76 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 ... or better than calcitriol ... VitaminD #Secondary #Hyperparathyroidism
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
for secondary hyperparathyroidism ... hyperphosphataemia and hyperparathyroidism ... Calcitriol improves ... hypocalcaemia and hyperparathyroidism ... Sensipar #Cinacalcet #Calcitriol
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
Parathyroidectomy in Primary Hyperparathyroidism ... with symptomatic PHPT ... #Indications #PHPT ... endocrinology #management #Hyperparathyroidism
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Hypocalcemia • Hypoparathyroidism ... Decreased synthesis of calcitriol
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
normal): • Primary Hyperparathyroidism ... PTH: • Elevated Calcitriol
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Algorithm Primary Hyperparathyroidism ... and 2A Tertiary Hyperparathyroidism ... long-standing secondary hyperparathyroidism ... Excess Vitamin D/Calcitriol
Hypocalcemia Laboratory Evaluation

Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
hypocalcemia: - Hypoparathyroidism ... Laboratory #Levels #Hyperparathyroidism
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
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Normal PTH: • Hyperparathyroidism ... diseases, Idiopathic calcitriol
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
NormaI PTH • Hypoparathyroidism ... Resistance (Pseudo-hypoparathyroidism ... Low PTH • Hypoparathyroidism ... • Secondary Hyperparathyroidism