Pediatric inpatient hypercalcemia: triage using intact parathyroid hormone, age, and urinary calcium
link.springer.com/article/10.1...
#Pediatrics #MedEd #Hypercalcemia
link.springer.com/article/10.1...
#Pediatrics #MedEd #Hypercalcemia
October 7, 2026 at 1:51 AM
Pediatric inpatient hypercalcemia: triage using intact parathyroid hormone, age, and urinary calcium
link.springer.com/article/10.1...
#Pediatrics #MedEd #Hypercalcemia
link.springer.com/article/10.1...
#Pediatrics #MedEd #Hypercalcemia
I am personally annoyed by the fact that hypocalcemia causes tetany and hypercalcemia causes weakness and not the reverse as the electrochemical gradients would imply. Stupid sodium channels
November 29, 2024 at 2:23 AM
I am personally annoyed by the fact that hypocalcemia causes tetany and hypercalcemia causes weakness and not the reverse as the electrochemical gradients would imply. Stupid sodium channels
I sometime attend in an LTAC and I regularly see hypercalcemia. When I work it up, by far the most common diagnosis is immobilization hypercalcemia (low PTH without PTHrp, 1,25 OHD, a negative SPEP/UPEP, negative skeletal survey)
I can't find any references to support this observation
I can't find any references to support this observation
February 21, 2025 at 12:59 AM
I sometime attend in an LTAC and I regularly see hypercalcemia. When I work it up, by far the most common diagnosis is immobilization hypercalcemia (low PTH without PTHrp, 1,25 OHD, a negative SPEP/UPEP, negative skeletal survey)
I can't find any references to support this observation
I can't find any references to support this observation
It can also cause agitation, cause some people to have suicidal thoughts or become more depressed. It also may cause gynecomastia and hypercalcemia, and increase cholesterol.
It’s also habit-forming.
It can also decrease the amount of sperm men make and affect their ability to have children.
🤦🏻♀️
It’s also habit-forming.
It can also decrease the amount of sperm men make and affect their ability to have children.
🤦🏻♀️
July 15, 2026 at 7:39 PM
It can also cause agitation, cause some people to have suicidal thoughts or become more depressed. It also may cause gynecomastia and hypercalcemia, and increase cholesterol.
It’s also habit-forming.
It can also decrease the amount of sperm men make and affect their ability to have children.
🤦🏻♀️
It’s also habit-forming.
It can also decrease the amount of sperm men make and affect their ability to have children.
🤦🏻♀️
When evaluating hypercalcemia, initial workup includes parathyroid hormone (PTH) and Vitamin D-25 levels. When those come back normal or inconclusive, you then check a Vitamin D-1,25 level, which will come back inconclusive. Then you check a PTH-rp level, which will not come back in your lifetime.
January 3, 2025 at 3:59 PM
When evaluating hypercalcemia, initial workup includes parathyroid hormone (PTH) and Vitamin D-25 levels. When those come back normal or inconclusive, you then check a Vitamin D-1,25 level, which will come back inconclusive. Then you check a PTH-rp level, which will not come back in your lifetime.
15K of vitamin D for two months would likely cause at least a couple cases of hypercalcemia.
May 7, 2026 at 4:27 AM
15K of vitamin D for two months would likely cause at least a couple cases of hypercalcemia.
Caitlin update. She remains in critical care in the Lurie Children's Hospital PICU. She is rewatching old Supernatural episodes. Otherwise, not a great day. Her hypercalcemia is worse & remains a mystery. There are many other not great things going on. Good thoughts are needed.
March 6, 2024 at 8:45 PM
Caitlin update. She remains in critical care in the Lurie Children's Hospital PICU. She is rewatching old Supernatural episodes. Otherwise, not a great day. Her hypercalcemia is worse & remains a mystery. There are many other not great things going on. Good thoughts are needed.
Caitlin update. She remains in critical condition in the PICU. Though her urosepsis is improving, her hypercalcemia is a little worse. Multiple other problems today, some new. Caitlin remains aware, and is in good spirits. She is watching hospital TV.
