13 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Vitamin D to Treat Secondary ... Hyperparathyroidism ... bone-specific alkaline phosphatase ... #VitaminD #Secondary ... #Hyperparathyroidism
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism
Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
cinacalcet for secondary ... Phosphate binders ... Calcium-containing phosphate ... Calcitriol improves ... Sensipar #Cinacalcet #Calcitriol
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
- Primary vs Secondary ... , ↑Vitamin D, ↓Phosphate ... • Secondary Hyperparathyroidism ... ↓Vitamin D, ↑↓Phosphate ... #diagnosis #endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
NormaI PTH • Hypoparathyroidism ... Low PTH • Hypoparathyroidism ... High PTH • Secondary ... Hyperparathyroidism ... #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
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Algorithm Primary Hyperparathyroidism ... long-standing secondary ... hyperparathyroidism ... Excess Vitamin D/Calcitriol ... Diagnosis #Algorithm #Endocrinology
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
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
normal): • Primary Hyperparathyroidism ... PTH: • Elevated Calcitriol ... Algorithm #causes #endocrinology
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
structure-related • Primary hyperparathyroidism ... prostate (release of calcitriol ... disease • Tertiary hyperparathyroidism ... Hypercalcemia #Causes #endocrinology
OPTIMA Treatment Algorithm for Secondary Hyperparathyroidism
When indicated, the dose of a vitamin D (vit D) sterol
Algorithm for Secondary ... Hyperparathyroidism ... 2 μg TIW; oral calcitriol ... #Management #Calcitriol ... #Secondary #Hyperparathyroidism