Nephrolithiasis
- Urology consulted, performed ureteroscopic stone fragmentation and removal the following day
Hypercalcemia
- Treated with IV fluids, Zoledronic Acid, and Calcitonin -> serum calcium normlized within 2 days
- Hydrochlorothiazide was discontinued
- PTH resulted low at 8 pg/mL
- 25-OH-Vitamin D and 1,25-OH-Vitamin D levels were within normal limits
- PTHrP ordered, returned a few days later elevated at 7.2 pmol/L
- CT chest with contrast demonstrated a large left hilar mass
- EBUS (Endobronchial ultrasound) with biopsy revealed squamous cell carcinoma, PD-L1 negative
- PET/CT showed likely metastases in the liver
- Palliative Care was consulted (see the evidence)
- The patient was initiated on combination chemotherapy with carboplatin and paclitaxel
For more information, see Hypercalcemia
Resources
- Temel, J., Al., E., Hospital, A., Meier, A., K. G. Blumenthal and Others, & Others, N. (2010, August 19). Early palliative care for patients with metastatic Non–Small-Cell lung CANCER: NEJM. Retrieved March 12, 2021, from https://www.nejm.org/doi/full/10.1056/NEJMoa1000678
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