16th September 2020

A 45-year-old female is diagnosed with asymptomatic primary hyperparathyroidism

A 45-year-old female is diagnosed with asymptomatic primary hyperparathyroidism following routine laboratory investigations. Further investigations demonstrate:

• Serum calcium level 2.7mmol/L [2.2-2.6mmol/L]
• Creatinine clearance 65mL/minute [100-130mL/min]
• Bone mineral density T-score -0.8 

Select the SINGLE most appropriate option from the list below which indicates why this patient should be offered surgical intervention? Select ONE option only.