Hypercalcemia Case Study: Difference between revisions
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== Examination == | == Examination == | ||
*Subjective : | *Subjective : <span style="line-height: 1.5em;">65 yrs old white female with PMH of primary hypothyroidism, HTN and Hyperlipidemia. Presents with c/o fatigue, anorexia, nausea, abdominal pain, constipation and depression for 1 month. Basic metabolic panel showed hypercalcemia 13mg/dl with ionized calcium of 1.8, acute kidney injury with Cr of 2.2 and hyperphosphatemia. Further lab data showed a low PTH and high Vit D level.</span> | ||
*Objective :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. <br>Clinical Impression:<br>1) Hypercalcemia and Hyperphosphotemia secondary to Vit D intoxication and thiazide diuretic<br>2) Acute Kidney injury secondary to Hypercalcemia<br>3) Dehydration secondary to Hypercalcemia<br> | |||
*Objective : Vitals are stable | |||
== Clinical Impression == | == Clinical Impression == |
Revision as of 21:27, 27 March 2015
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 : 65 yrs old white female with PMH of primary hypothyroidism, HTN and Hyperlipidemia. Presents with c/o fatigue, anorexia, nausea, abdominal pain, constipation and depression for 1 month. Basic metabolic panel showed hypercalcemia 13mg/dl with ionized calcium of 1.8, acute kidney injury with Cr of 2.2 and hyperphosphatemia. Further lab data showed a low PTH and high Vit D level.
- Objective :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.
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
Clinical Impression[edit | edit source]
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
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
Related Pages[edit | edit source]
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References[edit | edit source]
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