Hypercalcemia is having serum calcium level of >10.5 mg/dL (>2.5 mmol/L).
Mild hypercalcemia is usually asymptomatic. While, more severe hypercalcemia has a constellation of clinical manifestations commonly described as "bones, abdominal moans, stones & groans."
Etiologies may be parathyroid-dependent or parathyroid independent.
Surgery is the treatment of choice for hypercalcemic patients with classic symptoms or complications of primary hyperparathyroidism.

Follow Up

Post-parathyroidectomy Patient

  • Monitor serum & urine Ca to avoid hypo- or hypercalcemia
  • Give Ca supplement for ≥1 year to increase bone density

Primary Hyperparathyroidism Patient Managed Medically

  • Follow up patient every 6 month
  • Measure BP, serum Ca & Cr at each visit
  • Perform yearly abdominal radiographs, urinary Ca & bone mineral density (BMD) tests
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