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MediumEndocrinologyPrimary hyperparathyroidismau-racpau-amc

A 70-year-old woman presents with polyuria, polydipsia and nocturia. Serum sodium is 148 mmol/L, fasting glucose 5.0 mmol/L and serum calcium 2.70 mmol/L. Parathyroid hormone is elevated. What is the most likely diagnosis?

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