A 51-year-old woman was found to have hypercalcaemia on a
routine blood sample a year ago. Further investigations show
Calcium 2.81 mmol/L Sodium 141
Phosphate 0.8 mmol/L Potassium 3.9 mmol/L
Albumin 42 g/L Urea 4.5 mmol/L
PTH 6.9 nmol/L Creatinine 78
Urinary calcium 0.5 mmol in 24 hrs
She is not taking any medications and complains of no
symptoms beyond occasional hot flushes. She has no history of renal stones.
What would you do next?
a) Arrange parathyroidectomy
b) Arrange a Chase-Auerbach test
c) Screen for myeloma
d) Arrange a bone scan
e) See her in a years time