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A 56-Year-Old Man Is Admitted to the Hospital with Severe

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A 56-year-old man is admitted to the hospital with severe nausea and vomiting.  He has also had fatigue, poor appetite, polyuria, polydipsia, and constipation for several weeks.  The patient has a history of hypertension and type 2 diabetes mellitus.  His home medications include metformin, lisinopril, and hydrochlorothiazide.  He has a 40-pack-year smoking history and drinks alcohol occasionally.  Temperature is 36.7 C (98 F) , blood pressure is 110/70 mm Hg, pulse is 102/min, and respirations are 16/min.  His mucous membranes are dry.  The rest of the physical examination is unremarkable.  Laboratory results are as follows: A 56-year-old man is admitted to the hospital with severe nausea and vomiting.  He has also had fatigue, poor appetite, polyuria, polydipsia, and constipation for several weeks.  The patient has a history of hypertension and type 2 diabetes mellitus.  His home medications include metformin, lisinopril, and hydrochlorothiazide.  He has a 40-pack-year smoking history and drinks alcohol occasionally.  Temperature is 36.7 C (98 F) , blood pressure is 110/70 mm Hg, pulse is 102/min, and respirations are 16/min.  His mucous membranes are dry.  The rest of the physical examination is unremarkable.  Laboratory results are as follows:   Which of the following is the most likely cause of this patient's hypercalcemia? A) Chronic kidney disease B) Hydrochlorothiazide-induced hypercalcemia C) Hypercalcemia of malignancy D) Osteoporosis E) Primary hyperparathyroidism F) Sarcoidosis Which of the following is the most likely cause of this patient's hypercalcemia?

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