23 results
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Pseudohyperparathyroidism, Renal ... histoplasmosis) • Milk (calcium ... #Causes #differential ... #diagnosis #calcium ... #high #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis ... Autosomal Dominant Calcium ... Other • Excess Calcium ... #Differential # ... Diagnosis #Algorithm #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis ... Elevated PTH (High ... Tumors: Lung, SCC, renal ... Bony Mets - Calcium ... Algorithm #causes #endocrinology
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... - Differential ... deficiency • Drugs: Calcium ... Pancreatitis, Sepsis ... #Workup #Differential
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
Hypocalcemia - Differential ... Activating Mutation in Calcium ... Poisoning #Hypocalcemia ... #Differential # ... Algorithm #Phosphate #endocrinology
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... Lithium use • Calcium-sensing ... , adrenal, prostate ... #Causes #endocrinology ... #diagnosis #differential
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... and Differential ... / Low SVR • Sepsis ... , Anaphylaxis, Adrenal ... Classification #Differential
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... hyponatremia, hyperkalemia ... insufficiency likely: • High ... Insufficiency #Differential ... Diagnosis #Algorithm #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... PTH - Frankly high ... #workup #differential ... #diagnosis #endocrinology ... #calcium #elevated
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... - Hypotension, shock ... Hyperpigmented skin (due to high ... Hyponatremia, hyperkalemia ... Stimulation #StimTest #Endocrinology