13 results
Hypercalcemia Workup and Differential Diagnosis Framework
1) Determine whether PTH-dependent
2) Assess for other hormonal causes
3) Assess for
Hypercalcemia Workup ... Determine whether PTH-dependent ... uw_IMresidency #Hypercalcemia ... #Workup #Differential ... #calcium
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
of hypercalcemia ... presenting with hypercalcemia ... hypocalciuric hypercalcemia ... #Diagnosis #Hypercalcemia ... #Workup #Differential
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... Agents to Treat Hyperkalemia ... magnesium • Dosing ... #Hyperkalemia # ... pharmacology #table #comparison
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - ... Hypocalciuric Hypercalcemia ... Bony Mets - Calcium ... Thiazides/Lithium #Hypercalcemia ... Algorithm #causes #endocrinology
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... - Differential ... , High Magnesium ... Phosphate, Low PTH ... #Workup #Differential
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Hypercalcemia - ... Hyperparathyroidism • Hypercalcemia ... Hypocalciuria Hypercalcemia ... Malignancy • PTH-Related ... Paget's Disease #Hypercalcemia
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 2) PTH - Frankly ... BrighamChiefs #Hypercalcemia ... #workup #differential ... #calcium #elevated
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Lower risk of hypercalcemia ... range - Lack of hypercalcemia ... requirements - Lack of hypercalcemia ... range - Lack of hypercalcemia ... #Table #Comparison
Hypercalcemia Diagnosis Algorithm
Tests: Calcium, Albumin, Ionized Calcium, PTH

ARUPConsult @ARUPLabs

#Hypercalcemia #Diagnosis #Algorithm #endocrinology #differential
Hypercalcemia Diagnosis ... , PTH ARUPConsult ... @ARUPLabs #Hypercalcemia ... Diagnosis #Algorithm #endocrinology ... #differential
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... Potassium 4 mEq/L • Calcium ... • LR Contains Calcium ... Is Dangerous in Hyperkalemia ... Normal #Saline #NS #comparison