PAEA Pediatrics End of Rotation (EOR) Practice Exam

The presence of hypercalcemia, which refers to elevated calcium levels in the blood, can significantly impact various bodily systems, leading to distinct clinical manifestations. Abdominal pain and polyuria are common features associated with hypercalcemia due to its effects on the gastrointestinal and renal systems.

The high calcium levels can irritate the stomach and intestines, causing abdominal discomfort or pain. Additionally, hypercalcemia can lead to increased thirst and frequent urination (polyuria) as the kidneys attempt to excrete the excess calcium. This diuretic effect can further exacerbate dehydration, which also contributes to the sensation of thirst.

Other symptoms of hypercalcemia may include nausea, vomiting, constipation, excessive fatigue, and confusion. These symptoms arise from the systemic effects of elevated calcium levels, not from the additional context surrounding energy levels, appetite, or skin conditions. Understanding these common clinical features is crucial for recognizing and managing hypercalcemia effectively in patients.