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diagnosis differential causes algorithm endocrinology hypocalcemia nephrology cppd management hypermagnesemia hyperphosphatemia lowcalcium magnesium pharmacology phosphate pseudogout rheumatology calcitriol calcium cholecalciferol
Causes of Hypocalcemia - Differential Diagnosis Algorithm • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
Chronic Kidney Disease ... • Hyperphosphatemia ... , Low PTH: Hypoparathyroidism ... • Hypophosphatemia ... contrast agents • Hypomagnesemia
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Hypophosphatemia ... Hypokalemia • Hypomagnesemia ... PO4 > 5%: • Hyperparathyroidism ... Resistance • Hypophosphatemic ... Inflammatory Bowel Disease
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
Malnutrition with Hypomagnesemia ... Hepatobiliary Disease ... (CaSR) • Hypomagnesemia ... Low PTH • Hypoparathyroidism ... Chronic Kidney Disease
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Hyperphosphatemia ... 20%: • Renal Disease ... • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Tumor Lysis #Hyperphosphatemia
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Treat Secondary Hyperparathyroidism ... Chronic Kidney Disease ... - Suppresses SHPT ... - Suppresses SHPT ... VitaminD #Secondary #Hyperparathyroidism
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... depletion - Familial hypophosphatemia ... Tubulointerstitial renal disease ... Hyperthyroidism - Hyperparathyroidism ... aldosteronism #Hypomagnesemia
Causes of Hypermagnesemia Increased magnesium load - Magnesium-containing laxatives, antacids, or enemas - Treatment of pre-edampsia/eclampsia (mothers
Causes of Hypermagnesemia ... absorption - Hyperparathyroidism ... insufficiency (Addison's disease ... ) #Hypermagnesemia
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... depletion, Familial hypophosphatemia ... Tubulointerstitial renal disease ... Hyperthyroidism, Hyperparathyroidism ... aldosteronism #Hypomagnesemia
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... Rule out spurious hyperphosphatemia ... acidosis, DKA Kidney Disease ... Absorption: • Hypoparathyroidism ... @aishaikh #Hyperphosphatemia
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Elevated - Secondary Hyperparathyroidism ... Inappropriately Normal/Low - Hypoparathyroidism ... , infiltrative disease ... severe illness, Hyperphosphatemia
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