Hypercalcemia

Presentation- Renal stone, bone, abdominal moans, psychiatric overtones ECG→ Shortened QT, prolong PR, prolong QRS, high QRS, T wave flat Etiology Treatment 1.Asymptomatic- IV fluid, mobilization 2.Symptomatic- IV fluid, lasix, calcitonin 3.Malignancy- Adding bisphosphonate 4.Vit D intoxication, granuloma- glucocorticoid 5.Recurrence- EDTA(10~50mg/kg IVD 4hrs), dialysis