7 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Ergocalciferol (D2) Cholecalciferol ... Effectively suppresses SHPT ... - Suppresses SHPT ... - Suppresses SHPT ... #Pharmacology #Cholecalciferol
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Calcitriol (1,25 OH Cholecalciferol ... ) - ↑ 250H Cholecalciferol ... Intake - ↓ 25OH Cholecalciferol
Vitamin D Metabolism
Fat-soluble vitamin
Sources: dermal synthesis and food (dairy products, fish)
Active form: calcitriol (1,25-OH Vitamin D)
Main
pathophysiology #Cholecalciferol
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
with symptomatic PHPT ... #Indications #PHPT
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1° HPT
Nine-Hole Peg Test (9HPT) for Finger Dexterity

@PTstep_

#NineHole #Peg #Test #9HPT #Finger #Dexterity #clinical #video #physicalexam #neurology
Nine-Hole Peg Test (9HPT ... NineHole #Peg #Test #9HPT
Light,
UVB, heat
Cholecalciferol vitamin D3
DBP
DBP
Vitamin D
Pool
Liver
7-Dehydro-cholesterol
DBP
→ 25-(OH)D
1 Hydroxyl-apatite
Bone
Fat, bile acids
Chylomicrons
Vitamin D from food
Skin
#Parathyroid
#PTH
secretion
Circulating
25-(OH)D
DBP
Kidney
• 25-(OH)D
1,25-(OH,) D
1,25-(OH)w D
† Ca?+-retention
Metabolite
#Bile
Light, UVB, heat Cholecalciferol