A 24-year-old female is admitted to the ER for confusion.
This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria.
Based on the presenting signs and symptoms, which of the following would you most likely suspect?
A- Diverticulosis
B- Hypercalcemia
C- Hypocalcemia
D- Irritable bowel syndrome
Answer: B. Hypercalcemia
Hypercalcemia can cause polyuria, severe abdominal pain, and confusion.
Option A:
Diverticulosis is a condition that develops when pouches (diverticula) form in the wall of the large intestine; most people don’t have symptoms.
Option C:
Hypocalcemia is low calcium levels in the blood; it is asymptomatic in mild forms but can cause paresthesia, tetany, muscle cramps, and carpopedal spasms in severe hypocalcemia.
Option D:
Irritable bowel syndrome is a widespread condition involving recurrent abdominal pain and diarrhea or constipation, often associated with stress, depression, anxiety, or previous intestinal infection.
This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria.
A- Diverticulosis
B- Hypercalcemia
C- Hypocalcemia
D- Irritable bowel syndrome
Answer: B. Hypercalcemia
Hypercalcemia can cause polyuria, severe abdominal pain, and confusion.
Option A:
Diverticulosis is a condition that develops when pouches (diverticula) form in the wall of the large intestine; most people don’t have symptoms.
Option C:
Hypocalcemia is low calcium levels in the blood; it is asymptomatic in mild forms but can cause paresthesia, tetany, muscle cramps, and carpopedal spasms in severe hypocalcemia.
Option D:
Irritable bowel syndrome is a widespread condition involving recurrent abdominal pain and diarrhea or constipation, often associated with stress, depression, anxiety, or previous intestinal infection.
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