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 Best of Five 2.144

 

   

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BOF: 2.144

A 20 year old female presents with a history of perioral tingling and tingling of her arms and feet and muscle cramps. No other symptoms.

No previous illnesses of note.

Investigations reveal

Corrected calcium 1.74 mmol/L

Urea 80 mmol/L

Creatinine 90 mmol/L

In this patient which one of the following investigations would you arrange next?

a)      Chest x-ray

b)      Parathyroid hormone concentration

c)      Vitamin D assay

d)      Coeliac screen

e)      Urinary calcium concentration

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