Calcium

Question 1

36 year old black woman with hypercalcemia and bilateral hilar lymphadenopathy, diagnosis and next step?

Answer 1

Sarcoid, get a 1,25 Vit Level, biopsy the sarcoid

Question 2

Altered mental status, abdominal pain, and bone pain, diagnosis?

Answer 2

Hypercalcemia

Question 3

Asymptomatic patient with a mildly elevated calcium, next step?

Answer 3

Check a urine (familial hypocalciuric hypercalcemia)

Question 4

Biochemical levels of hypercalcemia of malignancy, PTH-rp?

Answer 4

High calcium Low pth, low phos, high PTH-rp

Question 5

Biochemical levels of Hypercalcemia of malignancy, mets?

Answer 5

High Calcium, Low PTH, high Phos

Question 6

Chvostek Sign, Trousseau Sign, diagnosis?

Answer 6

Hypocalcemia

Question 7

Most common cause of hypercalcemia?

Answer 7

Malignancy and Hyperparathyroidism

Question 8

Perioral tingling and paresthesias after a thyroidectomy, diagnosis and next step?

Answer 8

Hypocalcemia, check iCa (ionized calcium)

Question 9

What is the treatment for Symptomatic Hypercalcemia?

Answer 9

Fluid big time, not Lasix

Question 10

What is the treatment of hypercalcemia of malignancy?

Answer 10

Fluid fluid fluid, and bisphosphonates (not lasix)

Question 11

What lab should you look at first with disorders of calcium?

Answer 11

Albumin

Question 12

You diagnose hyperparathyroidism, what do you do?

Answer 12

Sestambi Scan

Question 13

What is the relationship between Albumin and Calcium?

Answer 13

When albumin drops, calcium drops but ionized calcium does not drop