57 results
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
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
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1° HPT ... - 1° Renal PO4 ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Hypocalcemia - Differential Diagnosis Algorithm
 • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Diagnosis Algorithm • Low ... Mg: GI losses, Renal ... Elevated - Secondary Hyperparathyroidism ... - Hypoparathyroidism ... (very rare) • Low
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Algorithm • Low ... Magnesium - Functional Hypoparathyroidism ... High Phosphate, Low ... PTH - Hypoparathyroidism ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
FEPO4 ≥ 5% - Renal ... Primary or Tertiary hyperparathyroidism ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
normal): • Primary Hyperparathyroidism ... Hypercalcemia Low ... Tumors: Lung, SCC, renal
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... causes #potassium #low ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Medications Renal ... Losses Non-renal ... vomiting) • Low ... Diagnosis #Algorithm #nephrology ... #low #potassium
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Normal PTH: • Hyperparathyroidism ... Hypercalcemia Low ... PTHrP: - Low ... Algorithm #Workup #nephrology