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
• Height: 5' 8"  Weight:165
• Retired administrative assistant
• Runs a soup kitchen 3 days/week
• Primary hypothyroidism
• hypertension
• Hyperlipidemia
• vitamin D deficiency
• has received physical therapy in the past for adhesive capsulitis in L-shoulder.
• Has a history of dizzy spells

Examination

• Subjective : Patient appears very weak and dehydrated, and is complaining of nausea and dizziness.

• Objective : Vitals are stable, heart rate 77bpm, b/p 132/86, respiratory rate 19, no lymphadenopathy, audible S1,S2. Lungs were clear to ascultate bilaterally. She was alert to only person, not time and place.

Clinical Impression

Labs:

Serum calcium-13.5 mg/dl (normal: 8.2-10.7 mg/dl)

ionized calcium- 7,1 mg/dl (normal- 4.5-5.3 mg/dl)

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

2) Acute Kidney injury secondary to Hypercalcemia

3) Dehydration secondary to Hypercalcemia

Discussion

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

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