10th August 2020

An 80-year-old female comes to the GP today to discuss her back pain

An 80-year-old female comes to the GP today to discuss her back pain. She has tried coping with it for some time, but is finding it increasingly difficult, since she is having to go to the bathroom more often to pass urine. She has attended before and the previous GP passed it off as osteoporosis. A review of her previous blood tests reveals the following: Calcium 2.80, Phosphate 1.90, vitamin D 100, PTH 4.0 and ALP 110. The GP asks if she has any other symptoms. The patient replies saying she has been feeling unwell and sick at times. She has lost her appetite and recently become more constipated. What is the most likely diagnosis?

Normal data levels:

Calcium= 2.12-2.65

Phosphate= 0.85-1.45

Vitamin D= 60-105

Parathyroid Hormone PTH= 0.8-8.5

Alkaline Phosphatase ALP= 30-150

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.