59 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
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
t-PA, heparin Acute ... Phosphate Load: ... CKD Increased Renal ... : • Hypoparathyroidism ... #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
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
Initial treatment of renal ... for secondary hyperparathyroidism ... Phosphate binders ... Calcium-containing phosphate ... hypocalcaemia and hyperparathyroidism
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm
 • GI loss
 • Redistribution
Measurement of urine phosphate ... Redistribution • Primary Hyperparathyroidism ... deficiency • Primary Renal ... urine #urinary #phosphate
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Magnesium - Functional Hypoparathyroidism ... • High Phosphate ... , Low PTH - Hypoparathyroidism ... Hyperphosphatemia, Acute ... Diagnosis #Algorithm #nephrology
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 ... #nephrology
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
PO4 < 20%: • Renal ... Disease • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Context of Impaired Renal ... Supplementation • Phosphate
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Malabsorption, Phosphate ... into cells - Acute ... bone syndrome • Renal ... Algorithm #causes #nephrology ... #phosphate
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney Phosphate ... Diarrhea, Antacids, Phosphate ... Refeeding Syndrome, Acute ... Vitamin D: Primary Hyperparathyroidism ... Diagnosis #Algorithm #nephrology