Elderly male with Hypercalcemia and Chest Pain

A male aged 67 years p/w Chief Complaints Chest pain radiating to back since 4 hrs Sweating and Ghabrahat(+) Vitals BP- 100/68mmHg PR-90/min Investigations Ca+- 12.6

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There are no R in L1L2 avl Prolonged pr interval as well qtc and raised st segment with deep t inversions in chest leads Calcium score is high Need to see sr magnesium and potassium RBBB with LAD

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Hyper Parathyroidism Hypercalcemia is usually a result of overactive parathyroid glands. These four tiny glands are situated in the neck, near the thyroid gland. Other causes of hypercalcemia include cancer, certain other medical disorders, some medications, and taking too much of calcium and vitamin D supplements. Get CT Scan of Parathyroid..../ High blood calcium for years carries far greater risks to your heart, but also to your bones, kidneys, breasts, prostate, colon, and brain. Calcitonin hormone therapy. Loop diuretic medications . Plenty of water. Corticosteroid.

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Malpositioned Limb leads Repeat ecg after proper placement

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