Excess Vitamin D
1,201views
Excess Vitamin D
Pathophysiology
Biliary disorders
Colorectal disorders
Anal fissure
Anal fistula
Hemorrhoid
Rectal prolapse
Diverticulosis and diverticulitis
Crohn disease
Microscopic colitis
Ulcerative colitis
Irritable bowel syndrome
Ischemic colitis
Small bowel ischemia and infarction
Bowel obstruction
Gallstone ileus
Intestinal adhesions
Volvulus
Colorectal polyps
Familial adenomatous polyposis
Gardner syndrome
Juvenile polyposis syndrome
Peutz-Jeghers syndrome
Esophageal disorders
Food allergies and food sensitivities
Gastric disorders
Hepatic disorders
Alcohol-induced liver disease
Alpha 1-antitrypsin deficiency
Autoimmune hepatitis
Benign liver tumors
Budd-Chiari syndrome
Cholestatic liver disease
Cirrhosis
Hemochromatosis
Hepatic encephalopathy
Hepatitis
Hepatitis A and Hepatitis E virus
Hepatitis B and Hepatitis D virus
Hepatitis C virus
Jaundice
Neonatal hepatitis
Non-alcoholic fatty liver disease
Portal hypertension
Primary biliary cirrhosis
Primary sclerosing cholangitis
Reye syndrome
Wilson disease
Infectious diarrhea
Adenovirus
Bacillus cereus (Food poisoning)
Campylobacter jejuni
Clostridium difficile (Pseudomembranous colitis)
Clostridium perfringens
Cryptosporidium
Cytomegalovirus
Entamoeba histolytica (Amebiasis)
Escherichia coli
Giardia lamblia
Norovirus
Rotavirus
Salmonella (non-typhoidal)
Shigella
Staphylococcus aureus
Vibrio cholerae (Cholera)
Yersinia enterocolitica
Ingestion of toxic substances or foreign bodies
Metabolic disorders
Neoplasms
Nutrition and vitamin disorders
Pancreatic disorders
Peritoneum and peritoneal cavity disorders
Small intestine disorders
Gastrointestinal system/Nutrition pathology review
Appendicitis: Pathology review
Cirrhosis: Pathology review
Colorectal polyps and cancer: Pathology review
Congenital gastrointestinal disorders: Pathology review
Disorders of amino acid metabolism: Pathology review
Disorders of carbohydrate metabolism: Pathology review
Diverticular disease: Pathology review
Environmental and chemical toxicities: Pathology review
Esophageal disorders: Pathology review
Fat-soluble vitamin deficiency and toxicity: Pathology review
Gallbladder disorders: Pathology review
Gastrointestinal bleeding: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Jaundice: Pathology review
Malabsorption syndromes: Pathology review
Medication overdoses and toxicities: Pathology review
Neuroendocrine tumors of the gastrointestinal system: Pathology review
Pancreatitis: Pathology review
Viral hepatitis: Pathology review
Water-soluble vitamin deficiency and toxicity: B1-B7: Pathology review
Water-soluble vitamin deficiency and toxicity: B9, B12 and vitamin C: Pathology review
Assessments
Flashcards
0 / 4 complete
USMLE® Step 1 questions
0 / 1 complete
High Yield Notes
2 pages


Flashcards
Excess Vitamin D
0 of 4 complete
Questions
USMLE® Step 1 style questions USMLE
0 of 1 complete
A 29-year-old woman is brought to the emergency department by her partner for evaluation of progressive confusion. She also complains of nausea and vomiting for the past 24-hours. Past medical history is significant for asthma and a chronic cough for the past year. The patient has had 2 episodes of uveitis in the past 6 months treated with topical therapy. Current medications include vitamin supplementation and inhaled albuterol as needed. Family history is noncontributory. She does not use tobacco, alcohol, or illicit drugs. Temperature is 37.2 C (98.9 F), pulse is 98/min, respirations are 18/min and blood pressure is 100/60 mmHg. Physical examination shows dry mucous membranes and multiple tender pink-to-reddish nodules below the knee. Chest x-ray shows bilateral hilar lymphadenopathy. Laboratory studies are performed and shown below. Serum ACE levels are increased. HIV testing is negative. Which of the following serum substance levels is most likely to be increased in this patient?
Laboratory value | Result |
Serum chemistry | |
Sodium | 132 mEq/L |
Potassium | 4.2 mEq/L |
Chloride | 95 mEq/L |
Calcium | 11.8 mg/dL |
Creatinine | 0.8 mg/dL |
Blood urea nitrogen | 20 mg/dL |
External References
First Aid
2024
2023
2022
2021
Granulomatous disease p. 207
hypervitaminosis D with p. 469
Hypervitaminosis D p. 469
Sarcoidosis p. 695
hypervitaminosis D p. 469
Summary
Excess vitamin D or hypervitaminosis D refers to the toxic effects of overconsumption of vitamin D. It can cause too much calcium to be absorbed from the intestines, leading to a buildup of calcium in the blood (hypercalcemia). This can damage the heart, kidneys, and other organs. Symptoms of excess vitamin D include nausea, vomiting, weakness, and stupor.