| Author | 8 Posts |
humar92004
Forum Newbie
Topics: 6
Posts: 8
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A 42-year-old man presents with a 1-day history of increasing nausea, vomiting, and lethargy. He has an extensive smoking history and was recently diagnosed with lung cancer. He is not taking any medications and has not yet initiated chemotherapy. On physical examination, he is afebrile and somnolent. His lungs are clear to auscultation, and his heart is regular in rate and rhythm. His skin shows eroding calcium deposits. Laboratory results indicate a serum calcium level of 13.4 mg/dL. Which of the following is the most appropriate initial step in management?
A. Calcitonin
B. Etidronate
C. Hydrochlorothiazide
D. IV saline
E. Prednisone
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| kpmle2
Forum Elite
Topics: 53
Posts: 352
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D. IV saline
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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yeah sgree with kpmle2 .... start with iv fluids ....... then further management of hypercalcemia
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| gr8doc
Forum Senior
Topics: 8
Posts: 210
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D.
Can someone explain indications for the rest of the choices ?
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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D
___________________
Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| Ivonne
Find a way or make one
Topics: 57
Posts: 1,615
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___________________
"The question isn't who is going to let me; it's who is going to stop me. " ~ Ayn Rand
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| dr.wad
Forum Senior
Topics: 3
Posts: 350
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IV salaine then diuretic then bisphosphate
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| starcraftbw
Forum Senior
Topics: 13
Posts: 166
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very easy question
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