Baqiyatallah University of Medical Sciences International Journal of Medical Reviews 2345-525X 13 1 2026 03 01 Sleepiness with Dysphasia and Vomiting 1096 1097 244027 10.30491/ijmr.2025.524693.1335 EN Seyedeh Negar Assadi Department of Occupational Health and Safety Engineering, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran 0000-0003-3781-2056 Journal Article 2025 05 19 Increasing calcium has dangerous for health and organ systems such as brain, heart, kidneys, bones and digestive system. The 80 years old woman with sleepiness, nausea, vomiting, dysphasia and femoral neck fracture was admitted to hospital. Diagnostic methods were in blood tests she had high calcium level was 14.5 mg/dL and high parathyroid hormone more than 250 pg/ml. She treated with medicine and fracture surgery with spinal anesthesia but after 5 months had sestamibi scan and one radiofrequency ablation for parathyroid disease. This disorder must be diagnosed very soon and treated with medicine and surgery. https://www.ijmedrev.com/article_244027_fd5c070e423aaa00b5b8888cda61eb4a.pdf