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diagnosis differential algorithm causes nephrology endocrinology hypocalcemia workup phosphate hypomagnesemia phosphorus calcium framework low management pharmacology signs symptoms acromegaly acutekidneyinjury
Causes of Hypocalcemia - Differential Diagnosis Algorithm • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
poisoning • Hyperphosphatemia ... Kidney Disease • Hyperphosphatemia ... , Low PTH: Hypoparathyroidism ... • Hypophosphatemia
Hypophosphatemia Diagnostic Algorithm - GI Losses - Redistribution - 1° HPT - 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia ... Redistribution - 1° HPT ... Zalman Agus #Hypophosphatemia
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm • GI loss • Redistribution
Hypophosphatemia ... Redistribution • Primary Hyperparathyroidism ... PO4 wasting #Hypophosphatemia
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Hypophosphatemia ... PO4 > 5%: • Hyperparathyroidism ... Resistance • Hypophosphatemic ... Chronic Diarrhea #Hypophosphatemia
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Hyperphosphatemia ... Renal Disease • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Laxatives Pseudo-hyperphosphatemia ... Tumor Lysis #Hyperphosphatemia
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... Rule out spurious hyperphosphatemia ... Absorption: • Hypoparathyroidism ... @aishaikh #Hyperphosphatemia
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Rule out spurious hypophosphatemia ... Primary or Tertiary hyperparathyroidism ... @aishaikh #Hypophosphatemia
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Vitamin D: Primary Hyperparathyroidism ... , CAR-T cell #Hypophosphatemia
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
for secondary hyperparathyroidism ... binders reduce hyperphosphataemia ... and hyperparathyroidism ... #Pharmacology #Pathophysiology ... #Secondary #Hyperparathyroidism
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 Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Elevated - Secondary Hyperparathyroidism ... Inappropriately Normal/Low - Hypoparathyroidism ... severe illness, Hyperphosphatemia
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