title: Problem based review: The patient with hypercalcaemia.
abstract: Hypercalcaemia is a common problem which may present to the Acute Medical Unit. Primary hyperparathyroidism (PHPT) and malignancy are the commonest causes of hypercalcaemia, accounting for over 90% of cases. Assessment of parathyroid hormone (PTH) levels is key to determining whether hypercalcaemia is parathyroid-mediated. Initial systematic assessment and adequate rehydration are important to help make the underlying diagnosis and determine longer-term management. The medical management of primary hyperparathyroidism not requiring surgery, with Cinacalcet is highlighted.
authors.affiliation: ST6-Diabetes and Endocrinology, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH.
authors.forename: P
authors.initials: P
authors.lastname: Machenahalli
authors.affiliation: Consultant Physician and Endocrinologist.
authors.forename: K
authors.initials: K
authors.lastname: Shotliff