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<title>[Box], Clinical Case 5.1 - Endocrinology - NCBI Bookshelf</title>
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<meta name="robots" content="NOINDEX,NOFOLLOW,NOARCHIVE,NOIMAGEINDEX" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="[Box], Clinical Case 5.1" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="BIOS Scientific Publishers" /><meta name="DC.Contributor" content="Stephen Nussey" /><meta name="DC.Contributor" content="Saffron Whitehead" /><meta name="DC.Date" content="2001" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK24/" /><meta name="description" content="A 45-year-old woman presented to her primary care physician with general malaise, aches and pains, anorexia and weight loss of more than 3 months duration. Her only other symptoms had been polyuria and polydipsia, which, together with the weight loss, had suggested the diagnosis of DM. Her physician had, therefore, arranged for some biochemical tests to be performed. The fasting serum glucose concentration was normal (4.1 mmol/l, NR <3–6.0 mmol/l) but he was concerned when the laboratory staff phoned the surgery to report that her total serum Ca2+ was high at 4.1 mmol/l (NR 2.2–2.6 mmol/l) with an albumin of 38 g/l (NR 38–40 g/l). Her serum urea and electrolyte concentrations were normal as were her routine hematological investigations." /><meta name="bk-non-canon-loc" content="/books/n/endocrin/A742/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK24/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" media="print" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script>
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<div class="main-content lit-style"><div class="body-content whole_rhythm"><div id="ch5cc1" class="box"><h3><span class="title">Clinical Case 5.1</span></h3><p>A 45-year-old woman presented to her primary care physician with general malaise, aches and pains, anorexia and weight loss of more than 3 months duration. Her only other symptoms had been polyuria and polydipsia, which, together with the weight loss, had suggested the diagnosis of DM. Her physician had, therefore, arranged for some biochemical tests to be performed. The fasting serum glucose concentration was normal (4.1 mmol/l, NR <3–6.0 mmol/l) but he was concerned when the laboratory staff phoned the surgery to report that her total serum Ca<sup>2+</sup> was high at 4.1 mmol/l (NR 2.2–2.6 mmol/l) with an albumin of 38 g/l (NR 38–40 g/l). Her serum urea and electrolyte concentrations were normal as were her routine hematological investigations.</p></div><div id="bk_toc_contnr"></div></div></div>
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<div class="post-content"><div><p>From: <a href="/books/NBK24/" target="mainwindow">Chapter 5, The parathyroid glands and vitamin D</a></p><div class="iconblock clearfix ten_col"><a class="img_link icnblk_img" title="Table of Contents Page" href="/books/n/endocrin/" target="mainwindow"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-endocrin-lrg.png" alt="Cover of Endocrinology" height="100px" width="80px" /></a><div class="icnblk_cntnt"><div><div>Endocrinology: An Integrated Approach.</div><div>Nussey S, Whitehead S.</div><div>Oxford: <a href="http://www.garlandscience.com/about.asp" target="mainwindow" ref="pagearea=content-footer&targetsite=external&targetcat=link&targettype=publisher">BIOS Scientific Publishers</a>; 2001.</div></div></div></div><div class="half_rhythm"><a href="/books/about/copyright/" target="mainwindow">Copyright</a> © 2001, BIOS Scientific Publishers Limited.</div><p>NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.</p></div></div>
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