PTH Serum

Malignancy (20-30% advance stage) →!Hypercalcemia of Malignancy → 3 Types

Conditions Key S/S Ket Tests Key Treatment RF
MM - Multiple Myeloma CRAB (+ renal failure, anemia, bone pain) , Treat Cancer Older
BONE Metastasis Hx of BLRPT, (esp. , ), night-awakening pain r/o spine met Treat Cancer Older
PTHrP (SCC), , RCC, PTHrP level Treat Cancer Older
(, ),
toxicity Hx of excessive use Stop the drug
→ Hx of excessive use Stop the drug
Excessive bone turn-over (asymptomatic, bone pain), , , Treat the underlying disease (Paget: ) Older (immobalization)

Older Adult Ca DDx