Hypercalcemia Case Study
Author/s[edit | edit source]
Shawn Maskalick, Chinwe Okoro, Logan Simcox, Ali Hasnie
Bellarmine University
Doctor of Physical Therapy Program
Class of 2016
[edit | edit source]
Patient Characteristics[edit | edit source]
- 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[edit | edit source]
- Subjective :fatigue, anorexia, nausea, abdominal pain, constipation and depression for 1 month.
- Objective :She appears weak and dry. Vitals are stable, no lymphadenopathy, audible S1,S2. Lungs were clear to ascultate bilaterally. Alert & oriented x 1 (only person). Basic metabolic panel: hypercalcemia 13mg/dl, ionized calcium of 1.8, acute kidney injury with Cr of 2.2 & hyperphoshatemia. Further lab data showed a low PTH & high Vit D levels.
Clinical Clinical Impression:[edit | edit source]
1) Hypercalcemia & Hyperphosphotemia secondary to Vit D intoxication & thiazide diuretic
2) Acute Kidney injury secondary to Hypercalcemia
3) Dehydration secondary to Hypercalcemia
Summarization of Examination Findings[edit | edit source]
Discussion[edit | edit source]
Summary Statement which should include related findings in the literature, potential impact on clinical practices
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