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Investigation and Management of HYPERCALCAEMIA
• 24hr Urine Collections o To exclude FHH send accurate paired plasma and 24hr urine samples for calcium and creatinine. The lab will calculate a calcium clearance to creatinine clearanace ratio (CCCR) o CCCR <0.01 in a patient with normal vitamin D status is suggestive of FHH. o Primary hyperparathyroidism is likely if CCCR is >0.02
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