12 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
Hormonal Regulation of the Blood Calcium concentration

#Calcium #Regulation #Parathyroid #Calcitonin #Calcitriol #PTH #Endocrinology #Pathophysiology #Hormones
Calcium #Regulation #Parathyroid ... #Calcitonin #Calcitriol
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hyperparathyroidism: Parathyroid ... adenoma, Parathyroid ... hyperplasia, Parathyroid ... diseases, Idiopathic calcitriol ... nephrology #PTH #parathyroid
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
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Hypercalcemia Parathyroid ... hyperparathyroidism • Parathyroid ... adenoma • Parathyroid ... hyperplasia • Parathyroid ... prostate (release of calcitriol
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Hypoparathyroidism • Parathyroid ... Decreased synthesis of calcitriol
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
long-standing secondary ... Excess Vitamin D/Calcitriol
Hypocalcemia - Differential Diagnosis Algorithm
 • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Level Elevated - Secondary ... Destruction of parathyroid
Major Segments of the Nephron and their Functions 
 - Glomerulus - Formation of glomerular filtrate
filtered Na+/K+/Cl-,• secondary ... reabsorption under parathyroid
OPTIMA Treatment Algorithm for Secondary Hyperparathyroidism
When indicated, the dose of a vitamin D (vit D) sterol
Algorithm for Secondary ... reached: intravenous calcitriol ... 2 μg TIW; oral calcitriol ... #Management #Calcitriol ... #Secondary #Hyperparathyroidism