PPT-Hypercalcemia of Malignancy PGY-2 Case Presentation

PGY2 Case Presentation Noon Conference Renate Gyenge DO 102021 1 Review Case Discuss Disease Pathogenesis Discuss Differential Diagnosis Discuss Diagnostic Criteria Discuss Treatment. PTH-rP is the leading cause of hypercalcemia in malignancy (80% of cancer pt. Elizabeth . Ellent. . LSU Hematology Oncology Fellowship. New Orleans Health Sciences Center. July . 2018. Adapted from Jennifer . Slim’s. 2015 . and Alejandra Fuentes 2017 presentation. Overview. incidence in adolescents and young adults living with . perinatally acquired HIV. Srishti Chhabra. 1. , Sarah Fidler. 1,2. , Sara Ayers. 2. , Mark Bower. 1,3. , Hermione Lyall. 2. , Caroline Foster. 2. Palak Choksi, MD. Assistant Professor of Medicine. Metabolism, Endocrinology and Diabetes. Disclosures. NONE. Intended Learning Outcomes. Review calcium metabolism. Describe symptoms of . hypercalcemia. Jessica Thom. PGY-3. Let’s start with a case. Mrs. S is a 74 year old female with a history of COPD who presents to the ER with confusion and acute renal failure. Her calcium on presentation is . 3.13mmol/L . Binu . Abi. , . PharmD. UW Medicine . PGY1 Pharmacy Resident. January 29. th. , 2015. Case. LC. 65 y/o M . Wt. 65 kg. CC . Presented to ED . with . complaints of dizziness, . auditory/visual . hallucinations, abdominal pain, polyuria in setting of starting duloxetine 10 days ago.. Also decreased PO intake. Expressive aphasia due to CVA, cannot give further history. PMH to de discussed later…. PE: . Vitals stable. Moderate respiratory distress. Somnolent but . arousable. Breath sounds only in R chest. . Discussion. Take Home Points. References . Identify hypercalcemia as a common cause of hospitalization. This is largely triggered by primary hyper-. parathyroidism. and malignancy, which account for up to 90% of all diagnoses.. Professor Dr. . Khurshid Khan . MBBS, M.D. (USA). , F.A.C.E. (USA). Diplomate. of American Board in Diabetes, Endocrinology & Metabolism (USA). . Diplomate. of American Board in Internal Medicine (USA) . Case Report. 60 year old male patient presented with a history of trauma to his scrotum 1 year ago after which he developed scrotal swelling and pain. He tried Ayurvedic and Siddha medication for nearly 6 months but his symptoms worsened. He consulted a local surgeon and was diagnosed to have right testicular abscess with Fournier Gangrene for which he underwent debridement and right orchiectomy. However despite regular dressing and debridement his wound did not heal. He was then diagnosed to have left testicular abscess and underwent left orchiectomy with further debridement but to no avail. Recently he started noticing urine leaking from his wound when he voided.. and 69 years of life.In our study, 7.4% of pa-tients under 40 years old had cancer. While therisk of malignancy was significantly increased to24.4% in patients aged 40 years or above.The reports of th case report . B.Rezvankhah.MD. January.2017. What is the diagnosis?. What is the treatment? . Hypercalcemia & Elevated or Inappropriately NL PTH Levels. Primary Hyperparathyroidism . Familial . Hypocalcuric. Hengameh. . Abdi. , MD. Endocrine Research Center. Research Institute for Endocrine Sciences. . Shahid. . Beheshti. University of Medical Sciences. 14 April 2016. Agenda. Introduction. Familial . L Graham. 1,2, 7. , R . McConville. . 3,4. , A Willis. 5. , S Napier. 6,2. Honorary Specialty Registrar Oral and Maxillofacial Pathology/ICAT Fellow. 1. , Specialist Foundation Trainee. 3. , Oral Medicine Consultant .