Hypercalcemia Case Study

Author/s

Shawn Maskalick, Chinwe Okoro, Logan Simcox, Ali Hasnie

Bellarmine University

Doctor of Physical Therapy Program

Class of 2016

Patient Characteristics

• 65 year old
• White female
• Height: 5' 8"  Weight:165
• Retired administrative assistant
• Runs a soup kitchen 3 days/week
• Diagnosis:  Hypercalcemia secondary to Vitamin D intoxication & thiazide diuretic
  
• Past Medical History:  Primary hypothyroidism, HTN, hyperlipidemia, & vitamin D deficiency

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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