Familial hypocalciuric hypercalcemia physical examination: Difference between revisions
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*Patients with [[hypercalcemia]] may have: | *Patients with [[hypercalcemia]] may have: | ||
**[[High blood pressure]] due to [[hypercalcemia]] | **[[High blood pressure]] due to [[hypercalcemia]] | ||
===HEENT=== | ===HEENT=== | ||
Revision as of 15:33, 26 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Physical examination of patients with familial hypocalciuric hypercalcemia (FHH) is usually unremarkable. Very rarely patients may have examination findings due to hypercalcemia.
Physical Examination
- Physical examination of patients with FHH is usually unremarkable.[1]
- Patients may have physical examination findings due to hypercalcemia.[2]
Appearance of the Patient
- Patients with FHH usually have a normal appearance.
Vital Signs
- Patients with hypercalcemia may have:
- High blood pressure due to hypercalcemia
HEENT
- Patients with hypercalcemia may have:
- Band keratopathy (calcium precipitation in a horizontal band across the cornea in the palpebral aperture); may lead to vision impairment
Lungs
- Patients with hypercalcemia may have:
- Dyspnea due to fluid overload form renal failure
Cardiovasvular
- Patients with hypercalcemia and other complications may have:
- Palpitations due to arrhythmias
- Shortened QT interval
- Chest pain due to fluid overload form renal failure
- Rales and S3 due to fluid overload form renal failure
Abdomen
- Patients with hypercalcemia may have:
- Nausea and vomiting
- Anorexia
- constipation
- Epigastric pain and tenderness due to development of pancreatitis
- Flank pain and tenderness due to nephrolithiasis
Genitourinary
- Patients with severe hypercalcemia may have:
- Alteration in urinary habits
- Volume depletion
- Signs of renal failure
Neuromuscular
- Patient is usually oriented to persons, place, and time.
- Patients with severe hypercalcemia may have:
- Anxiety
- Fatigue and weakness
- Lethargy
- Sleep disturbances
- Muscle twitch and cramps
- Signs of depression
- Confusion
- Memory disturbances
- Hypotonia
- Hyporeflexia
Extremities
- Normal
References
- ↑ Pallan S, Khan A (2011). "Primary hyperparathyroidism: Update on presentation, diagnosis, and management in primary care". Can Fam Physician. 57 (2): 184–9. PMC 3038812. PMID 21321169.
- ↑ Mishra SK, Agarwal G, Kar DK, Gupta SK, Mithal A, Rastad J (2001). "Unique clinical characteristics of primary hyperparathyroidism in India". Br J Surg. 88 (5): 708–14. doi:10.1046/j.0007-1323.2001.01775.x. PMID 11350446.