Problem based review: the patient with hypercalcaemia
Machenahalli, P.; Shotliff, K.
Acute Medicine 14(3): 138-141
2015
ISSN/ISBN: 1747-4892 PMID: 26767204 Document Number: 16796
Hypercalcaemia is a common problem which may present to the Acute Medical Unit. Primary hyperparathyroidism (PHPT) and malignancy are the commonest causes of hypercalcaemia, accounting for over 90% of cases. Assessment of parathyroid hormone (PTH) levels is key to determining whether hypercalcaemia is parathyroid-mediated. Initial systematic assessment and adequate rehydration are important to help make the underlying diagnosis and determine longer-term management. The medical management of primary hyperparathyroidism not requiring surgery, with Cinacalcet is highlighted.
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