A 68-year-old man presents to his GP complaining of pain in his pelvis and lower legs.
A 68-year-old man presents to his GP complaining of pain in his pelvis and lower legs. This pain has been worsening over the last 6 months and it is now painful to walk. He has been self-medicating with PRN paracetamol to deal with the pain. He has no past medical conditions and no known drug allergies.
Blood results show:
| Blood Results | Reference Ranges | |
| Calcium | 2.4 | 2.1-2.6 mmol/L |
| Phosphate | 1.2 | 0.7-1.4 mmol/L |
| ALP | 424 | 30-150 umpl/L |
| PTH | 2.1 | 0.8–8.5pmol/L |
Select the most appropriate management:
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