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diagnosis differential management algorithm cardiology hypocalcemia treatment anesthesia anesthesiology checklist intraoperative 21hydroxylasedeficiency 21ohd alkaline alp associated bradi complications crisis digoxin
Hypocalcemia - Workup Algorithm Dr Nikhil Lohiya - NEPHKIDS 2020 @NEPHKIDS1 #Hypocalcemia #Workup #Algorithm #differential #diagnosis #endocrinology #causes
Hypocalcemia - Workup ... @NEPHKIDS1 #Hypocalcemia ... #Workup #Algorithm ... differential #diagnosis #endocrinology ... #causes #calcium
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Pseudohyperparathyroidism, Renal ... #Causes #differential ... #diagnosis #calcium ... #high #endocrinology
Hypercalcemia Workup and Differential Diagnosis Framework 1) Determine whether PTH-dependent 2) Assess for other hormonal causes 3) Assess for
Hypercalcemia Workup ... other hormonal causes ... for non-hormonal causes ... Diagnosis #algorithm #endocrinology ... #calcium
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - ... Tumors: Lung, SCC, renal ... Bony Mets - Calcium ... Diagnosis #Algorithm #causes ... #endocrinology
Causes of Hypercalcemia Parathyroid gland structure-related • Primary hyperparathyroidism • Parathyroid adenoma • Parathyroid hyperplasia • Parathyroid
Causes of Hypercalcemia ... Lithium use • Calcium-sensing ... hypocalciuric hypercalcemia ... , adrenal, prostate ... #Causes #endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... #diagnosis #endocrinology ... #calcium #elevated ... #evaluation #workup
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Mnemonic • BRASH/Hyperkalemia ... • Renal failure ... Beta blockers • Calcium ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... beta-blocker; digoxin; calcium ... myocardial infarction, hyperkalaemia ... Diagnosis #Management #Workup
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
enzyme 21-OHase causes ... 21-OHD in the adrenal ... as "congenital adrenal ... #21HydroxylaseDeficiency #21OHD #pathophysiology ... #genetics #endocrinology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
palpitations, bradycardia ... reabsorption) Workup ... QRS intervals, bradycardia ... only if no clear cause ... Treatments: • Calcium
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