Diferencia entre revisiones de «Milk-alkali syndrome»

(Created page with "==Definition== *Hypercalcemia due to increased calcium intake in the setting of renal failure ==Background== *3rd most common cause of hypercalcemia, after hyperparathyroidis...")
 
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==Clinical Features==
==Clinical Features==
*Often due to heavy use of calcium containing antacids
*Often due to heavy use of calcium containing antacids
*headache, confusion, dizziness, poor appetite, psychosis, dry mouth, constipation
*Headache, confusion, dizziness, poor appetite, psychosis, dry mouth, constipation


==Laboratory Evaluation==
==Laboratory Evaluation==

Revisión del 04:29 5 dic 2016

Definition

  • Hypercalcemia due to increased calcium intake in the setting of renal failure

Background

  • 3rd most common cause of hypercalcemia, after hyperparathyroidism and malignancy

Clinical Features

  • Often due to heavy use of calcium containing antacids
  • Headache, confusion, dizziness, poor appetite, psychosis, dry mouth, constipation

Laboratory Evaluation

  • High calcium
  • Alkalosis
  • Normal or high serum phosphate
  • Low serum PTH
  • Normal serum 25(OH)D
  • Normal or low 1,25(OH)D

Management

  • Hydration
  • Avoidance of calcium / alkali intake
  • Hospitalization for IV hydration in severe cases