A 58-year-old man on ICU has a corrected calcium of 3.8 mmol/L, found incidentally on routine bloods. He has mild confusion and polyuria. PTH is 185 p...

Question

A 58-year-old man on ICU has a corrected calcium of 3.8 mmol/L, found incidentally on routine bloods. He has mild confusion and polyuria. PTH is 185 pmol/L (normal 1.6-6.9). He is haemodynamically stable. What is the most appropriate initial management?

Accepted Answer

IV normal saline resuscitation (3-4 litres over 24 hours) with monitoring of calcium

Answer

Oral bisphosphonate

Answer

Emergency parathyroidectomy

Answer

Calcitonin only

Answer

Dialysis for calcium removal

uk-fficm MCQ (SBA): Severe Hypercalcaemia

A 58-year-old man on ICU has a corrected calcium of 3.8 mmol/L, found incidentally on routine bloods. He has mild confusion and polyuria. PTH is 185 pmol/L (normal 1.6-6.9). He is haemodynamically stable. What is the most appropriate initial management?