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27th February 2025
A 54-year-old gentleman with a past medical history of gout, Crohn’s disease and CKD due to reflux nephropathy is found to be hypercalcaemic.
A 54-year-old gentleman with a past medical history of gout, Crohn’s disease and CKD due to reflux nephropathy is found to be hypercalcaemic. He is generally well and describes no symptoms.
Blood results are as follows:
| Haemoglobin | 145 g/L | 135-180 g/L |
| Platelets | 331 x 109/L | 150-400 x 109/L |
| White cell count | 5.6 x 109/L | 4.0-11.0 x 109/L |
| Sodium | 139 mmol/L | 135-145 mmol/L |
| Potassium | 3.9 mmol/L | 3.5-5.3 mmol/L |
| Urea | 4.1 mmol/L | 2.5-6.7 mmol/L |
| Creatinine | 114 μmol/L | 70-100 μmol/L |
| eGFR | 66 mL/min | >90mL/min |
| Corrected calcium | 2.79 mmol/L | 2.12-2.60 mmol/L |
| Phosphate | 0.74 mmol/L | 0.80-1.40 mmol/L |
| PTH | 6.2 pmol/L | 1.9-6.9 pmol/L |
What is the most appropriate next step in management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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