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algorithm hypocalcemia adrenal alkaline evaluation gout hepatology highcalcium hyophosphatasia hyperuricemia low lowcalcium phosphatase uricacid workup
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
Hypocalcemia - Differential ... Diagnosis Algorithm ... ) • Calcium ... High PTH • Secondary ... #Phosphate #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis ... long-standing secondary ... Immobilization • Adrenal Insufficiency ... #Differential # ... #Endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... normal): • Primary Hyperparathyroidism ... Bony Mets - Calcium ... #Differential # ... #causes #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... , hypotension, hyponatremia ... , hyperkalemia, ... baseline ACTH - Secondary ... #endocrinology
Causes of Hypercalcemia Parathyroid gland structure-related • Primary hyperparathyroidism • Parathyroid adenoma • Parathyroid hyperplasia • Parathyroid
Causes of Hypercalcemia ... Lithium use • Calcium-sensing ... • Sarcoidosis (elevated ... #Causes #endocrinology ... #diagnosis #differential
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
Most cases diagnosed ... pain • loss of secondary ... ALP -> PPi and Calcium ... Hyperlipidemia - Hypercalcemia ... : • Other causes
Causes of Hypocalcemia by Clinical Cause Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... hyperparathyroidism ... low circulating calcium ... #Causes #Differential ... #Diagnosis #Endocrinology
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 Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Diagnosis Algorithm ... Endocrine • Hyperparathyroidism ... Sarcoidosis • Hypercalcemia ... #endocrinology ... #causes
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
1) Clinical clues ... Vit D • If all ... #workup #differential ... #diagnosis #endocrinology ... #calcium #elevated
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