QUACK is here to help deliver medical education regionally across the West of Scotland.
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This week's topic is multiple myeloma and hematopoietic disorders
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Presentation & Guideline
Multiple Myeloma
Dr Samantha Drummond
CTF Haematology
Helpful Hints
Hypercalcaemia helpful hints
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Normal serum corrected calcium = 2.1 – 2.6 mmol/L
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Mild hypercalcaemia = 2.7 – 2.9 mmol/L
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Moderate hypercalcaemia = 3.0 – 3.4 mmol/L
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Severe hypercalcaemia = greater than 3.4 mmol/L
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Symptoms of hypercalcaemia
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Stones
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Bones (boney pain)
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Groans (confusion)
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Moans (abdominal pain)
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ECG changes in hypercalacaemia
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The main ECG abnormality seen with hypercalcaemia is shortening of the QT interval
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Severe hypercalcaemia - Osborn waves (J waves) may be visualised in the QRS complex
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Ventricular irritability and VF arrest have also been reported with extreme hypercalcaemia
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