Progressive Fatigue in Medicine / Internal Medicine — 55yo Man | Endocrinology | SMLE Q#17441
SMLE Question #17441
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
A 55-year-old man presents with progressive fatigue and diffuse bone pain. He has had several episodes of recurrent ureteric stones over the past years. He does not take thiazide diuretics or lithium. Examination is unremarkable. Laboratory testing shows hypercalcaemia with inappropriately elevated intact parathyroid hormone and normal renal function. What is the most appropriate next step in management?
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