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Case 40 

Case 40
Case 40

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

Page of

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date: 25 October 2020

A 42-year-old shop assistant with hypertension and obesity had a routine blood test, which showed a raised ALP. She was asymptomatic. She was on ramipril 5mg/day and a combined oral contraceptive pill. She had lost 10kg in 5 months, but attributed this to a diet. She did not smoke or drink. Examination, including breast and rectal examinations, was normal.

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