Condition Info - BotMed Application

ConditionName

Acute Hypercalcemia

ConditionDescription

Symptoms

Often asymptomatic; 
Constipation; 
Anorexia; 
Nausea and vomiting; 
Generalized abdominal pain;
Ileus; 
Impairment of the renal concentrating mechanism leads to polyuria; nocturia; polydipsia;

PhysicalFindings

Neuromuscular symptoms; including skeletal muscle weakness;

ClinicalTests

Chest x-ray; Electrolytes; BUN; creatinine; ionized calcium; phosphate; PTH; alkaline phosphatase; and serum protein immunoelectrophoresis
ECG: Short QT interval;

RiskFactors

IsRedFlag

IsNPLEX

Consequence

Elevation of serum calcium > 12 mg/dL (> 3;00 mmol/L) can cause:  
Lethargy;
Depression;
Memory loss;
Psychosis, personality changes;
Confusion;
Stupor;
Coma;
Delirium; 
Psychosis; 
Nephrolithiasis;
Osteoporosis;
Kidney stones;
DI;
Pancreatitis;
PUD;

ProgressionFromCondition

Primary hyperparathyroidism;
Vitamin D intoxication;
Sarcoidosis and other granulomas;
Thiazide diuretics;
Hyperparathyroidism;
Hyperthyroid;
Metastases to bone and multiple myeloma;
Genetic;

TreatmentOptions

PharmOptions

Saline hydration at high volume;
Calcitonin (low level of Ca fast);
Prednisone: ONLY for sarcoidosis and granulomatous disease;

WebLink

https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hypercalcemia?query=Hypercalcemia