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⏱️ 200s

🌱 Beginner Level — 0 / 50

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Malignant Hypercalcemia — Inpatient Emergency

A 70-year-old woman with squamous cell lung cancer presents with confusion, polyuria, and Ca 15.2 mg/dL. Outline inpatient management.

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IV NS 200–300 mL/hr to restore volume

Hypercalcemia >14 mg/dL or symptomatic = crisis

Rapid temporary lowering with calcitonin

Denosumab if refractory; dialysis if severe with renal failure

Zoledronic acid or pamidronate for definitive effect

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