24 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Vitamin D to Treat Secondary ... Hyperparathyroidism ... Calcitriol ... #VitaminD #Secondary ... #Hyperparathyroidism
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
cinacalcet for secondary ... Calcitriol improves ... This decreases secondary ... Pathophysiology #Secondary ... 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 ... Classification #Diagnosis
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
- Differential Diagnosis ... long-standing secondary ... hyperparathyroidism ... Excess Vitamin D/Calcitriol ... #Differential #Diagnosis
Hyperparathyroidism classification
Different causes and features of hyperparathyroidism - raised parathormone (PTH).

#Diagnosis #Hyperparathyroidism #Differential #Primary #Secondary #Tertiary
Hyperparathyroidism ... and features of hyperparathyroidism ... #Diagnosis #Hyperparathyroidism ... Differential #Primary #Secondary
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism ... - Primary vs Secondary ... ↓Phosphate • Secondary ... #diagnosis #endocrinology ... #PTH #Primary #Secondary
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
- Differential Diagnosis ... Low PTH • Hypoparathyroidism ... High PTH • Secondary ... Hyperparathyroidism ... #Differential #Diagnosis
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Hypocalcemia • Hypoparathyroidism ... Decreased synthesis of calcitriol ... Signs #Symptoms #Diagnosis
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
- Differential Diagnosis ... normal): • Primary Hyperparathyroidism ... PTH: • Elevated Calcitriol ... #Differential #Diagnosis
OPTIMA Treatment Algorithm for Secondary Hyperparathyroidism
When indicated, the dose of a vitamin D (vit D) sterol
Algorithm for Secondary ... Hyperparathyroidism ... 2 μg TIW; oral calcitriol ... #Management #Calcitriol ... #Secondary #Hyperparathyroidism