Please don't seek Tele-consultation for a person who is 80 years old. He should have a proper physical examination and consultation. His serum calcium level reading is absurd. Please get it repeated. The Sonologist has reported a parenchymal liver disease and the serum bilirubin level is high. Please let him be treated at the Cancer Institute.

Get proper Kidney function done along with electrolyte and eGfr report. Consult a nephrologist if KFT is deranged. At 80 yrs certain morphological changes to reflect but If you are having any issues then need physical examination and consultation

Please consult

Hi Can you connect via call if possible. His calcium levels are quite high and his USG does show some changes. Need to rule out some symptoms before coming to a diagnosis.

According to your sign and symptom you are suffering from some infection in the liver and kidney. As you know that best treatment depend on the correct diagnosis and correct diagnosis depend on the complete history of the patient so please take consultation from a doctor and give complete history of the patient so that correct diagnosis will be make and then best treatment will be start

Please repeat serum calcium and consult the treating  oncologist. He has treated the patient so is in the best position to guide you.

Attention needed

Need few details Kindly consult

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need more history