10 results
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
- Differential Diagnosis ... adenoma, Parathyroid ... hyperplasia, Parathyroid ... diseases, Idiopathic calcitriol ... #Differential #Diagnosis
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... hypocalciuric hypercalcemia ... prostate (release of calcitriol ... #Causes #endocrinology ... #diagnosis #differential
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
metabolism • Hypocalcemia ... Hypoparathyroidism • Parathyroid ... Decreased synthesis of calcitriol ... Signs #Symptoms #Diagnosis
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... Parathyroid hormone–dependent ... hypocalciuric hypercalcemia ... #Causes #Differential ... #Diagnosis #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - ... Differential Diagnosis ... PTH: • Elevated Calcitriol ... #Differential #Diagnosis ... #Algorithm #causes
Hypocalcemia - Differential Diagnosis Algorithm
 • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... Destruction of parathyroid ... sunlight • Other Causes ... #Algorithm #causes
Causes of Hypocalcemia by Clinical Cause

Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... by Clinical Cause ... Family history of hypocalcemia ... #Causes #Differential ... #Diagnosis #Endocrinology
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
vast majority of cases ... Incr levels of parathyroid ... pyrophosphate dihydrate (CPPD ... and/or x-ray - CPPD ... Pathophysiology #Diagnosis
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... nephrocalcinosis • CPPD ... Hyperlipidemia - Hypercalcemia ... Difficulty walking Diagnosis ... Phosphatase: • Other causes
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... Pardee's sign" + PPD ... voltage Other Causes ... #differential #diagnosis