167 results
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 ... Parathyroid hormone–dependent ... Primary hyperparathyroidism ... #Hypercalcemia ... #Causes #Differential
Hypocalcemia Laboratory Evaluation

Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
Hypocalcemia Laboratory ... : - Hypoparathyroidism ... activating mutation - Parathyroid ... Chronic kidney disease ... Laboratory #Levels #Hyperparathyroidism
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... Hyperthyroidism • Paget's disease ... Chronic kidney disease ... • Tertiary hyperparathyroidism ... #Causes #endocrinology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Normal PTH: • Hyperparathyroidism ... : Parathyroid adenoma ... Skeletal metastatic disease ... disorders, Paget's disease ... Granulomatous diseases
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... resorption: • Primary hyperparathyroidism ... failure, Addison's disease ... Granulomatous diseases ... #Causes #differential
Hypocalcemia - Differential Diagnosis Algorithm
 • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Destruction of parathyroid ... , infiltrative disease ... sunlight • Other Causes ... emoryimchiefs #Hypocalcemia
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
EKG Findings Causes ... toxicity • Paget's disease ... • Hyperparathyroidism ... Granulomatous disease ... #Differential #Causes
Causes of Hypocalcemia by Clinical Cause

Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... illness - Secondary hyperparathyroidism ... levels Autoimmune disease ... removal Renal disease ... - Secondary hyperparathyroidism
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Algorithm Primary Hyperparathyroidism ... and 2A Tertiary Hyperparathyroidism ... Metastatic Bone Disease ... Granulomatous Disease ... Thyrotoxicosis • Paget's Disease
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
metabolism • Hypocalcemia ... • Hypoparathyroidism ... • Parathyroid ... Hypomagnesemia #Signs