Signs and symptoms of primary hyperparathyroidism or hypercalcemia. They are summarized by "stones, bones, abdominal groans, thrones and psychiatric overtones". "Stones" refers to kidney stones and the renal system.

The signs and symptoms of primary hyperparathyroidism are those of hypercalcemia. They are classically summarized by "stones, bones, abdominal groans, thrones and psychiatric overtones". [1] "Stones" refers to kidney stones, nephrocalcinosis, and …

2024年5月7日 · Patients with hypercalcemia due to hyperparathyroidism can present with fractures from osteopenia and osteoporosis. The collective symptoms of hypercalcemia are often summarized by the phrases groans, bones, stones, moans, thrones, and psychiatric overtones. Physical Examination

Although once known for the aphorism as a disease of "stones, bones, groans, and moans," as suggested by Fuller Albright, primary hyperparathyroidism is usually asymptomatic when initially diagnosed. Stones refers to nephrolithiasis caused by hypercalciuria.

2023年2月24日 · Because of the clinical findings that are seen in hypercalcemia, the symptoms are often described as "moans, stones, groans, and bones". Some of the symptoms include the following: Moans (gastrointestinal conditions) Constipation; Nausea; Decreased appetite; Abdominal pain; Peptic ulcer disease; Stones (kidney-related conditions) Kidney stones ...

Asymptomatic hypercalcemia without any signs or symptoms should raise the concern for hyperparathyroidism. Early symptoms are usually nonspecific and include fatigue, constipation, weakness, and bone and muscle pain.

Mnemonic: Stones, Bones, Groans, Moans, Thrones, Psychic Overtones. Give for severe hypercalcemia due to excessive bone resorption (lowers Ca within 12-48hr) [≥12 mg/dL] [≥3 mmol/L] [4] Consider if patient: Decrease Ca mobilization from bone and are helpful with steroid-sensitive tumors (e.g. lymphoma, MM) ↑ Pfennig CL, Slovis CM.

2022年8月8日 · Symptoms of hypercalcemia (elevated calcium levels) are often described as "moans, stones, groans, and bones." “Moans” symptoms of hypercalcemia refer to gastrointestinal conditions including. vomiting. “Stones” symptoms of hypercalcemia refer to kidney-related conditions and include. kidney stones.

“Stones”, “bones”, “abdominal moans”, and neuromuscular “physic groans” are the classic symptoms. However, many patients are asymptomatic. Differential diagnosis. Evaluation. Treatment. No urgency for treatment if asymptomatic and <12 mg/dL.

Fast the patient overnight. In the morning obtain the SECOND voided urine. Collect in universal/plain container. Request Calcium and Creatinine on urine sample. MUST be paired with a blood sample for Calcium and Creatinine.