Friday, 1 January 2016

PGIMER MCQs | Surgical causes of Hypercalcemia


Surgical causes of hypercalcemia:

a. Hyperparathyroidism 
b. MEN 
c. Hyperthyroidism 
d. Sarcoidosis 
e. Pheochromocytoma


Ans (A) Hyperparathyroidism , (B) MEN , (C) Hyperthyroidism , (E) Pheochromocytoma
• There are three basic pathophysiologic mechanisms of hypercalcemia
- ↑Ca2 absorption form GIT e.g. milk alkali syndrome vit. D intoxication.
- ↑ed renal excretion of Ca2 e.g. Renal failure
- ted bone resorption e.g. tPTH, malignancy, hyperthyroidism etc.
• Surgical causes of Ca2
- Parathyroid adenomas
-MEN
- Pheochromocytoma
- Malignancies e g breast Lung kidney Ca,

- Thyrotoxicosis