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Case 103: Hypercalcaemia

A 48 year old woman is referred from her GP with a serum corrected calcium of 3.05 mmol/L. She is otherwise fit and well. Her parathyroid hormone (PTH) is inappropriately elevated but renal function is normal.

1. How would you classify hyperparathyroidism?

2. What imaging has been performed and what other options are there?

3. How can operative identification of the parathyroids be facilitated?