Urea |
11.5 mmol/L |
2.9-7.1 |
| Creatinine |
150 umol/L |
45-90 |
| Ca |
4.69 mmol/L |
2.10-2.60 |
| Phosphate |
0.4 mmol/L |
0.8-1.5 |
| Albumin |
44 g/L |
38-48 |
What is your interpretation of the results?
(Marked out of 2.0)
/ 2
Assuming the hypercalcaemia is due to her underlying malignancy, what is the pathogenesis of the hypercalcaemia?
(Marked out of 3.0)
/ 3
Besides the symptoms already mentioned, name two (2) other clinical findings likely to be present.
(Marked out of 2.0)
/ 2
What are the priorities in treating her hypercalcaemia?
(Marked out of 3.0)
/ 3
Total Score: 0 / 10
Percentage: 0%
Comments are closed for this SAQ.