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Dx: hypercalcemia, elevated PTH, hypophosphatemia, hypercalciuria, elevated urine cAMP, chloride/phosphate ratio 33:1 (due to renal bicarb wasting from PTH), subperiosteal bone resorption (2nd and 3rd phalanges), osteopenia. Tx: SURGERY (definitive): pt 400mg in 24 hrs. ................
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