1st November 2021

A 50 year old woman with a breast lump is diagnosed with breast cancer

A 50 year old woman with a breast lump is diagnosed with breast cancer. She is discovered to have the BRCA2 gene mutation. Unfortunately, the cancer was found to have metastasised to her ribs and left humerus. She is under the care of the palliative and oncology team. Yesterday, she began complaining of nausea and shortly thereafter she began vomiting. She is apyrexial. Her husband was very worried and brought her to A&E. Her blood results from her A&E admission show a raised corrected serum calcium of 3.1 mmol/L. As the doctor working in A&E who is responsible for her care, what’s the next best step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.