Acute Hypercalcaemia Flashcards
(12 cards)
What are the causes of acute hypercalcaemia?
Primary hyperthyroidism
Hypercalcaemia of malignancy
Mediactions
What medications can cause hypercalcaemia?
Thiazides
What is the level of calcium that = hypercalcaemia?
> 2.5mmol/l-1
At what serum calcium levels does hypercalcaemia become symptomatic?
2.5 - 3 = asymptomatic
3-3.5 = symptomatic
> 3.5 = severe
What are the renal symptoms of hypercalcaemia?
Polyuria
Polydipsia
Nephrolithiasis
MSK symptoms?
Bone pain
Weakness
Psychological symptoms?
Confusion
CVS symptoms?
Bradycardia
Hypotension
ARRHYTHMIA
Tests?
Bloods
- Serum calcium
- PTH
- Phosphates
Examination
- Look for lymph nodes for hypercalcaemia of malignancy
ECG
What is the most important first treatment to do?
REHYDRATE
Surgical management?
Parathyroidectomy if pharma treatment fails
Pharma treatment?
Glucocorticoids
Calcitonin
