28 results
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
Indications for ... Parathyroidectomy in Primary Hyperparathyroidism ... with symptomatic PHPT ... Parathyroidectomy #Indications ... #management #Hyperparathyroidism
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
taken at home, work ... licorice • Medications ... - Renal ... • Renal parenchymal ... ) • Hyperparathyroidism
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary Hypertension ... CT scan, adrenal ... repaired) • Primary hyperparathyroidism ... #Secondary #Hypertension ... Causes #Screening #Workup
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes of Hypertension ... • Medications ... Pseudoephedrine • Primary Renal ... Thyroid disease, Hyperparathyroidism ... Secondary #causes #Hypertension
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
- Workup and Differential ... eg, presence of renal ... Renal parenchymal ... #Workup #causes ... Differential #Diagnosis #indications
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
Evaluation of Secondary Hypertension ... - PRA, PAC • Renal ... artery stenosis - Renal ... PAC #Secondary #Hypertension ... resistant #Evaluation #workup
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... hypokalemia and/or hypertension ... evaluation • Adrenal ... mendesthiagob #Adrenal ... Evaluation #Diagnosis #workup
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... CKD Increased Renal ... Absorption: • Hypoparathyroidism ... Diagnosis #Framework #Workup
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Testing Algorithm INDICATIONS ... weakness, refractory hypertension ... Hormone • MRI of adrenal ... endocrinology #Adrenal
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... FEPO4 ≥ 5% - Renal ... Primary or Tertiary hyperparathyroidism ... Diagnosis #Framework #Workup