Jeffrey Epstein, a 65-year-old male, presents with primary hyperparathyroidism and hypercalcemia. He has a history of nephrolithiasis and neurocognitive symptoms. Imaging is negative for parathyroid adenoma, but surgery is recommended. The patient has no active allergies and no significant family history of endocrine disorders. Physical examination and laboratory studies are detailed, with a recommendation for parathyroid surgery.
documents/EFTA00314225.pdf
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