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
2
Q
Clinical Features
A
Bones -Bone Pain
Moans -Drowsiness, fits, psychosis, coma
Abdominal groans - Abdo pain, N+V
Other - polydipsia, polyuria, dehydration
3
Q
Investigations
A
BLOODS
Ca2+ ++
PTH (poss ++)
Tumour markers
IMAGING
ECG - shortened QTC interval
Bone scan/CXR/Mammogram (tumours)
4
Q
Management
A
Fluid challenge
Furosemide
Bisphosphonates
Radiotherapy to treat bone mets