Milk-Alkali Syndrome With a Serum Calcium Level of 22 mg/dl and J Waves on the ECG
| Autor: | Nicks Sa, Bussell Kl, Jenkins Jk, David L. Vesely, Murphy Fy, Best Tr |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Male
medicine.medical_specialty Obtundation endocrine system diseases medicine.medical_treatment Self Medication Hyperreflexia Calcium Carbonate Electrocardiography Antacid Internal medicine medicine Humans Ingestion Serum chloride Aged J wave business.industry Heart General Medicine Milk-alkali syndrome medicine.disease Endocrinology U wave Hypercalcemia Calcium Antacids medicine.symptom business |
| Zdroj: | Southern Medical Journal. 80:1444-1449 |
| ISSN: | 0038-4348 |
| DOI: | 10.1097/00007611-198711000-00028 |
| Popis: | A man with severe hypercalcemia (22 mg/dl) secondary to ingestion of a calcium carbonate antacid (Tums) was admitted with obtundation and hyperreflexia, which disappeared with treatment. Laboratory values, which were consistent with milk-alkali syndrome, included low-normal serum chloride (96 mEq/L), normal phosphorus of 2.7 mg/dl (phosphorus is usually normal to increased in this syndrome), increased blood urea nitrogen (39 mg/dl), and increased serum creatinine (2.4 mg/dl). A normal C-terminal parathormone level helped distinguish this patient from patients with severe hypercalcemia due to primary hyperthyroidism. The ECG revealed a widened rather than a shortened QT interval, as well as a J wave, a broadened T wave, and a U wave with this marked hypercalcemia, all of which reverted to normal with correction of the hypercalcemia. |
| Databáze: | OpenAIRE |
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