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Calcium

Heni setyoningsih v10015003

Maria ulfa v100150005

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Box 5.2 - Control of serum calcium

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PERAN

1.KESEIMBANGAN ELEKTROLIT2.PEMBENTUK RANGKA TUBUH

3.MEMPENGARUHI HORMON

TIROID DAN PARATIROID4.TERLIBAT DALAM KONTRAKSIOTOT

5.TRANSMISI IMPLUS SARAF6.PEMBEKUAN DARAH

7.FUNGSI JANTUNG

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Nilai normal

•Dewasa: 8,8 – 10,4 mg/dl

SI unit: 2,2 – 2,6 mmol/L

•Anak : 9 – 11,5 mg/dl•Bayi : 10 – 12 mg/dl

•Bayi baru lahir: 7,4 -14 mg/dl

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Normal parathyroid

Parathyroid adenoma

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Manifestasi klinik atau

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Hypercalcemia - Investigations

•Establish hypercalcemia is real; checkrenal function

•Measure serum PTH, 25-OH-vitamin D,PTHrp, T4, ACE as appropriate

•Radiological investigations:

CT scan, MR scan, ultrasound, angiogram,venous sampling (dengan PTH assays)

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Box 5.28: Vitamin D deficiency

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Box 5.28: Vitamin D deficiency

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Clinical Case 5.7

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Clinical Case 5.6

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Faktor pengganggu

•Diuretic tiazid

•Pasien insufisiensi ginjal yang menjalani

dialisis•Mg dan phosphate

•Pasien dengan abnormalitas Ph

•Suplemen Ca•Peningkatan kadar protein serum

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Daftar pustaka

•Infolaboratoriumkesehatan.wordpress.com

•www.addison.ac.uk/endocrine_module1/module1

•www.kalbemed.com

•Pedoman interpretasi data klinik,Kementerian kesehatan RepublikIndonesia, 2011, hal. 37