Approach to hypercalcemia Quiz: Ace Your Exams
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A 38-year-old woman presents to the emergency department for evaluation of constipation, frequent urination, and abdominal discomfort for one week. She has been experiencing an intermittent dry cough and occasional joint pain for the past 4 months. Past medical history is unremarkable. Temperature is 37.2°C (99.0°F), blood pressure is 135/85 mm Hg, pulse is 88/min, respiratory rate is 18/min, and oxygen saturation is 95% on room air. Physical examination is significant for hepatosplenomegaly. Laboratory evaluation reveals a serum calcium of 12.8 mg/dL. A chest x-ray is shown below. Which of the following laboratory abnormalities is most likely to be seen in this patient?

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