16 results
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Renal Disease • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Hypervitaminosis D • Phosphate ... Supplementation • Phosphate ... Diagnosis #Algorithm #endocrinology
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm
 • GI loss
 • Redistribution
Hypophosphatemia ... Measurement of urine phosphate ... Redistribution • Primary Hyperparathyroidism ... PO4 wasting #Hypophosphatemia ... urine #urinary #phosphate
Causes of Hypocalcemia - Differential Diagnosis Algorithm
 • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
surgery, acute phosphate ... poisoning • Hyperphosphatemia ... Kidney Disease • Hyperphosphatemia ... , Low PTH: Hypoparathyroidism ... • Hypophosphatemia
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
LOW PHOSPHATE ... NormaI PTH • Hypoparathyroidism ... Low PTH • Hypoparathyroidism ... • Secondary Hyperparathyroidism ... #endocrinology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... Rule out spurious hyperphosphatemia ... intake, Phosphate ... Absorption: • Hypoparathyroidism ... @aishaikh #Hyperphosphatemia
Hypophosphatemia - Differential Diagnosis Algorithm

Transcellular Shift
 • Recovery From DKA
 • Refeeding Syndrome
 • Acute Respiratory
Hypophosphatemia ... PO4 > 5%: • Hyperparathyroidism ... Resistance • Hypophosphatemic ... Chronic Diarrhea #Hypophosphatemia ... Diagnosis #Algorithm #endocrinology
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism ... , ↑Vitamin D, ↓Phosphate ... ↓Vitamin D, ↑↓Phosphate ... , ↓Vitamin D, ↑Phosphate ... #diagnosis #endocrinology
Causes of hypophosphatemia - Differential Diagnosis
 • Increased losses: enhanced urinary phosphate excretion
 • Decreased input:
Causes of hypophosphatemia ... enhanced urinary phosphate ... disorders #hypophosphatemia ... Differential #Diagnosis #endocrinology
Indications for Parathyroidectomy in Primary Hyperparathyroidism
 • All patients with symptomatic PHPT
 • Serum calcium 1
Parathyroidectomy in Primary Hyperparathyroidism ... with symptomatic PHPT ... #Indications #PHPT ... #endocrinology ... #management #Hyperparathyroidism
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Treat Secondary Hyperparathyroidism ... - Suppresses SHPT ... bone-specific alkaline phosphatase ... bone-specific alkaline phosphatase ... VitaminD #Secondary #Hyperparathyroidism