ea0018p38 | (1) | MES2008
Adjene Alero
, Donaldson James
, Steer Keith
A 69-year-old man with longstanding ulcerative colitis presented for annual review by the gastroenterologists. He complained of lower back pain for six months and a recent history of anorexia, constipation, thirst and urinary frequency.His serum calcium was 5.12 mmol/l, phosphate 1.77 mmol/l, urea 19.1 mmol/l and creatinine 252 μmol/l.He was admitted, rehydrated with 5 l of intravenous normal saline over 24 h and given pamidro...