9 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
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
LOW PHOSPHATE ... NormaI PTH • Hypoparathyroidism ... Low PTH • Hypoparathyroidism ... • Secondary Hyperparathyroidism ... #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
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
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
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Magnesium - Functional Hypoparathyroidism ... • High Phosphate ... , Low PTH - Hypoparathyroidism ... , HIV • High Phosphate ... Diagnosis #Algorithm #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
heparin Acute Phosphate ... intake, Phosphate ... Increased Renal Phosphate ... Absorption: • Hypoparathyroidism ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney Phosphate ... Diarrhea, Antacids, Phosphate ... Inappropriately High Kidney Phosphate ... Vitamin D: Primary Hyperparathyroidism ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Fractional Excretion of Phosphate ... Primary or Tertiary hyperparathyroidism ... Framework #Workup #phosphate ... #nephrology