Which nonspecific findings are associated with hypercalcemia?

Updated: Apr 11, 2018
  • Author: Thomas E Green, DO, MPH, MMM, CPE, FACEP, FACOEP; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Hypercalcemia can produce a number of nonspecific findings, as follows:

  • Hypertension and bradycardia may be noted in patients with hypercalcemia, but this is nonspecific.

  • Abdominal examination may suggest pancreatitis or the possibility of an ulcer.

  • Patients with long-standing elevation of serum calcium may have proximal muscle weakness that is more prominent in the lower extremities; they also may have bony tenderness to palpation.

  • Hyperreflexia and tongue fasciculations may be present.

  • Anorexia or nausea may occur.

  • Polyuria and dehydration are common.

  • Lethargy, stupor, or even coma may be observed.


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