A 43-Year-Old Man Comes to the Emergency Department Because of Nausea

A 43-year-old man comes to the emergency department because of nausea, abdominal discomfort, diarrhea, and progressive numbness around the mouth for the past 24 hours. His only medication is a multivitamin supplement. The patient reports a history of "high blood pressure and a thyroid disorder."  He appears fatigued. While measuring the patient's blood pressure, the nurse observes a spasm in the patient's hand. Further discussion with this patient is most likely to reveal which of the following?

A) Excessive vitamin D intake
B) Frequent antacid use
C) New prescription for chlorthalidone
D) Nonadherence with levothyroxine
E) Recent thyroid surgery

Correct Answer:

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