Correct!
4. 1 and 3
Aggressive hydration is the treatment of choice for hypercalcemia (3). Bisphosphonates may also be given. In our opinion, hemodialysis is overly aggressive and should be reserved for emergency situations or those failing hydration and bisphosphonates. Normal saline was administered intravenously. She was also given a bisphosphonate, pamidronic acid, 60 mg IV once a day.
A bone scan showed diffuse miliary lesions in the pelvis, elbows, right wrist, thumb, knees, distal right tibia, ankles and feet (Figure 2).
Figure 2. Bone scan showing diffuse uptake of radiotracer in multiple bones.
Which of the following should be done next? (Click on the correct answer to proceed to the sixth and final panel)