9 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Treat Secondary Hyperparathyroidism ... Calcitriol ... or better than calcitriol ... VitaminD #Secondary #Hyperparathyroidism ... Nephrology #Management #Pharmacology
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
for secondary hyperparathyroidism ... Calcitriol improves ... #Pharmacology #Pathophysiology ... #Secondary #Hyperparathyroidism ... Sensipar #Cinacalcet #Calcitriol
Multiple Endocrine Neoplasias (MEN syndromes) 

MEN I
• Hyperparathyroidism 
• Hypercalcemia 
• Possible ZE syndrome 
• Various
) MEN I • Hyperparathyroidism ... MEN IIa • Hyperparathyroidism ... • Increased calcitonin ... • Increased calcitonin ... MultipleEndocrineNeoplasia #Differential
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... normal): • Primary Hyperparathyroidism ... PTH: • Elevated Calcitriol ... Hypercalcemia #Differential
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Hypercalcemia - Differential ... Algorithm Primary Hyperparathyroidism ... and 2A Tertiary Hyperparathyroidism ... Excess Vitamin D/Calcitriol ... Hypercalcemia #Differential
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Normal PTH: • Hyperparathyroidism ... diseases, Idiopathic calcitriol ... Hypercalcemia #Differential
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
structure-related • Primary hyperparathyroidism ... prostate (release of calcitriol ... disease • Tertiary hyperparathyroidism ... endocrinology #diagnosis #differential
Pharmacologic Options for Hypercalcemia Associated with Cancer
Rehydration with NS followed by loop diuretics
 • IV normal
Pharmacologic Options ... conversion to calcitriol ... • Calcitonin ... drugs #treatment #pharmacology
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Hyperthyroidism - Hyperparathyroidism ... Causes #diagnosis #differential ... medications #drugs #pharmacology