Milk-alkali syndrome physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shakiba Hassanzadeh, MD[2]

Overview

The following should be considered in the physical examination of milk-alkali syndrome: vertigo, confusion, apathy, nausea, vomiting, anorexia, pruritus, polydipsia, polyuria, muscle aches, tremor, psychosis, and abnormal calcifications (keratopathy, renal calcinosis).

Physical Examination

The following should be considered in the physical examination of milk-alkali syndrome:

• Vertigo
• Confusion
• Apathy
• Nausea, vomiting
• Anorexia
• Pruritus
• Polydipsia
• Polyuria
• Muscle aches
• Tremor
• Psychosis
• Abnormal calcifications
  • Ocular calcification in the cornea (keratopathy) and in the conjunctiva (conjunctivitis)
  • Renal calcinosis
  • Metastatic calcification has also been reported in some less common sites such as central nervous system, lungs, liver, adrenal glands, bone, periarticular and subcutaneous tissue.