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Reported Question / Answer
Q.) Anuva Rani 70yrs woman presents with post myocardial infraction after 6 weeks with mild CHF.There was past H/O neck surgery for parathyroid adenoma 5 years ago.ECG shows slow artrial fibrillation.Serum Ca+2 13.0mg/L and urinary Ca+2 is 300mg/24h.On examination their is small mass in the para tracheal position behind the right clavicle.Appropriate management is-
1)
Observation and repeat serum Ca+2 in two months
2)
Ultrasound - guided alcohol injection of the mass
3)
Repeat neck surgery
4)
Treatment with technetium-99
5)
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2
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