The answer is C. The laboratory abnormalities (increased serum calcium, parathyroid hormone, and alkaline
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phosphatase and decreased serum phosphorus) are diagnostic of primary hyperparathyroidism, a well-known cause of hypercalcemia. One of the consequences of hypercalcemia (regardless of cause) is deposition of calcium salts in previously undamaged organs or tissues, a phenomenon known as metastatic calcification.
The answer is D. Nuclear pyknosis,
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