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algorithm hypocalcemia adrenal hypertension hypomagnesemia insufficiency symptoms cushings drugs ecg ekg electrocardiogram elevation gout high highcalcium htn hypercortisolism hyperthyroidism hyperuricemia
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... hyperparathyroidism ... )-alkali syndrome ... #Causes #differential ... #diagnosis #calcium
Hyperparathyroidism - Primary vs Secondary vs Tertiary Lab Comparison: • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
- Primary vs Secondary ... Tertiary Lab Comparison ... : • Primary Hyperparathyroidism ... Symptoms: Commonly no signs ... #diagnosis #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis ... Algorithm Primary ... long-standing secondary ... #Differential # ... #Endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
Hypocalcemia - Differential ... Diagnosis Algorithm ... Phenytoin, Nephrotic Syndrome ... High PTH • Secondary ... #Phosphate #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... or normal): • Primary ... Hyperparathyroidism ... Bony Mets - Calcium ... #causes #endocrinology
Causes of Hypercalcemia Parathyroid hormone–dependent Primary hyperparathyroidism Familial hypocalciuric hypercalcemia Lithium-associated Tertiary hyperparathyroidism Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... hormone–dependent Primary ... hyperparathyroidism ... #Causes #Differential ... #Diagnosis #Endocrinology
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 Causes of Hypercalcemia Parathyroid gland structure-related • Primary hyperparathyroidism • Parathyroid adenoma • Parathyroid hyperplasia • Parathyroid
Causes of Hypercalcemia ... structure-related • Primary ... • Milk-alkali syndrome ... #Causes #endocrinology ... #diagnosis #differential
Causes of Hypocalcemia by Clinical Cause Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... hyperparathyroidism ... Malabsorption syndrome ... #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
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
, hypotension, hyponatremia ... , hyperkalemia, ... baseline ACTH - Primary ... baseline ACTH - Secondary ... #endocrinology
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