| 2.) To decide on the cause in this patient, what additional history is needed?
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Additional history:
- Symptoms of hypercalcemia: lethargy, anorexia, vomiting, constipation, depression, musculoskeletal pain, renal stones, fractures/osteoporosis
- Associated diseases: pancreatitis, peptic ulcer disease/ gastroesophageal reflux
- Drug intake: thiazides, lithium, calcium, vitamin D
- History of malignancy, renal failure, adrenal insufficiency, granulomatous diseases
- Family history: endocrinopathies or hypercalcemia
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Questions