March 5, 2024 at 8:44 PM
Caitlin update. She remains in critical condition in the PICU. Though her urosepsis is improving, her hypercalcemia is a little worse. Multiple other problems today, some new. Caitlin remains aware, and is in good spirits. She is watching hospital TV.
Caitlin update. It has been a ride, but all is back to being calm. Caitlin still needs a bipap with oxygen at all times. Taking her off it went... poorly. They are battling hypercalcemia and urosepsis. Probably there are additional issues. We will be in PICU for awhile.
March 2, 2024 at 7:28 PM
Caitlin update. It has been a ride, but all is back to being calm. Caitlin still needs a bipap with oxygen at all times. Taking her off it went... poorly. They are battling hypercalcemia and urosepsis. Probably there are additional issues. We will be in PICU for awhile.
Caitlin update. Not great. Lots of nasty side effects to the zoledronic acid. It barely made a dent in her hypercalcemia. She is exhausted and not opening her eyes. More fluid overloaded. Lots of new electrolyte derangements. Numerous tests & treatments today. 😔
March 17, 2024 at 4:49 PM
Caitlin update. Not great. Lots of nasty side effects to the zoledronic acid. It barely made a dent in her hypercalcemia. She is exhausted and not opening her eyes. More fluid overloaded. Lots of new electrolyte derangements. Numerous tests & treatments today. 😔
Hypercalcemia, a haiku
Frail and brittle bones
Desiccated, transmuted to stone
Dust powders the bowl
Frail and brittle bones
Desiccated, transmuted to stone
Dust powders the bowl
Kidney stone, a haiku
Bone erosion crafted
Serrated, malicious shape
An imperfect stone
Bone erosion crafted
Serrated, malicious shape
An imperfect stone
March 13, 2026 at 10:26 AM
Hypercalcemia, a haiku
Frail and brittle bones
Desiccated, transmuted to stone
Dust powders the bowl
Frail and brittle bones
Desiccated, transmuted to stone
Dust powders the bowl
Geezus aich christos, Vit A is toxic and can cause severe hypercalcemia, children are much more susceptible. Do not take supplements!
March 1, 2025 at 3:15 AM
Geezus aich christos, Vit A is toxic and can cause severe hypercalcemia, children are much more susceptible. Do not take supplements!
Caitlin update. The hypercalcemia won’t budge, so last night she received another infusion of zoledronic acid. Calcium is *still* up, and now she is in pain. No desats in a bit, but her weight increased again. Things are very much not great. 😔
March 16, 2024 at 2:43 PM
Caitlin update. The hypercalcemia won’t budge, so last night she received another infusion of zoledronic acid. Calcium is *still* up, and now she is in pain. No desats in a bit, but her weight increased again. Things are very much not great. 😔
Parathyroid adenoma —> hypercalcemia —> neuron transmitter disruption —> fatigue, anxiety, depression, cognitive disfunction, and even psychosis, for all the doctors in the house.
So if you have any of these mental health challenges maybe get a blood test. Might change your life. For good!
So if you have any of these mental health challenges maybe get a blood test. Might change your life. For good!
July 10, 2025 at 1:30 AM
Parathyroid adenoma —> hypercalcemia —> neuron transmitter disruption —> fatigue, anxiety, depression, cognitive disfunction, and even psychosis, for all the doctors in the house.
So if you have any of these mental health challenges maybe get a blood test. Might change your life. For good!
So if you have any of these mental health challenges maybe get a blood test. Might change your life. For good!
“The patient’s bloodwork is also notable for a serum albuminemia of 28 g/L, which has increased binding to calcium ions leading to uncontrolled hypercalcemia.” this computer is so cool, man. i’m glad patients are using it to interpret their lab results. it’s good that that’s happening.
November 6, 2025 at 6:09 PM
“The patient’s bloodwork is also notable for a serum albuminemia of 28 g/L, which has increased binding to calcium ions leading to uncontrolled hypercalcemia.” this computer is so cool, man. i’m glad patients are using it to interpret their lab results. it’s good that that’s happening.
New: Excessive Ingestion of Almond Milk Causes Severe Hypercalcemia and Acute Kidney Injury in a Patient With Chronic Kidney Disease #nephrology #kidneydisease #medsky #nephsky
www.ochsnerjournal.org/content/25/1...
www.ochsnerjournal.org/content/25/1...
