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Endocrine > Calcium balance > Flashcards

Calcium balance Flashcards

1
Q

Main symptoms of hypocalcaemia

A

Muscle tetany

Cardiac problems

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2
Q

What gland is the main cause of hypocalcaemia

A

Parathyroid

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3
Q

What vitamin is required for normal calcium levels

A

Vitamin D

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4
Q

Treatment for mild hypocalcaemia

A

oral calcium

If Vitamin D deficient then start supplements

If low Mg then stop causing drug

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5
Q

What other ion should be checked with hypocalcaemia

A

Magnesium

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6
Q

What adjusted calcium level is deemed mild hypocalcaemia

A

1.9<>2.2

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7
Q

What adjusted calcium level is deemed mild hypocalcaemia

A

<1.9

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8
Q

Treatment for sever hypocalcaemia

A

Iv Calcium

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9
Q

What does low calcium and low phosphate suggest

A

Vitamin D deficiency

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10
Q

What plasma level of calcium needs urgent intervention (high Ca)

A

3.5

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11
Q

Acronym for hypercalcaemia symptoms

A

Bones, stones, groynes and psychiatric moans

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12
Q

Common renal hypercalcaemia symptoms

A

Polyuria

polydipsia

nephrolithiasis (kidney stones)

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13
Q

Common GI hypercalcaemia symptoms

A

Anorexia

Vomiting

constipation

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14
Q

Common msk hypercalcaemia symptoms

A

Muscle weakness

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15
Q

Common neurological hypercalcaemia symptoms

A

Loss of concentration

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16
Q

Common cardiovascular hypercalcaemia symptoms

A

Short Qt interval

Bradycardia

17
Q

Hypercalcaemia can be a red flag for what condition

A

cancer

18
Q

What are 2 most common causes of hypercalcaemia

A

hyperparathyroidism

cancer

19
Q

First line treatment for hypercalcaemia

A

Generous water intake (3L daily)

Vitamin D replacement

20
Q

What medical treatment can be offered for hypercalcaemia

How does it work?

A

Cinacalcet

It mimics Ca and does negative feedback to parathyroid

21
Q

High plasma ca and low urinary ca suggests what

A

FHH i.e. genetic disorder

leave parathyroids in

Endocrine (7 decks)

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