USMLE Forum Archives - USMLE Step 2 CK - hypercalcemia
hypercalcemia
conym5 - 01-12-10 10:22
A 38 yr old male came to the office with complaints occasional cough and fever, pt denies h/o smoking or alcohol.physical exam was normal and CXR showed Hilar adenopathy. lab shows RBC 3.7, Hb 11.2, calcium 10.8 ,Na 140
how do you RX Hypercalcemia
conym5 - 01-12-10 10:22
A 38 yr old male came to the office with complaints occasional cough and fever, pt denies h/o smoking or alcohol.physical exam was normal and CXR showed Hilar adenopathy. lab shows RBC 3.7, Hb 11.2, calcium 10.8 ,Na 140
how do you RX Hypercalcemia
The correct answer and explanation will be available after you answer.
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#1
Re: hypercalcemia ysemak - 01-12-10 11:18 My answer is: e.
rehydration and forsed diuresis is the mainstay of therapy.
Biphosphonates and steroids can be used as additionaly therapy
#2
Re: hypercalcemia ysemak - 01-12-10 11:20 :) Ye, when you see the correct answer - you know what was asked.
+5
#3
Re: hypercalcemia
conym5 - 01-12-10 17:08 yes ysemak.. this is a very tricky question i found , usually we forget the main diagnosis treatment , which is being asked. we jsut go with the routene treatment..
#5
Re: hypercalcemia conym5 - 01-13-10 09:50 you are correct oldman, i think you didnt get confused.good
not only sarcoidosis , any granulomatoisis disorder with hypercalcemia will respond to steroids well..
#23
Re: hypercalcemia mtniharika - 04-29-10 09:34 My answer is: b.
Loop diuretics
A loop diuretic (eg, furosemide) may be used with hydration to increase calcium excretion. This may also prevent volume overload during therapy.
In contrast to loop diuretics, avoid thiazide diuretics because they increase the reabsorption of calcium.
Bisphosphates - These agents will inhibit osteoclast activity for up to a month
#24
Re: hypercalcemia babbu5508 - 05-22-10 03:38 My answer is: d.
patient is suffering from sarcoidosis associated hypercalcemia.......so the tretment would be steroids...the best and first treatment for sarcoidosis.
#33
Re: hypercalcemia aboaziza - 07-05-11 14:52 My answer is: b.
cant give steriods cause of the fever, aledronate cause no h/o osteoporosis, so my guess is b.
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