Hypercalcemia Case Study

Author/s

Chinwe Okoro, Logan Simcox, Ali Hasnie, and Shawn Maskalick

Doctor of Physical Therapy Program

Bellarmine University 

Louisville, KY

Patient Characteristics

• 65 year old
• White female
• Retired administrative assistant
• Primary hypothyroidism
• hypertension
• Hyperlipidemia
• vitamin D deficiency

• Medical diagnosis if applicable
• Co-morbidities
• Previous care or treatment

Examination

• Subjective : Patient History and Systems Review (chief complaints, other relevant medical history, prior or current services related to the current episode, use relative dates i.e. years or months or days relative to onset of injury or start of treatment, patient/family goals)
• Self Report Outcome Measures
• Physical Performance Measures
• Objective : Physical Examination Tests and Measures

Clinical Impression

1) Hypercalcemia and Hyperphosphotemia secondary to Vit D intoxication and thiazide diuretic

2) Acute Kidney injury secondary to Hypercalcemia

3) Dehydration secondary to Hypercalcemia

Summarization of Examination Findings

Working Diagnosis and Targeted Interventions

She appears weak and dry. Vitals are stable, no lymphadenopathy, audible S1,S2. Lungs were clear to ascultate bilaterally. She was alert to only person, not time and place.  

Discussion

Summary Statement which should include related findings in the literature, potential impact on clinical practices

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