87 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Calcitriol ... - Suppresses SHPT ... or better than calcitriol ... or better than calcitriol ... Cholecalciferol #Calcitriol
Hormonal Regulation of the Blood Calcium concentration

#Calcium #Regulation #Parathyroid #Calcitonin #Calcitriol #PTH #Endocrinology #Pathophysiology #Hormones
Regulation of the Blood Calcium ... concentration #Calcium ... Parathyroid #Calcitonin #Calcitriol
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
with symptomatic PHPT ... • Serum calcium ... nephrocalcinosis, 24h urine calcium ... #Indications #PHPT
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
Calcium-containing ... Calcitriol improves ... Sensipar #Cinacalcet #Calcitriol
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
PTH: • Elevated Calcitriol ... Bony Mets - Calcium ... Diagnosis #Algorithm #causes
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Abnormalities of calcium ... Decreased synthesis of calcitriol
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... Lithium use • Calcium-sensing ... prostate (release of calcitriol ... Hypercalcemia #Causes
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Autosomal Dominant Calcium ... Excess Vitamin D/Calcitriol ... Other • Excess Calcium
Hypercalcemia Workup and Differential Diagnosis Framework
1) Determine whether PTH-dependent
2) Assess for other hormonal causes
3) Assess for
other hormonal causes ... for non-hormonal causes ... endocrinology #calcium
Week 9 – Calcium Metabolism
 - Strata5
@Nrtaylor101

#Diagnosis #Management #Hypercalcemia #Differential #Causes
Week 9 – Calcium ... #Differential #Causes