27 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
LOW PHOSPHATE ... Phenytoin, Nephrotic Syndrome ... NormaI PTH • Hypoparathyroidism ... Low PTH • Hypoparathyroidism ... • Secondary Hyperparathyroidism
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Magnesium - Functional Hypoparathyroidism ... • High Phosphate ... , Low PTH - Hypoparathyroidism ... metastases, Hungry bone syndrome ... Diagnosis #Algorithm #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
heparin Acute Phosphate ... intake, Phosphate ... Rhabdomyolysis, Tumor lysis syndrome ... Absorption: • Hypoparathyroidism ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Diarrhea, Antacids, Phosphate ... Shift: Refeeding Syndrome ... Tumor Genesis Syndrome ... Vitamin D: Primary Hyperparathyroidism ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Fractional Excretion of Phosphate ... Tumor genesis syndrome ... Primary or Tertiary hyperparathyroidism ... Framework #Workup #phosphate ... #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1° HPT ... , TIO, Fanconi Syndrome ... #differential #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Malabsorption, Phosphate ... ), Hungry bone syndrome ... Algorithm #causes #nephrology ... #phosphate
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Normal PTH: • Hyperparathyroidism ... disease, Milk Alkali Syndrome ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
One-and-a-half Syndrome ... ophthalmology #neurology ... differential #diagnosis #ocular