Hyperparathyroidism Quiz: Ace Your Exams
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A 55-year-old woman presents to the emergency department with altered mental status. The patient has a past medical history of hypertension, osteopenia and recurrent kidney stones. Temperature is 37.0 °C (98.6 °F), pulse is 54/min, respiratory rate is 12/min, blood pressure is 150/90 mmHg, and oxygen saturation is 100% on room air. On physical examination, the patient is somnolent but awakens to touch, and the abdomen is diffusely tender to palpation. Skin and mucous membranes are dry. ECG demonstrates sinus bradycardia and a shortened QT interval. Laboratory testing shows a serum calcium level of 14.5 mg/dL. In addition to aggressive IV fluid hydration, what is the most appropriate next step in management?
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