The Curbsiders Internal Medicine Podcast

#281 Hypercalcemia: Calci-fun! with Dr. Carl Pallais

Jun 28, 2021

Dr. Carl Pallais discusses the management of hypercalcemia in this entertaining podcast. Topics covered include the importance of assessing lab results for calcium levels, interpreting calcium levels in the ambulatory setting, causes and effects of hypercalcemia, and the treatment of hypercalcemia including the use of medications and specific therapies. Stay tuned for interesting insights!

01:26:43

Creator website

Episode guests

Carl Pallais

AI Summary

AI Chapters

Episode notes

Podcast summary created with Snipd AI

Quick takeaways

Hypercalcemia can be categorized into PTH-dependent and PTH-independent causes, with primary hyperparathyroidism being the most common cause of PTH-dependent hypercalcemia and hypercalcemia of malignancy being the main cause of PTH-independent hypercalcemia.

When evaluating a patient with hypercalcemia, repeat labs, including calcium, albumin, phosphate, PTH, and 25 OH vitamin D, are essential to determine the underlying cause and severity of the condition.

Management of hypercalcemia involves considering medications that may contribute to elevated calcium levels, evaluating lifestyle factors like calcium and vitamin D supplementation, and maintaining adequate hydration to prevent complications.

Deep dives

Classification of hypercalcemia

Hypercalcemia can be categorized into PTH-dependent and PTH-independent causes. Primary hyperparathyroidism is the most common cause of PTH-dependent hypercalcemia, while hypercalcemia of malignancy is the main cause of PTH-independent hypercalcemia.

Introduction

2min

The Importance of Assessing Lab Results for Calcium Levels

5min

Reflections on Home and Gratitude

5min

The Process of Writing and Editing, and the Benefits of Grammarly

3min

Interpreting Calcium Levels in the Ambulatory Setting

9min

Understanding Calcium Levels and Native Products

3min

Causes of Hypercalcemia

11min

Effects of Mild Hypercalcemia on Body Systems

8min

Causes and Management of Hypercalcemia

12min

10.

Importance of Detecting Asymptomatic Vertebral Fractures

4min

11.

Measurement of Urinary Electrolytes and the Importance of Low Urinary Calcium

2min

12.

Differentiating Familial Hypocalciuric Hypercalcemia and Primary Hyperparathyroidism

14min

13.

Effects of Calutetone and Phosphosidinid on the Body

2min

14.

Treatment of Hypercalcemia: Bone Component and Therapy

9min

Absorb all (but not too much) of the Calcium for your brain hole as Dr. Carl Pallais (Brigham and Women’s Hospital) walks us through his approach to Hypercalcemia. We learn about how tightly our body regulates calcium, and what to do when that regulation goes awry. Not to mention that, at the end of the day, PTH is the name to remember (and phosphorus, if you need a quick stand-in while that PTH is pending).

Claim CE credit at curbsiders.vcuhealth.org. It's free for all healthcare professionals!

Credits

Producer, Writer, Infographic, Cover Art: Nora Taranto MD
Hosts: Matthew Watto MD, FACP; Nora Taranto MD
Reviewer: Yan Emily Yuan MD, MSc
Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
Guest: Carl Pallais MD, MPH

Sponsor: Grammarly Grammarly.com/CURB

Sponsor: Native NativeDeo.com/curb

CME Partner: VCU Health CE
The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org .

Show Segments

Intro, disclaimer, guest bio
Dr. Pallais One-Liner
Case from Kashlak
Definitions: What’s a Normal Calcium Level, and how to adjust for Albumin
Causes of hypercalcemia
How Lithium works!
Testing for Hypercalcemia: Get that PTH, and that phos
Symptoms of Hypercalcemia, and Questions on History
Indications for Surgery for Parathyroidectomy
Management of Hypercalcemia and Hypercalcemic Emergency
Outro

Get the Snipd
podcast app

Unlock the knowledge in podcasts with the podcast player of the future.

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

Save any
moment

Hear something you like? Tap your headphones to save it with AI-generated key takeaways

Share
& Export

Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more

AI-powered
podcast player

Listen to all your favourite podcasts with AI-powered features

Discover
highlights

Listen to the best highlights from the podcasts you love and dive into the full episode

The Curbsiders Internal Medicine Podcast

#281 Hypercalcemia: Calci-fun! with Dr. Carl Pallais

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Classification of hypercalcemia

Evaluation and Symptoms of Hypercalcemia

Factors Affecting Treatment Decision

Considerations for Medications and Lifestyle

Importance of Assessing for Asymptomatic Kidney Stones and Bone Loss

Managing Hypercalcemia: Fluids and Medications

Get the Snipd
podcast app

AI-powered
podcast player

Discover
highlights

Save any
moment

Share
& Export

AI-powered
podcast player

Discover
highlights

The Curbsiders Internal Medicine Podcast

#281 Hypercalcemia: Calci-fun! with Dr. Carl Pallais

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

Deep dives

Classification of hypercalcemia

Evaluation and Symptoms of Hypercalcemia

Factors Affecting Treatment Decision

Considerations for Medications and Lifestyle

Importance of Assessing for Asymptomatic Kidney Stones and Bone Loss

Managing Hypercalcemia: Fluids and Medications

Get the Snipdpodcast app

AI-poweredpodcast player

Discoverhighlights

Save anymoment

Share& Export

AI-poweredpodcast player

Discoverhighlights

Get the Snipd
podcast app

AI-powered
podcast player

Discover
highlights

Save any
moment

Share
& Export

AI-powered
podcast player

Discover
highlights