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Case Study 1: Hypercalcemia in Terminal CancerScenario:%u2022 A 68-year-old woman with advanced breast cancer presents with confusion, nausea, and increased thirst. Blood tests reveal serum calcium of 2.8 mmol/L.Clincher:%u2022 What is the most appropriate immediate management?Answer:%u2022 Administer IV fluids and IV bisphosphonate (e.g., zoledronate)Rationale:%u2022 Symptoms and blood test indicate hypercalcemia%u2022 IV fluids help correct dehydration and promote calcium excretion%u2022 Bisphosphonates inhibit bone resorption, reducing serum calcium levels%u2022 This treatment can significantly improve symptoms and quality of life in palliative care
