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HyperCalcaemia (Symptoms (Abdo Groans (Constipation, Pancreatitis, Gastric…

- - - - MEN
        
        1
        
        Tumour
        
        2 Pancreatic Islet Cell
        
        3 Pituitary
        
        Prolactin 60%
        
        GH 25%
        
        1 HyperPara
        
        2a
        
        HyperPara
        
        Medullary Thyroid Carcinoma
        
        Phaeochromocytoma
  - - - Thiazides #
      - Tamoxifen
    - - Sarcoidosis
        
        Elevated Vit D
    - - Hypocalciuric HyperCa
    - - Acromegaly
      - Addison's
    - - Thyrotoxicosis
      - Paget's Disease
- - - - If Severe
- - - - Polyuria
        
        Volume Depletion #
  - - - Hypotonia
      - Hyporeflexia
      - Paresis
  - - - Syncope
- - - - Check PTH
        
        High HyperPara
        
        Low
        
        Mets
        
        Addisons/Thyrotox
    - - Vit D