290 results
Multiple Endocrine Neoplasias (MEN syndromes) 

MEN I
• Hyperparathyroidism 
• Hypercalcemia 
• Possible ZE syndrome 
• Various
Hyperparathyroidism • Hypercalcemia ... Hyperparathyroidism • Hypercalcemia ... • Increased calcitonin ... • Increased calcitonin
Treatment algorithm for malignancy-associated hypercalcemia.
Hypercalcemia
 - Renal Failure → Dialysis with low Ca++ bath
Aggressive IV hydration
malignancy-associated hypercalcemia ... Hypercalcemia - ... Bisphosphonate +/- Calcitonin ... malignancy #associated #hypercalcemia
Treatment algorithm for malignancy-associated hypercalcemia
 • Aggressive IV hydration
 • IV Bisphosphonate +/- Calcitonin
 • Renal
malignancy-associated hypercalcemia ... Bisphosphonate +/- Calcitonin ... Denosumab #hypercalcemia
Hypercalcemia - Hormones and Pathophysiology  
Calcitriol:
 • Bones: Enhances mineralization
 • GI Tract: ↑ Ca2+
Hypercalcemia - ... Ca2+, ↓ PO4- Calcitonin ... +, ↓ PO4- #Hypercalcemia
Pharmacologic Options for Hypercalcemia Associated with Cancer
Rehydration with NS followed by loop diuretics
 • IV normal
Pharmacologic Options for Hypercalcemia ... calcitriol • Calcitonin ... osteoclast activity #hypercalcemia
Differential Diagnosis of Hypo and Hypercalcemia #Diagnosis #EM #IM #Differential #Calcium #Hypocalcemia #Hypercalemia #Ddxof
Diagnosis of Hypo and Hypercalcemia ... Differential #Calcium #Hypocalcemia ... #Hypercalemia #
Calcium Metabolism and management 

Satyendra Dhar MD, @DharSaty

#calcium #metabolism #hypocalcemia #hypercalcemia #albumin
calcium #metabolism #hypocalcemia ... #hypercalcemia
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Hypercalcemia ... Immobilization Hypercalcemia ... : • Familial hypercalcemic ... intoxication #Hypercalcemia
Effects of Parathyroid hormone (PTH) and Calcitonin on Calcium and Phosphate Metabolism

#Parathyroid #hormone #PTH #Calcitonin #phosphate
hormone (PTH) and Calcitonin ... #hormone #PTH #Calcitonin
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Hypercalcemia - ... Hyperparathyroidism • Hypercalcemia ... Hypocalciuria Hypercalcemia ... Other Familial Hypercalcemias ... Paget's Disease #Hypercalcemia