The calcium puzzle: how to handle high levels

This episode makes reference to guidelines produced for the Maidstone and Tunbridge Wells NHS Trust. Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by them.

My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through the guidance on hypercalcaemia produced by the Maidstone and Tunbridge Wells NHS Trust, always focusing on what is relevant in Primary Care only.

I am not giving medical advice; this episode is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.

Tracks:
00:00 – Introduction and welcome
00:27 – Calcium metabolism
02:10 – Causes of hypercalcaemia
03:26 – Signs and symptoms of hypercalcaemia
04:51 – Classification of hypercalcaemia
05:31 – Investigations in hypercalcaemia
08:21 – Management of hypercalcaemia
10:36 – Tertiary hyperparathyroidism
13:32 – Thank you and good-bye

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There is a YouTube version of this and other videos that you can access here:
● The Practical GP YouTube Channel:
   / @practicalgp  

The resources consulted can be found here:

The guidance on the treatment of hypercalcaemia in adults by the Maidstone and Tunbridge Wells NHS Trust can be found here:
• https://www.formularywkccgmtw.co.uk/m...

The guidance on the management of hypercalcaemia by the Adult Therapeutics Handbook for the NHS Greater Glasgow and Clyde can be found here:

• https://handbook.ggcmedicines.org.uk/...

Other guidance can be found here:

Joshi D, Center JR, Eisman JA. Investigation of incidental hypercalcaemia. BMJ. 2009;339:b4613
• http://www.ncbi.nlm.nih.gov/pubmed/19...

Carroll MF, Schade DS. A practical approach to hypercalcemia. Am Fam Physician. 2003;67(9):1959-66
• http://www.ncbi.nlm.nih.gov/pubmed/12...

Smellie WS et al. Best practice in primary care pathology: review 11. J Clin Pathol. 2008;61(4):410-8
• http://www.ncbi.nlm.nih.gov/pubmed/17...