<prompt> A 50-year-old woman presents with acute right flank pain of 72 hours in duration. Her temperature is 37degC, BP-14085 mm Hg, and pulse 85minute. A CBC is normal. Urinalysis reveals hematuria and urine cultures are negative. Imaging studies show stones in the right renal pelvis and ureter. This patients condition may be associated with which of the following endocrine disorders?Conn syndromeCushing syndromeHyperparathyroidismHypehyroidism  <response>: - Given clinical features suggests the diagnosis of nephrolithiasis which can be caused by primary hyper-parathyroidism Primary hyperparathyroidism - dt excessive secretion of PTH by parathyroid adenoma hyperplasiacarcinoma. - Excessive PTH causes - Excess bone resorption - S. Calcium levels - Filtered calcium by kidney - Resulting in renal stones calcification of renal interstitium tubules . - Metastatic calcification secondary to hypercalcemia can also be seen in stomach,lungs,myocardium blood vessels - Accompanied by mental changes - depression, emotional liability, poor mentation memory defects. Other choices given are not associated with hypercalcemia formation of renal calculi. 