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diagnosis differential nephrology algorithm endocrinology hypocalcemia management causes pharmacology workup hyperphosphatemia pathophysiology phosphorus repletion secondary calcitriol ckd framework hypomagnesemia intern
Causes of Hypocalcemia - Differential Diagnosis Algorithm • Extravascular: Pancreatitis, surgery, acute phosphate intake and renal
surgery, acute phosphate ... Drug induced: Calcium ... poisoning • Hyperphosphatemia ... , Low PTH: Hypoparathyroidism ... • Hypophosphatemia
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
for secondary hyperparathyroidism ... Phosphate binders ... Calcium-containing ... phosphate binders ... and associated electrolyte
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 Phosphate Electrolyte Repletion Oral: Neutra-Phos, Neutra-Phos-K, K-Phos Neutral (Na and K Phos) Intravenous: Potassium Phosphate, Sodium Phosphate Satya Patel
Phosphate Electrolyte ... , Sodium Phosphate ... SatyaPatelMD #Phosphate ... #Electrolyte #Repletion ... #hypophosphatemia
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
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
LOW PHOSPHATE ... NormaI PTH • Hypoparathyroidism ... Activating Mutation in Calcium ... ) • Calcium ... Low PTH • Hypoparathyroidism
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Magnesium - Functional Hypoparathyroidism ... , Low PTH - Hypoparathyroidism ... deficiency • Drugs: Calcium ... Extravascular deposition: Hyperphosphatemia ... Algorithm #nephrology #calcium
Hyperparathyroidism - Primary vs Secondary vs Tertiary Lab Comparison: • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
: ↑→PTH, ↑Calcium ... , ↑Vitamin D, ↓Phosphate ... : ↑PTH, ↓→Calcium ... ↓Vitamin D, ↑↓Phosphate ... : ↑↑PTH, ↑Calcium
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Hyperphosphatemia ... Renal Disease • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Hypervitaminosis D • Phosphate ... Supplementation • Phosphate
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
Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1
Parathyroidectomy in Primary Hyperparathyroidism ... with symptomatic PHPT ... • Serum calcium ... nephrocalcinosis, 24h urine calcium ... endocrinology #management #Hyperparathyroidism
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