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Calcium Metabolism and management

Satyendra Dhar MD, @DharSaty

#calcium #metabolism #hypocalcemia #hypercalcemia #albumin

calcium #metabolism #hypocalcemia ... #hypercalcemia

Differential Diagnosis of Hypo and Hypercalcemia #Diagnosis #EM #IM #Differential #Calcium #Hypocalcemia #Hypercalemia #Ddxof

Diagnosis of Hypo and Hypercalcemia ... Differential #Calcium #Hypocalcemia

Mechanism of malignancy-associated hypercalcemia. Abbreviations: 1,25(OH)2D, 1,25-dihydroxyvitamin D; NHL, non-Hodgkin lymphoma; PTH, parathyroid hormone; PTHrP, PTH-related

malignancy-associated hypercalcemia ... Abbreviations: 1,25(OH ... Pathophys #Diagnosis #Hypercalcemia

Electrolyte imbalances are common findings in many diseases. The kidney is a principally responsible organ for

create a complex clinical ... #Hyponatremia #hypokalemia ... #hypocalcemia ... hyperkalemia #hypercalcemia

Hypocalcemia - Differential Diagnosis Algorithm - Low and High PTH
LOW PTH - Hypoparathyroid
- Congenital (Pediatric)

Hypocalcemia - Differential ... HIGH PTH - 25-OH ... anti-convulsants) - 25-OH ... laxatives) #Hypocalcemia

Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations
• Tremor, tetany, seizures
• Weakness

dysrhythmias Hypokalemia ... metabolism • Hypocalcemia

Hypercalcemia Evaluation
1) Clinical clues
- Is the patient symptomatic?
- Family history?
- Have you done

Hypercalcemia Evaluation ... 1) Clinical clues ... PTHrp • 25 OH ... VitD & 1,25 OH ... BrighamChiefs #Hypercalcemia

Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
• Primary Hyperparathyroidism
• Familial Hypocalciuric Hypercalcemia
Low

Hypercalcemia - ... Hypocalciuric Hypercalcemia ... Calcitriol (1,25 OH ... Thiazides/Lithium #Hypercalcemia

Trousseau's Sign of Hypocalcemia on Physical Exam

Trousseau's sign in hypocalcemia is elicited in when the hand

Trousseau's Sign of Hypocalcemia ... Trousseau's sign in hypocalcemia ... Trousseaus #Sign #Hypocalcemia ... endocrinology #clinical

Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
• Adenoma
• Hyperplasia
• MEN 1 and 2A
Tertiary Hyperparathyroidism

Hypercalcemia - ... Hyperparathyroidism • Hypercalcemia ... Hypocalciuria Hypercalcemia ... Conversion of 25-OH ... D3 to 1,25-(OH)

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