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diagnosis causes algorithm hypercalcemia hypophosphatemia hypertension hypocalcemia secondary calcium framework hyperphosphatemia indications low phosphate phosphorus acidosis acute aki cardiology gout
Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1
Parathyroidectomy in Primary Hyperparathyroidism ... • Evidence of renal ... risk, impaired renal ... #endocrinology ... #management #Hyperparathyroidism
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... - Differential ... CKD Increased Renal ... Absorption: • Hypoparathyroidism ... #phosphate #nephrology
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Hyperphosphatemia - Differential ... PO4 < 20%: • Renal ... • Pseudo-hypoparathyroidism ... Context of Impaired Renal ... Diagnosis #Algorithm #endocrinology
Hypophosphatemia Diagnostic Algorithm - GI Losses - Redistribution - 1° HPT - 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1° HPT ... - 1° Renal PO4 ... diagnosis #Algorithm #differential ... #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... - Differential ... #Hypocalcemia #Workup ... #Differential # ... Diagnosis #Algorithm #nephrology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Hypercalcemia - Differential ... Algorithm Primary Hyperparathyroidism ... Renal Failure, Post-Renal ... Hypercalcemia #Differential ... Diagnosis #Algorithm #Endocrinology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential ... FEPO4 ≥ 5% - Renal ... Primary or Tertiary hyperparathyroidism ... #phosphate #nephrology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - Differential ... normal): • Primary Hyperparathyroidism ... Tumors: Lung, SCC, renal ... Hypercalcemia #Differential ... Algorithm #causes #endocrinology
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Normal PTH: • Hyperparathyroidism ... Hypercalcemia #Differential ... #nephrology #PTH
Causes of Hypercalcemia Parathyroid hormone–dependent Primary hyperparathyroidism Familial hypocalciuric hypercalcemia Lithium-associated Tertiary hyperparathyroidism Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
hormone–dependent Primary hyperparathyroidism ... type 2A, familial hyperparathyroidism ... hormone–independent Renal ... Hypercalcemia #Causes #Differential ... #Diagnosis #Endocrinology
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