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sympathetikey
Yeah, I probably should have went with that. Just got thrown off, since I know that usually the serum calcium levels for someone with Calcium kidney stones is normal.
+1
snoochi95
i understand the link to MEN 1, but why are we checking the calcium level?
+1
cmun777
I feel like it's important to get a baseline of where the calcium is at for two reasons:
1. if the patient does indeed have MEN 1 it would be good to know if she has high calcium levels and possible Parathyroid etiology
2. You're putting the patient on a PPI which are known to decrease calcium levels and increase risk of osteoporosis
for both these possible factors/concerns it would be good to see where calcium is currently at
+6
zevvyt
Couldn't a Pituatary tumor secrete ACTH, causing high cortisol?
+2
lola915
Patient has symptoms of a gastrinoma (Zollinger-Ellison Syndrome)- patients present with diarrhea, epigastric pain, duodenal and jejunal ulcers. Associated with MEN1 syndrome.
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ali_hassan
Pituitary - GH and prolactinoma
PTH - Calcium
Pancreas - gastrinoma, insulinoma etc etc..
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yotsubato
PPI therapy *begins* the day she presents. She has not taken PPI before
+17
naught
MEN 1 is pituitary (monitor cortisol), pancreas, parathyroid (monitor calcium) but is not the ask of this question.
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submitted by โcantaloupe5(87)
Recurrent kidney stones should include hyperparathyroidism on your differential, couple that with gastrinoma and youโre looking at MEN 1. Lipomas are also associated with MEN 1.