18 results
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
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
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
PO4 < 20%: • Renal ... Disease • Hypoparathyroidism ... • 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 ... #differential #nephrology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Algorithm Primary Hyperparathyroidism ... and 2A Tertiary Hyperparathyroidism ... long-standing secondary hyperparathyroidism ... Renal Failure, Post-Renal ... Diagnosis #Algorithm #Endocrinology
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 ... Lithium-associated Tertiary hyperparathyroidism ... type 2A, familial hyperparathyroidism ... hormone–independent Renal ... Differential #Diagnosis #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
normal): • Primary Hyperparathyroidism ... Tumors: Lung, SCC, renal ... Algorithm #causes #endocrinology
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
structure-related • Primary hyperparathyroidism ... breast, lung, renal ... lung cancer • Renal ... disease • Tertiary hyperparathyroidism ... Hypercalcemia #Causes #endocrinology
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
resorption: • Primary hyperparathyroidism ... Pseudohyperparathyroidism, Renal ... calcium #high #endocrinology
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Endocrine • Hyperparathyroidism ... Diabetic acidosis - Renal ... • Chronic renal ... Diagnosis #Algorithm #endocrinology