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What is the grading of hypercalcemia?

waelhammad
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2022-11-19
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A 54-year-old female presents with drowsiness to the emergency. Her BP is 140/90 mm of Hg with pulse after rate 100/minute. Her investigations reveals serum creatinine 2.4 mg/dL, Na 140 mEq/L, K 4.3 mEq/L. Complete blood count (CBC) and liver function test (LFT) is normal. CT scan head is normal. Her past evaluation reveals a cervical lymph node fine needle aspiration cytology (FNAC) suggestive of granulomatous inflammation. Her bone marrow examination is suggestive of non-Hodgkin’s lymphoma.

What is the grading of hypercalcemia?

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waelhammad
2022-11-19
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Mild 10.5–12.0 mg/dL Intermediate 12.0–15.0 mg/dL Calcification in kidneys, skin, vessels Renal insufficiency Severe >15.0–18.0 mg/dL Frequent with parathyroid CA 1,25(OH)2D values were high normal and PTHrP values were awaited. She was started on antituberculous treatment. Serum calcium values on follow-up were 8.0 mg/dL and 8.8 mg/dL.

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