Medical history (history of illness) represents an important component in the diagnosis of hypercalcemia.
Family history
- Are there any diseases in your family that are common? (Tumor diseases; multiple endocrine neoplasia/MEN I (primary hyperparathyroidism (pHPT), gastroenteropancreatic neuroendocrine tumors (GEP-NET), pituitary tumors) and MEN II (medullary thyroid carcinoma, pheochromocytoma, pHPT)).
- Are there any hereditary diseases in your family?
Social anamnesis
Current medical history/systemic medical history (somatic and psychological complaints).
- Do you suffer from
- Nausea/vomiting?
- Joint pain?
- Bone pain?
- Muscle weakness?
- Muscle pain?
- Fatigue?
- Decrease in performance?
Vegetative anamnesis including nutritional anamnesis.
- Have you recently lost body weight unintentionally?
- Do you suffer from loss of appetite?
- Do you suffer from constipation?
- Do you have an excessive thirst?
- Do you have an increased urine output (> 1.5-3 l / day).
Self history including medication history.
- Pre-existing conditions (tumor disease, hyperthyroidism, other metabolic diseases, hypertension, kidney disease).
- Operations
- Radiotherapy
Medication history
- Calcium-containing antacids
- Hormones
- Antiestrogens (tamoxifen)
- Parathyroid hormone analogue (teriparatide).
- Lithium
- Thiazides (reduce the excretion of calcium).
- Vitamin D supplements/vitamin D analogues
- Vitamin A supplements
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)
