What are the treatment options for an elderly patient with a history of valley fever, currently presenting with hypercalcemia, hyponatremia, hypochloremia, elevated alkaline phosphatase, and elevated erythrocyte sedimentation rate, with no bacterial infection noted?

Given the patient's history of valley fever and current symptoms, it is recommended that they continue to receive antifungal treatment, such as fluconazole, to manage their infection. The patient's elevated alkaline phosphatase level and erythrocyte sedimentation rate suggest that they may have an underlying inflammatory condition, which could be contributing to their symptoms. To address this, the patient may benefit from anti-inflammatory medication, such as prednisone, to reduce inflammation and alleviate symptoms. Additionally, the patient's low sodium and chloride levels may indicate that they are at risk of dehydration, so it is essential to ensure that they are receiving adequate hydration. The patient's elevated calcium level may also require monitoring and treatment to prevent complications. In terms of second-line interventions, the patient may benefit from physical therapy to improve their mobility and reduce the risk of falls. It is also essential to monitor the patient's liver and kidney function, given their elevated alkaline phosphatase level and history of valley fever. A follow-up appointment with a healthcare provider is necessary to assess the patient's response to treatment and adjust their regimen as needed.