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Old 09-07-2013
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Default hypercalcemia

what is the next best step in management of hypercalcemia? hydration or bisphosphonates ,can anyone help me with that?
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Old 09-07-2013
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Hydration for sure, usually those patients are highly dehydrate and their free water deficits are extremely high.
bisphosphonates, furosemida, calcitonin and sometimes corticosteroids can be used after.
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Old 09-07-2013
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yes that what i thought,but according to one question in u.world the first choice in management of hypercalcemia of malignancy is bisphosphonate
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Old 09-07-2013
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so probably the patient is asymptomatic , if so biphosphanates may be the next step in management.
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Old 09-07-2013
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If due to malignancy ---> bisphosphonates

Hypercalcemic crisis ---> hydration

I think
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Old 09-20-2013
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it all depends upon the level of hyperca+2
if its mild (10-12mg/dl)...i.e asymptomatic...u treat the underlying cause of the hypercalcemia...if its malignancy u go for bisphosphonates.
if its severe(>14)..short term rx...normal saline hydration and calcitonin..
long term...bisphosphonates..
moderate..12-14..managed in similar way as severe...usually no immediate treatment required!!
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