Calcium Review: Hypercalcaemia, Hypocalcaemia and Magnesium | Part 2 | 鈣與骨 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字；遇到過度簡化或舊門檻，請搭配下方提示與原始資料閱讀。這是概念學習材料，不替代個別醫療評估。

Lyrics · 完整歌詞

The central distinctions can be recalled as follows.

All cases of primary hyperparathyroidism show high calcium,
low phosphate and high chloride with a PTH that fails to fall.
Is the PTH suppressed with a high calcium?
Look for malignancy and PTH-related peptide rather than the parathyroid glands.
On the emergency ladder, saline comes first, thiazides are forbidden,
calcitonin bridges the hours and zoledronic acid works in days.
Lucid rule for hypocalcaemia: correct for albumin, measure PTH,
then replace magnesium before any calcium will rise.


All cases of primary hyperparathyroidism show high calcium,
low phosphate and high chloride with a PTH that fails to fall.
Is the PTH suppressed with a high calcium?
Look for malignancy and PTH-related peptide rather than the parathyroid glands.
On the emergency ladder, saline comes first, thiazides are forbidden,
calcitonin bridges the hours and zoledronic acid works in days.
Lucid rule for hypocalcaemia: correct for albumin, measure PTH,
then replace magnesium before any calcium will rise.

Medical Notes · 醫學學習提示

  1. 回顧鈣磷、PTH 與急症治療；圖為構造概念示意
  2. 歌詞「所有病例」過度概括；亦有正常血鈣型
  3. 高鈣時 PTH 未受抑制是線索；低磷、高氯非必備
  4. 高血鈣且 PTH 受抑制：考慮非 PTH 依賴性病因
  5. 須查惡性腫瘤、PTHrP、溶骨及維生素 D 等原因
  6. 補液須評估心腎功能；高鈣時通常停用噻嗪類
  7. 降鈣素短期銜接，通常限 48–72 小時；雙磷酸鹽較慢
  8. 校正鈣公式有侷限；必要時測游離鈣，並查 PTH
  9. 急症勿等補鎂才補鈣：監測下同步矯正

References