11 results
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
resorption: • Primary ... histoplasmosis) • Milk (calcium ... #differential #diagnosis ... #calcium #high ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Algorithm Elevated ... PTH (High or normal ... ): • Primary Hyperparathyroidism ... Bony Mets - Calcium ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis ... Algorithm Primary ... Autosomal Dominant Calcium ... Other • Excess Calcium ... #Algorithm #Endocrinology
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
- Differential Diagnosis ... Algorithm High ... Inhibition • Pituitary ... TSH • Primary ... #Algorithm #Endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate
LOW PHOSPHATE
 - Low/NormaI PTH
Hypocalcemia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #Phosphate ... #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... PTH - Frankly high ... #differential #diagnosis ... #endocrinology ... #calcium #elevated
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
- Differential Diagnosis ... Algorithm Primary ... Drug-induced • High ... Sarcoidosis • Hypercalcemia ... #Algorithm #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... hyponatremia, hyperkalemia ... insufficiency likely: • High ... baseline ACTH - Primary ... #Algorithm #endocrinology
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
• Low TSH, high ... T4 +/- T3 → Primary ... Hyperthyroidism → MRI Pituitary ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Algorithm Clinical ... Hyperpigmented skin (due to high ... , only seen in PRIMARY ... Hyponatremia, hyperkalemia ... Stimulation #StimTest #Endocrinology