A 51-year-old woman is found to have a serum calcium of 3.1 mmol/L with suppressed PTH in the context of known metastatic breast cancer and bone pain....

Question

A 51-year-old woman is found to have a serum calcium of 3.1 mmol/L with suppressed PTH in the context of known metastatic breast cancer and bone pain. She is clinically dehydrated and confused. What is the most appropriate immediate management?

Accepted Answer

Intravenous 0.9% sodium chloride and IV bisphosphonate

Answer

Oral calcium supplements

Answer

Aggressive oral hydration only

Answer

High-dose oral Prednisolone alone

Answer

Watchful waiting and repeat calcium in 1 week

uk-plab-1 MCQ (SBA): Hypercalcaemia of malignancy

A 51-year-old woman is found to have a serum calcium of 3.1 mmol/L with suppressed PTH in the context of known metastatic breast cancer and bone pain. She is clinically dehydrated and confused. What is the most appropriate immediate management?