Hypercalcemia in Children

by Brian Alverson, MD

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    About the Lecture

    The lecture Hypercalcemia in Children by Brian Alverson, MD is from the course Pediatric Endocrinology.

    Included Quiz Questions

    1. William’s syndrome
    2. Sarcoidosis
    3. Tuberculosis
    4. Lithium toxicity
    5. Polyglandular autoimmune disease
    1. Low intelligence
    2. Vomiting
    3. Dehydration
    4. Dysmorphic facies in William’s syndrome
    5. Irritability
    1. Ask about a history of hypocalcemia in the mother
    2. Repeat the test a week later
    3. Start calcium carbonate supplements
    4. Restrict milk in this baby until the calcium levels go down
    5. Start magnesium phosphate at a low dose, tapering the dose higher until normocalcemia is reached
    1. Increased vitamin A is the most common cause of hypercalcemia in older children
    2. Some tumours can cause hyperparathyroidism and thus increased calcium
    3. Granulomatous diseases also cause hypercalcemia
    4. Thiazides and lithium can also cause hypercalcemia
    5. Hyperparathyroidism has to be ruled out in children with hypercalcemia
    1. Check for PTHrP levels
    2. Check for a granuloma
    3. Confirm familial hypercalcemia
    4. Conduct MRI of the lung for malignancy
    5. Check urinary calcium
    1. Blood transfusion
    2. Volume expansion
    3. Calcitonin injection
    4. Bisphosphonates
    5. Dialysis

    Author of lecture Hypercalcemia in Children

     Brian Alverson, MD

    Brian Alverson, MD

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