Milk-alkali syndrome: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Often due to heavy use of calcium containing antacids | *Often due to heavy use of calcium containing antacids | ||
* | *Headache, confusion, dizziness, poor appetite, psychosis, dry mouth, constipation | ||
==Laboratory Evaluation== | ==Laboratory Evaluation== | ||
Revision as of 04:29, 5 December 2016
Definition
- Hypercalcemia due to increased calcium intake in the setting of renal failure
Background
- 3rd most common cause of hypercalcemia, after hyperparathyroidism and malignancy
Clinical Features
- Often due to heavy use of calcium containing antacids
- Headache, confusion, dizziness, poor appetite, psychosis, dry mouth, constipation
Laboratory Evaluation
- High calcium
- Alkalosis
- Normal or high serum phosphate
- Low serum PTH
- Normal serum 25(OH)D
- Normal or low 1,25(OH)D
Management
- Hydration
- Avoidance of calcium / alkali intake
- Hospitalization for IV hydration in severe cases