DIAGNOSIS CHECKLIST
for Hypercalcemia

Why: symptoms are usually mild but may include loin pain form kidney stones; frequency of urination; blood in the urine; abdominal pain sometimes from peptic ulceration; bone pain; depression.

Why: Bone metastases may cause elevated calcium. The common primary tumors include lung cancer, breast cancer, myeloma, esophageal cancer, thyroid cancer, prostate cancer, lymphoma and renal cell cancer.

Why: may cause elevated calcium.

Why: e.g. multiple endocrine neoplasia type 1 (simultaneous recurrence of tumors involving parathyroid glands, pituitary, pancreas, adrenals and thyroid glands).

Why: e.g. intolerance to heat, sweating of hands, muscle weakness, increased appetite, weight loss, heart palpitations, loose bowel motions, emotional lability, agitation, over activity.

Why: e.g. bone pain (e.g. backache), bone tenderness, weakness, tiredness, recurrent infections, bleeding tendency.

Why: e.g. bone pain, fractures with minimal trauma, possible history of primary tumor (e.g. lung, breast, esophageal, thyroid, prostate, kidney).

Why: e.g. infants with mental retardation, elf-like facial features. Syndrome is associated with aortic stenosis (heart valve disease), elevated calcium and elevated Vitamin D levels.