最近审阅: 24 十月 2020
最近更新: 19 十二月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 恶性肿瘤史

其他诊断因素

  • 正常体格检查
  • 皮肤张力差和/或黏膜干燥
  • 意识模糊
  • 疲劳
  • 便秘
  • 食欲不振
  • 恶心
  • 多尿
  • 多饮
  • 骨痛
  • 使用诱发高钙血症的药物
  • 木僵
  • 昏迷

危险因素

  • 非转移性恶性肿瘤
  • 转移性骨骼受累
  • 淋巴瘤

诊断性检查

首要检查

  • 血清总钙
  • 血清游离钙
  • 血清白蛋白
  • 综合代谢检查
  • 静息心电图 (ECG)
  • 血清甲状旁腺素
  • 血清甲状旁腺素相关肽
  • 血清磷
  • 血清骨化三醇(1,25-二羟维生素D)
  • 血清 25 -羟基维生素 D
更多 首要检查

需考虑的检查

  • 骨骼检查
  • 胸部 X 线检查
更多 需考虑的检查

治疗流程

撰稿人

Fellow

Division of Endocrinology

Department of Medicine

University of California, Los Angeles

Los Angeles

CA

利益声明

AS declares that he has no competing interests.

Associate Professor

Division of Endocrinology

Department of Medicine

University of California, Los Angeles

Los Angeles

CA

利益声明

DM declares that she has no competing interests.

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Professor

Endocrinology Fellowship Training Program

Department of Clinical Diabetes, Endocrinology, and Metabolism

City of Hope National Medical Center

Duarte

CA

利益声明

KCC declares that he has no competing interests.

Consultant and Senior Lecturer

Endocrine Unit

Newcastle University and Royal Victoria Infirmary

Newcastle-upon-Tyne

UK

利益声明

RQ has been reimbursed by Amgen, the manufacturer of Cinacalcet, for attending a conference and for giving an educational seminar (total under £1,200 over past 3 years).

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