Hypercalcemia of malignancy: Difference between revisions

No edit summary
No edit summary
Line 31: Line 31:


==See Also==
==See Also==
[[Hypercalcemia]]
*[[Hypercalcemia]]


==Source==
==Source==

Revision as of 01:26, 23 October 2011

Background

  1. Causes:
    1. PTHrP release
      1. SCC (particularly of the head and neck), breast renal, endometrial cancer
    2. Local osteolysis
      1. Associated primarily with bone mets
      2. Multiple myeloma, lung, breast cancer
    3. Production of vitamin D analogues
      1. Lymphoma (Hodgkin)

Clinical Features

  1. See Hypercalcemia

Work-Up

  1. Chem10
  2. Ionized Ca
  3. CBC
  4. LFTs (alk phos, albumin)
  5. ECG

Treatment

  1. See Hypercalcemia

Disposition

  1. Ca <12
    1. Home with f/u if oncology concurs
  2. Ca>12
    1. Admit ward
  3. ECG changes
    1. Admit telemetry

See Also

Source

  • EM Practice 3/10
  • Tintinalli
Retrieved from "https://www.wikem.org/w/index.php?title=Hypercalcemia_of_malignancy&oldid=6383"