9HPT hyperparathyroidism nephrology ocular syndrome low video myoclonus - GrepMed

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Opsoclonus-Myoclonus Ataxia Syndrome (OMAS) -Dancing eyes - dancing feet syndrome
• Opsoclonus: ocular spontaneous, arrhythmic, conjugate

Opsoclonus-Myoclonus ... Ataxia Syndrome ... • Opsoclonus: ocular ... #clinical #video ... #neurology #gait

Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,

Redistribution - 1° HPT ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #differential #nephrology

Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-

Opsoclonus Myoclonus ... Ataxia Syndrome ... ataxia syndrome ... PhysicalExam #clinical #video ... #neurology #ophthalmology

Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
• Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,

Normal PTH: • Hyperparathyroidism ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... Algorithm #Workup #nephrology

Hypocalcemia Workup - Differential Diagnosis Algorithm
• Low Magnesium, High Magnesium - Functional Hypoparathyroidism
• High

Algorithm • Low ... Magnesium - Functional Hypoparathyroidism ... PTH - Hypoparathyroidism ... metastases, Hungry bone syndrome ... Diagnosis #Algorithm #nephrology

Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion

Tumor genesis syndrome ... Primary or Tertiary hyperparathyroidism ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology

Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
• Decreased GI Absorption: Chronic Diarrhea, Antacids,

Appropriately Low ... Shift: Refeeding Syndrome ... Tumor Genesis Syndrome ... Vitamin D: Primary Hyperparathyroidism ... Diagnosis #Algorithm #nephrology

Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam

Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and

Opsoclonus Myoclonus ... Syndrome (OMS) ... #Syndrome #PhysicalExam ... #ocular #clinical ... #video #eyes #neurology

Causes of Hypomagnesemia
• Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,

metastasis (hungry bone syndrome ... Endocrine disorders: Syndrome ... Hyperthyroidism, Hyperparathyroidism ... differential #diagnosis #nephrology ... #magnesium #low

Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest

Locked-In Syndrome ... Now quadriplegic ... #LockedIn #Syndrome ... PhysicalExam #clinical #video ... #neurology

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