SAQ 209 – Metabolic and Oncology – severe hypercalcaemia with back pain

Marked out of 12.00

A 49-year-old woman presents by ambulance with moderately severe thoracic back pain. Selected serum biochemistry is shown below.

Test Result Reference range
Sodium 140 mmol/L 135-145
Potassium 5.0 mmol/L 3.5-5.0
Urea 28.2 mmol/L 2.5-6.4
Creatinine 0.13 mmol/L 0.05-0.1
Calcium 5.5 mmol/L 2.1-2.8
Albumin 30 g/L 35-50
ALP 150 IU/L 0-120
GGT 115 IU/L <50
ALT 152 IU/L <55
AST 125 IU/L 0-50
Total bilirubin 15 micromol/L 0-19
Total protein 61 g/L 60-82

List five (5) indications for thoracic-spine x-rays in this patient.

(Marked out of 5.0)


/ 5

Provide one (1) calculation that assists interpretation of these results.

(Marked out of 1.0)


/ 1

State a likely unifying explanation for these results in this clinical context. Include three (3) points.

(Marked out of 3.0)


/ 3

List three (3) key steps in the specific treatment of her biochemical state.

(Marked out of 3.0)


/ 3


Total Score: 0 / 12

Percentage: 0%

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