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Oncology Emergencies > Hypercalcaemia > Flashcards

Hypercalcaemia Flashcards

1
Q

Definition

A
  • Most common metabolic emergency in cancer patients
  • Calcium level >3.5mmol/L
  • Due to either bone mets or ectopic parathryoid secreting hormone
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2
Q

Clinical Features

A

Bones -Bone Pain
Moans -Drowsiness, fits, psychosis, coma
Abdominal groans - Abdo pain, N+V

Other - polydipsia, polyuria, dehydration

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3
Q

Investigations

A

BLOODS
Ca2+ ++
PTH (poss ++)
Tumour markers

IMAGING
ECG - shortened QTC interval
Bone scan/CXR/Mammogram (tumours)

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4
Q

Management

A

Fluid challenge
Furosemide
Bisphosphonates

Radiotherapy to treat bone mets

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Oncology Emergencies (5 decks)

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