Which of the following conditions are associated with hypercalcemia?
belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:9| Question number:52
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belongs to book: ASIR SURGICAL MCQs BANK|Dr. Gharama Al-Shehri|1st edition| Chapter number:9| Question number:52
total answers (1)
a. Hyperthyroidism
b. Thiazide diuretics
d. Breast cancer
Multiple causes of hypercalcemia include the following: Malignancy
Vitamin A or D intoxication
Thiazide diuretics
Hyperthyroidism
Milk-alkali syndrome
Sarcoidosis and other granulomatous diseases
Familial hypocalciuric hypercalcemia
Immobilization
Paget’s disease
Lithium therapy
Addisonian crisis
Idiopathic hypercalcemia of infancy
Hyperthyroidism is associated with increased bone reabsorption. Often, the plasma PTH is low, and a history of other thyrotoxic symptoms can be elicited. Thiazides may increase serum calcium to a mild degree, primarily through hemoconcentration. Serum phosphate may also be depressed. It often takes several weeks for the hypercalcemia to resolve after the medication is discontinued. Terminal ileal resection is not associated with hypercalcemia, indeed hypocalcemia may develop with short gut syndrome. While ileal resection is a predisposing condition for the development of calcium oxalate kidney stones, this is the result of alterations in oxalate metabolism. Patients with solid tumors, such as lung carcinoma, breast carcinoma, squamous cell carcinoma of the head, neck, esophagus or female genital tract or renal cell cancer account for three quarters of all cases of humoral hypercalcemia of malignancy.
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