32 results
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
Parathyroidectomy in Primary Hyperparathyroidism ... • Serum calcium ... nephrocalcinosis, 24h urine calcium ... #endocrinology ... #management #Hyperparathyroidism
Hypocalcemia Laboratory Evaluation

Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
hypocalcemia: - Hypoparathyroidism ... - Calcium-sensing ... Laboratory #Levels #Hyperparathyroidism ... #Diagnosis #Endocrinology
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism ... : ↑→PTH, ↑Calcium ... : ↑PTH, ↓→Calcium ... : ↑↑PTH, ↑Calcium ... #diagnosis #endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
NormaI PTH • Hypoparathyroidism ... Activating Mutation in Calcium ... ) • Calcium ... Low PTH • Hypoparathyroidism ... Algorithm #Phosphate #endocrinology
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... resorption: • Primary hyperparathyroidism ... Hypercalcemia #Causes ... differential #diagnosis #calcium ... #high #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
normal): • Primary Hyperparathyroidism ... Bony Mets - Calcium ... Diagnosis #Algorithm #causes ... #endocrinology
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... structure-related • Primary hyperparathyroidism ... Lithium use • Calcium-sensing ... Hypercalcemia #Causes ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Algorithm Primary Hyperparathyroidism ... and 2A Tertiary Hyperparathyroidism ... Autosomal Dominant Calcium ... Other • Excess Calcium ... Diagnosis #Algorithm #Endocrinology
Causes of Hypercalcemia - Differential Diagnosis Algorithm
 • Primary Hyperparathyroidism 
 • Possible Familial Hypocalciuric Hypercalcemia
Causes of Hypercalcemia ... Algorithm • Primary Hyperparathyroidism ... Diagnosis #Algorithm #Causes ... #endocrinology
Hypocalcemia - Workup Algorithm

Dr Nikhil Lohiya - NEPHKIDS 2020 @NEPHKIDS1

#Hypocalcemia #Workup #Algorithm #differential #diagnosis #endocrinology #causes
differential #diagnosis #endocrinology ... #causes #calcium