The Diagnosis and Management of Severe Hypercalcaemia A simplifed approach - Report of fve cases
Journal Title: Sultan Qaboos University Medical Journal - Year 2010, Vol 10, Issue 3
Abstract
Hypercalcaemia, a common medical problem, can be a manifestation of various diseases. When severe, it can represent a medical emergency. Correct diagnosis is important to prevent unnecessary investigations and parathyroidectomies. We here present fve patients with severe hypercalcaemia, most misdiagnosed for months or years before being referred to Sultan Qaboos University Hospital, Oman. We report how clinical examination, evaluation of fasting serum calcium, phosphate, creatinine and 24-hour urine calcium levels together with a review of their radiographics predicted the pathophysiology of the disorder and guided investigative procedures before hormone assays results were available.
Authors and Affiliations
Omayma T Elshafe| Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman, Nicholas JY Woodhouse| Department of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
Keywords
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