33 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Treat Secondary Hyperparathyroidism ... bone-specific alkaline phosphatase ... bone-specific alkaline phosphatase ... edgarvlermamd - Nephrology ... #CKD #Nephrology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
- Differential Diagnosis ... LOW PHOSPHATE ... NormaI PTH • Hypoparathyroidism ... Low PTH • Hypoparathyroidism ... #Differential #Diagnosis
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism ... , ↑Vitamin D, ↓Phosphate ... ↓Vitamin D, ↑↓Phosphate ... , ↓Vitamin D, ↑Phosphate ... #diagnosis #endocrinology
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
- Differential Diagnosis ... Magnesium - Functional Hypoparathyroidism ... , Low PTH - Hypoparathyroidism ... #Differential #Diagnosis ... #Algorithm #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... intake, Phosphate ... Absorption: • Hypoparathyroidism ... #Differential #Diagnosis ... #nephrology
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm
 • GI loss
 • Redistribution
Measurement of urine phosphate ... - Differential Diagnosis ... Redistribution • Primary Hyperparathyroidism ... urine #urinary #phosphate ... #Differential #Diagnosis
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... Diarrhea, Antacids, Phosphate ... Vitamin D: Primary Hyperparathyroidism ... #Differential #Diagnosis ... #Algorithm #nephrology
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
- Differential Diagnosis ... • Pseudo-hypoparathyroidism ... Hypervitaminosis D • Phosphate ... Supplementation • Phosphate ... #Differential #Diagnosis
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... Fractional Excretion of Phosphate ... Primary or Tertiary hyperparathyroidism ... #Differential #Diagnosis ... #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic ... Redistribution - 1° HPT ... phosphorus #low #diagnosis ... #differential #nephrology