SAQ 753 – Metabolic – severe hypercalcaemia assessment and emergency treatment

A 50-year-old woman is referred to the ED by her GP with unintended weight loss and a serum calcium of 3.9 mmol/L.

Aside from spurious and malignancy-related causes, name three (3) other causes of hypercalcaemia.

(Marked out of 3.0)

/ 3

Complete the table with three (3) non-cardiovascular body systems affected by this calcium level. For each system, list one (1) clinical feature on history or examination.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Body system</th> <th>Clinical feature</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> </tbody> </table> <p>

/ 6

List two (2) ECG changes that may occur in hypercalcaemia.

(Marked out of 2.0)

/ 2

List four (4) ED treatment options and briefly describe how each lowers serum calcium.

(Marked out of 4.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Treatment option</th> <th>How it lowers serum calcium</th> </tr> </thead> <tbody> <tr> <td>1</td> <td></td> </tr> <tr> <td>2</td> <td></td> </tr> <tr> <td>3</td> <td></td> </tr> <tr> <td>4</td> <td></td> </tr> </tbody> </table> <p>

/ 4

Total Score: 0 / 15

Percentage: 0%