Close
27th February 2025
A 66-year-old patient is on ramipril and amlodipine for hypertension and lithium for bipolar disorder.
A 66-year-old patient is on ramipril and amlodipine for hypertension and lithium for bipolar disorder. She also takes multiple inhalers, prednisolone 5 mg once daily, and aminophylline as part of her treatment for longstanding COPD.
She presents with a several-week history of abdominal cramps, constipation and muscle pains. She also complains of polyuria and polydipsia.
| Sodium | 143 mmol/L | 135-145 mmol/L |
| Potassium | 3.7 mmol/L | 3.5-5.3 mmol/L |
| Urea | 6.2 mmol/L | 2.5-6.7 mmol/L |
| Creatinine | 105 μmol/L | 70-100 μmol/L |
| Corrected calcium | 3.00 mmol/L | 2.12-2.60 mmol/L |
| Phosphate | 0.90 mmol/L | 0.80-1.40 mmol/L |
| PTH | 5.2 pmol/L | 1.9-6.9 pmol/L |
Urinalysis shows glucose but no ketones.
Given the likely diagnosis, what is the most appropriate management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
