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A 76-year-old male smoker attends the ED. He is extremely thirsty and cannot stop passing urine. There is no glycosuria and he is not acidotic.
His bloods tests reveal:
Calcium 3.4mmol/l
PO4 1.3mmol/l
ALP 16iu/l
Creatinine 150µmols/l
His chest x-ray (CXR) shows a speculated suspicious mass and his wrists and ankles are painful.
What is the diagnosis?
What is the treatment?
What could be the mechanism of the raised calcium?