CC: Chronic Constipation x 5 years

HTN

Managed with Metoprolol

Tobacco use

Both parents with HTN

TSH

Normal

Renal function

Normal

Calcium: elevated

Recheck

11.2 mg/dL (elevated)

48 y/o

Too young for DEXA scan

Female

Stool softeners

High-fiber supplements

Laxatives more than 1/week

Normal

Metastatic tumors

Multiple Endocrine Neoplasia (MEN)

Granulomatous disease: sarcoidosis, TB

Primary hyperparathyroidism