Excessive Ingestion of Almond Milk Causes Severe Hypercalcemia and Acute Kidney Injury in a Patient With Chronic Kidney Disease
Background Almond milk has a higher calcium content than cow's milk. Hypercalcemia after consuming almond milk has been reported in infants, but to our knowledge, we report the first case of almond mi...
www.ochsnerjournal.org
March 24, 2025 at 11:54 PM
New: Excessive Ingestion of Almond Milk Causes Severe Hypercalcemia and Acute Kidney Injury in a Patient With Chronic Kidney Disease #nephrology #kidneydisease #medsky #nephsky
www.ochsnerjournal.org/content/25/1...
www.ochsnerjournal.org/content/25/1...
Sarcoidosis like hypercalcemia with dabrafenib/trametinib (BRAF/MEK inhibitors) - case report
www.kireports.org/article/S246... in @kireports.bsky.social
#NephSky
www.kireports.org/article/S246... in @kireports.bsky.social
#NephSky
June 2, 2025 at 11:11 PM
Sarcoidosis like hypercalcemia with dabrafenib/trametinib (BRAF/MEK inhibitors) - case report
www.kireports.org/article/S246... in @kireports.bsky.social
#NephSky
www.kireports.org/article/S246... in @kireports.bsky.social
#NephSky
Let's get all the fat soluble vitamins in there! Add some D and K too! Hypercalcemia for everyone!
March 4, 2025 at 7:20 PM
Let's get all the fat soluble vitamins in there! Add some D and K too! Hypercalcemia for everyone!
See, when I'm not dying from hypercalcemia due to (looking very likely at this point given I'm a month on supplements & feeling WAY better) critically low levels of vitamin D, I'm a fucking creative menace and get so much done. A publisher would be LUCKY to have me, I am filled with comic powerrrr
March 1, 2026 at 2:40 PM
See, when I'm not dying from hypercalcemia due to (looking very likely at this point given I'm a month on supplements & feeling WAY better) critically low levels of vitamin D, I'm a fucking creative menace and get so much done. A publisher would be LUCKY to have me, I am filled with comic powerrrr
Rare but can be devastating if it happens and it doesn’t really have a treatment beyond supportive care and managing the individual abnormalities (i.e., hypercalcemia) that arise. Children are at higher risk of developing it than adults.
It did make sense to look at vitamin D for…
It did make sense to look at vitamin D for…
March 29, 2025 at 3:54 AM
Rare but can be devastating if it happens and it doesn’t really have a treatment beyond supportive care and managing the individual abnormalities (i.e., hypercalcemia) that arise. Children are at higher risk of developing it than adults.
It did make sense to look at vitamin D for…
It did make sense to look at vitamin D for…
Hypercalcemia induced by disseminated cryptococcal infection a rare, but important, finding… #IDSky
www.acpjournals.org/doi/10.7326/...
www.acpjournals.org/doi/10.7326/...
ACP Journals
www.acpjournals.org
August 20, 2025 at 9:38 PM
Hypercalcemia induced by disseminated cryptococcal infection a rare, but important, finding… #IDSky
www.acpjournals.org/doi/10.7326/...
www.acpjournals.org/doi/10.7326/...
Grady update:
Good news is his vet has consulted some internists and oncologists and given all they've seen, it's not lymphoma.
Bad news is that leaves idiopathic hypercalcemia. That means his calcium is up and there's no discernible cause.
Good news is his vet has consulted some internists and oncologists and given all they've seen, it's not lymphoma.
Bad news is that leaves idiopathic hypercalcemia. That means his calcium is up and there's no discernible cause.
August 31, 2023 at 8:13 PM
Grady update:
Good news is his vet has consulted some internists and oncologists and given all they've seen, it's not lymphoma.
Bad news is that leaves idiopathic hypercalcemia. That means his calcium is up and there's no discernible cause.
Good news is his vet has consulted some internists and oncologists and given all they've seen, it's not lymphoma.
Bad news is that leaves idiopathic hypercalcemia. That means his calcium is up and there's no discernible cause.