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1) The patient presented with nausea, vomiting, fatigue, polyuria, polydipsia and confusion. Laboratory tests revealed hypercalcemia, low phosphate, low albumin and elevated alkaline phosphatase. 2) The most likely cause of hypercalcemia is malignancy-associated hypercalcemia given the history of breast cancer with metastases. Mechanisms include parathyroid hormone-related protein secretion by tumors and local osteolysis. 3) Initial treatment of hypercalcemia includes intravenous hydration with saline a

Author

Marwa Basam

Language

EN