11 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Vitamin D to Treat Secondary ... Calcitriol ... or better than calcitriol ... or better than calcitriol ... #VitaminD #Secondary
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
Initial treatment ... cinacalcet for secondary ... Calcitriol improves ... the first-line treatments ... Sensipar #Cinacalcet #Calcitriol
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Hypercalcemia - ... long-standing secondary ... Hypocalciuria Hypercalcemia ... Other Familial Hypercalcemias ... Excess Vitamin D/Calcitriol
Pharmacologic Options for Hypercalcemia Associated with Cancer
Rehydration with NS followed by loop diuretics
 • IV normal
Pharmacologic Options for Hypercalcemia ... conversion to calcitriol ... • Calcitonin ... osteoclast activity #hypercalcemia ... management #drugs #treatment
Hypercalcemia - Hormones and Pathophysiology  
Calcitriol:
 • Bones: Enhances mineralization
 • GI Tract: ↑ Ca2+
Hypercalcemia - ... Pathophysiology Calcitriol ... Ca2+, ↓ PO4- Calcitonin ... +, ↓ PO4- #Hypercalcemia
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure → Dialysis with low Ca++ bath
Aggressive IV hydration
Treatment algorithm ... malignancy-associated hypercalcemia ... Hypercalcemia - ... Bisphosphonate +/- Calcitonin ... #Treatment #algorithm
Treatment algorithm for malignancy-associated hypercalcemia
 • Aggressive IV hydration
 • IV Bisphosphonate +/- Calcitonin
 • Renal
Treatment algorithm ... malignancy-associated hypercalcemia ... Bisphosphonate +/- Calcitonin ... Denosumab #hypercalcemia ... #treatment #management
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Cancer Related • Hypercalcemia ... significance (MGRS) • Secondary ... Solid tumors • Secondary ... malignancies Treatment
OPTIMA Treatment Algorithm for Secondary Hyperparathyroidism
When indicated, the dose of a vitamin D (vit D) sterol
OPTIMA Treatment ... Algorithm for Secondary ... 2 μg TIW; oral calcitriol ... #Management #Calcitriol ... #Secondary #Hyperparathyroidism
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
thyroiditis Secondary ... ↑ T3 - Mild hypercalcemia ... ↑ AST/ALT • Treatment ... tenderness Treatment