Today's Case A 60-year-old female with a history of type 2 diabetes mellitus, hypothyroidism, and hypercalcemia complicated by recurrent nephrolithiasis and recurrent urinary tract infections presents to the emergency department from her urology appointment with a blood pressure of 80/34 mmHg. Over the past few months, she has also experienced a 60 lb weight loss, shortness of breath, and generalized fatigue. She was admitted to the hospital where her lab tests were notable for hypercalcemia (16.6 mg/dL), elevated alkaline phosphatase (305 U/L), aspartate aminotransferase (52 U/L), alanine aminotransferase (24 U/L), and total bilirubin (0.8 mg/dL). Today's Reader Jared Fehlman is an Internal Medicine Resident at Huntington Health Hospital in Pasadena, California. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj ⁠⁠The Dr. Raj Podcast⁠⁠ ⁠⁠Dr. Raj on Twitter⁠⁠ ⁠⁠Dr. Raj on Instagram⁠⁠ Want more board review content? ⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠ ⁠⁠Crush Step 1⁠⁠ ⁠⁠Step 2 Secrets⁠⁠ ⁠⁠Beyond the Pearls⁠⁠ ⁠⁠The Dr. Raj Podcast⁠⁠ ⁠⁠Beyond the Pearls Premium⁠⁠ ⁠⁠USMLE Step 3 Review⁠⁠ ⁠⁠MedPrepTGo Step 1 Questions⁠⁠ ⁠⁠MedPrepTGo Step 2 Questions⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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