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diagnosis differential causes algorithm aki management endocrinology kidney injury workup hypocalcemia pharmacology phosphate urine criticalcare kidneyinjury microscopy acutekidneyinjury cancer casts
Causes of Hypocalcemia - Differential Diagnosis Algorithm • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
Pancreatitis, surgery, acute ... phosphate intake and renal ... poisoning • Hyperphosphatemia ... , Low PTH: Hypoparathyroidism ... • Hypophosphatemia
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
Hypophosphatemia ... Refeeding Syndrome • Acute ... Increased Excretion - Renal ... PO4 > 5%: • Hyperparathyroidism ... Osmotic Diuresis • Acute
Hypophosphatemia Diagnostic Algorithm - GI Losses - Redistribution - 1° HPT - 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia ... Redistribution - 1° HPT ... - 1° Renal PO4 ... Zalman Agus #Hypophosphatemia ... #differential #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... t-PA, heparin Acute ... CKD Increased Renal ... Absorption: • Hypoparathyroidism ... Workup #phosphate #nephrology
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm • GI loss • Redistribution
Hypophosphatemia ... Redistribution • Primary Hyperparathyroidism ... deficiency • Primary Renal ... PO4 wasting #Hypophosphatemia
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
paraproteinemia, acute ... Insulin/Glucose, Acute ... FEPO4 ≥ 5% - Renal ... Primary or Tertiary hyperparathyroidism ... Workup #phosphate #nephrology
Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1
Parathyroidectomy in Primary Hyperparathyroidism ... with symptomatic PHPT ... • Evidence of renal ... risk, impaired renal ... endocrinology #management #Hyperparathyroidism
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Hyperphosphatemia ... PO4 < 20%: • Renal ... Disease • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Context of Impaired Renal
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Hypophosphatemia ... into cells - Acute ... Catecholamines - Acute ... bone syndrome • Renal ... Algorithm #causes #nephrology
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Treat Secondary Hyperparathyroidism ... - Suppresses SHPT ... edgarvlermamd - Nephrology ... VitaminD #Secondary #Hyperparathyroidism ... #CKD #Nephrology
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