Milk-alkali syndrome physical examination

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Physical Examination

The following should be considered in the physical examination of milk-alkali syndrome:32,7,11

• Vertigo
• Confusion
• Apathy
• Nausea, vomiting
• Anorexia
• Pruritus
• Polydipsia
• Polyuria
• Muscle aches
• Tremor
• Psychosis
• Abnormal calcifications
  • Ocular calcification (keratopathy and calcium deposits in the conjunctiva)
  • Renal calcinosis
  • Other sites with metastatic calcification may include:
    • Central nervous system,70
    • Lungs 70  
    • Liver,74
    • Adrenal gland ,74
    • Bone,9
    • Periarticular tissue,71
    • Subcutaneous tissue,73