{"id":1647,"date":"2017-07-24T08:02:10","date_gmt":"2017-07-24T12:02:10","guid":{"rendered":"https:\/\/www.roshreview.com\/?p=1647"},"modified":"2024-02-21T17:33:59","modified_gmt":"2024-02-21T17:33:59","slug":"rapid-review-hypercalcemia","status":"publish","type":"post","link":"https:\/\/www.roshreview.com\/blog\/rapid-review-hypercalcemia\/","title":{"rendered":"Rapid Review: Hypercalcemia"},"content":{"rendered":"\n<p><em>Reviewed February 2024<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"682\" height=\"1024\" src=\"https:\/\/www.roshreview.com\/blog\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypercalcemia-2-@8x-1-682x1024.png\" alt=\"\" class=\"wp-image-13405\" srcset=\"https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypercalcemia-2-@8x-1-682x1024.png 682w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypercalcemia-2-@8x-1-200x300.png 200w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypercalcemia-2-@8x-1-768x1154.png 768w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypercalcemia-2-@8x-1-1022x1536.png 1022w, https:\/\/www.roshreview.com\/wp-content\/uploads\/sites\/2\/2024\/02\/Image-Hypercalcemia-2-@8x-1-1363x2048.png 1363w\" sizes=\"auto, (max-width: 682px) 100vw, 682px\" \/><\/figure>\n<\/div>\n\n\n<p><strong><span style=\"text-decoration: underline;\">Hypercalcemia<\/span><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sx: bone pain (<strong>bones<\/strong>), kidney stones (<strong>stones<\/strong>), abdominal pain (<strong>groans<\/strong>), lethargy, psychosis (<strong>psychiatric overtones<\/strong>)<\/li>\n\n\n\n<li>ECG: <strong>shortened QT interval<\/strong><\/li>\n\n\n\n<li>Most common causes\n<ul class=\"wp-block-list\">\n<li>Malignancy (most common inpatient cause)<\/li>\n\n\n\n<li>Primary hyperparathyroidism (most common outpatient cause)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Treatment: IV fluids, bisphosphonates, calcitonin, denosumab (refractory disease)<\/li>\n<\/ul>\n\n\n\n<p><span style=\"text-decoration: underline;\"><strong>Sample question:<\/strong><\/span><\/p>\n\n\n\n<p>A 62-year-old woman with <strong>nephrolithiasis <\/strong>presents to the emergency department with <strong>muscle weakness<\/strong>, nausea, and <strong>confusion<\/strong>. ECG reveals bradycardia with a <strong>shortened QT interval<\/strong>. Laboratory findings include a total calcium of 14.7 mg\/dL. In addition to starting intravenous isotonic saline at 200 mL\/hour, which of the following is the best treatment option?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reviewed February 2024 Hypercalcemia Sample question: A 62-year-old woman with nephrolithiasis presents to the emergency department with muscle weakness, nausea, and confusion. ECG reveals bradycardia with a shortened QT interval. Laboratory findings include a total calcium of 14.7 mg\/dL. In addition to starting intravenous isotonic saline at 200 mL\/hour, which of the following is the <a href=\"https:\/\/www.roshreview.com\/blog\/rapid-review-hypercalcemia\/\">read more&#8230;<\/a><\/p>\n","protected":false},"author":15,"featured_media":6906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[2020,1996,2021,2022,2023,2024,2025,2026,2027,2028,2029,2011,2000],"tags":[2594,3203,3215],"coauthors":[3864],"class_list":["post-1647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-adult-gerontology-primary-care","category-blogtype","category-pa-certified","category-certified-emergency-nurse","category-clinical-year","category-didactic-year","category-emergency-medicine","category-emergency-nurse-practitioner","category-family-medicine","category-family-nurse-practitioner","category-internal-medicine","category-pediatric-emergency-medicine","category-rapid-review","tag-endocrine","tag-pance","tag-panre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.7 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Rapid Review: Hypercalcemia - RoshReview.com<\/title>\n<meta name=\"description\" content=\"This Rapid Review distills the important facts about hypercalcemia, so you can brush up your knowledge and be a confident medical professional. 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