Mild

  • Polyuria, polydipsia
  • Mood disturbance
  • Nausea, fatigue constipation
  • Anorexia

Severe

  • Abdo pain
  • Coma
  • Pancreatitis
  • Cardiac arrhythmias - isolated QTc shortening

Non-PTH mediated - PTH low/suppressed, vitamin D intoxication, chronic granulomatous disorders, thiazide diuretics

PTH-mediated - high PTH, primary hyperparathyroidism


Stones - renal stones due to hypercalciuria

Bones - Bone pain and osteoporosis due to inappropriately high PTH

Moans - lethargy, fatigue, Depression

Groans - abdominal pain, constipation, nausea, vomiting