Clinical features

Rare in patients with Serum Calcium <3.0mmol/L

Possible complications

Renal stones, impaired renal function, nephrocalcinosis
Osteoporosis

Investigations

Serum calcium, phosphate, albumin, alkaline phosphatase. (Bone profile)
U&E, creatinine
PTH

When to refer to Endocrine clinic

Age <50 years

Serum Calcium >2.9mmol/L

Renal impairment (Serum creatinine above reference range).

H/O renal stones or nephrocalcinosis

Low BMD

Follow up of those with uncomplicated mild hypercalcaemia

6 monthly serum calcium & renal function

Collecting 24 Hour Urine for Calcium