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Hypercalcaemia - Management
Basis for recommendation
Many people are asymptomatic
Symptoms are often non-specific
Extent of symptoms is related to severity and rate of onset
Clinical features
- The clinical features of hypercalcaemia are derived from several narrative reviews [Ralston, 1992; Chan et al, 1997; Bushinsky and Monk, 1998; Carroll and Schade, 2003; Weiss-Guillet et al, 2003; Ralston et al, 2004; Smellie et al, 2008; Waters, 2009] and a textbook [Twycross et al, 2009]. Each clinical feature was stated in at least two articles or texts.
- The information that renal colic is rare when hypercalcaemia is due to cancer is derived from a narrative review [Ralston, 1992]. Another narrative review states that up to 6% of people with calcium-containing kidney stones have (primary) hyperparathyroidism [Bushinsky and Monk, 1998].
- The information that both peptic ulcer and pancreatitis are rare in people with hypercalcaemia is derived from a narrative review [Chan et al, 1997].
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