The mnemonic
Bones, stones, groans and psychic moans
What each word stands for
- BonesBone pain, osteitis fibrosa cystica, fractures
- StonesRenal calculi and nephrocalcinosis
- GroansAbdominal symptoms: constipation, peptic ulcer, pancreatitis
- Psychic moansDepression, fatigue and cognitive changes
Why it matters clinically
Prompts a search for hypercalcaemia and a parathyroid adenoma in patients with unexplained stones or bone disease.
Where it stops being reliable
Many patients today are picked up asymptomatic on routine calcium testing.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.