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Medicine > Hypercalcemia > Flashcards

Hypercalcemia Flashcards

1
Q

What controls ca levels?

A

PTH
vit D
Calcitonin

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2
Q

Funtions of PTH!

A

5

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3
Q

Aetiology of hypercalcemia?

A
  1. excess pth (Iry,IIIry)
  2. malignant disease (myeloma,IIry deposits)
  3. excess action of vit A and vit D
  4. excess ca intake
  5. endocrine disease- addisons,thyrotoxicosis
  6. drugs-thiazide
  7. other - immobility

Acidimia
Albuminemia
Osmosis

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4
Q

Clinical features of hypercalcemia?

A

Stomes bones moans grones and thrones

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5
Q

Ix?

A 
Serum pth
Serum ca and po43-
RFT
24 hr urinary ca or ca:cr ratio
ALP (high in bone metastasis)
Imaging 
ECG changes
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6
Q

Tx?

A 
High fluid intake
Reduce intake of ca or vit D
Sx (if parathy tumors)
Bisphosphonate (inhibit osteoclasts)
Steroid (prevent intestinal ca absorption)
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Medicine (38 decks)

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