Hyperparathyroidism Quiz: Ace Your Exams
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A 35-year-old man with a history of Roux-en-Y gastric bypass surgery five years ago presents to the clinic for follow up of abnormal laboratory findings. The patient has no specific symptoms and has maintained his significant weight loss since the surgery. He generally follows a balanced diet but does have intermittent issues with diarrhea. Vital signs are within normal limits and physical examination is unremarkable. Laboratory studies are shown below. What is the most appropriate next step in management?
| Laboratory study | Result |
| Calcium | 8.2 mg/dL |
| 25-hydroxy vitamin D | 10 ng/mL |
| Parathyroid hormone | 88 pg/mL |
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