Kategorien: Alle - hypertension - imaging

von Pablo Perez Vor 3 Jahren

180

CC: Chronic Constipation x 5 years

A 48-year-old female presents with chronic constipation persisting for five years. Her medical history includes hypertension managed with Metoprolol and a significant family history of hypertension.

CC: Chronic Constipation x 5 years

PTH

Elevated

Primary hyperparathyroidism

Low to normal, consider...

Granulomatous disease: sarcoidosis, TB
Multiple Endocrine Neoplasia (MEN)
Metastatic tumors

CC: Chronic Constipation x 5 years

Imaging: Colonoscopy

Management

Laxatives more than 1/week
High-fiber supplements
Stool softeners

Demographics

Female
48 y/o
Too young for DEXA scan

Labs

Calcium: elevated
Recheck

11.2 mg/dL (elevated)

Renal function
TSH
Normal

FHx

Both parents with HTN

PMHx

Tobacco use
HTN
Managed with Metoprolol