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Hypercalcemia, also spelled hypercalcaemia, is a high calcium (Ca 2+) level in the blood serum. [1] [3] The normal range for total calcium is 2.1–2.6 mmol/L (8.8–10.7 mg/dL, 4.3–5.2 mEq/L), with levels greater than 2.6 mmol/L defined as hypercalcemia. [1] [2] [4] Those with a mild increase that has developed slowly typically have no ...
Still, the blood values are approximately equal between the arterial and venous sides for most substances, with the exception of acid–base, blood gases and drugs (used in therapeutic drug monitoring (TDM) assays). [6] Arterial levels for drugs are generally higher than venous levels because of extraction while passing through tissues. [6]
The plasma total calcium concentration is in the range of 2.2–2.6 mmol/L (9–10.5 mg/dL), and the normal ionized calcium is 1.3–1.5 mmol/L (4.5–5.6 mg/dL). [4] The amount of total calcium in the blood varies with the level of plasma albumin, the most abundant protein in plasma, and therefore the main carrier of protein-bound calcium in the blood.
Hodkinson and Pyrah proposed hypercalciuria as a calcium excretion of over 7.5 mmol in men and 6.25 mmol in women, every 24 hours, [4] but some argue that these values are too restrictive and ignore age, weight considerations, and renal function. Calcium excretion is negatively associated with age until the ages of 30–60, where calcium ...
In a healthy physiology, extracellular calcium levels are maintained within a tight range through the actions of parathyroid hormone, vitamin D and the calcium sensing receptor. [1] Disorders in calcium metabolism can lead to hypocalcemia, decreased plasma levels of calcium or hypercalcemia, elevated plasma calcium levels.
Familial hypocalciuric hypercalcemia (FHH) is an inherited condition that can cause hypercalcemia, a serum calcium level typically above 10.2 mg/dL; although uncommon. [1] It is also known as familial benign hypocalciuric hypercalcemia (FBHH) where there is usually a family history of hypercalcemia which is mild, a urine calcium to creatinine ratio <0.01, and urine calcium <200 mg/day ...
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The gold standard to assess for hypercalciuria is 24-hour urine collection to evaluate urine calcium levels over that time period. Normal range is considered 100 to 300 milligrams per day (mg/day) with standard calcium intake. Hypercalciuria is diagnosed when a value over 300 mg/day is identified. [6]