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diagnosis differential management algorithm high associated calcium challenges criticalcare fluid gout hyperkalemia hypertension hyperuricemia hypocalcemia indications malignancy potassium responsiveness sarcoidosis
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Pseudohyperparathyroidism, Renal ... failure, Addison's ... #Causes #differential ... calcium #high #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–independent Renal ... failure, acute ... thyrotoxicosis, adrenal ... #Diagnosis #Endocrinology
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 Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Diabetic acidosis - Renal ... • Chronic renal ... failure • ... Sarcoidosis • Hypercalcemia ... #causes
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
malignancy-associated hypercalcemia ... Hypercalcemia - ... Renal Failure → ... Calcitonin Refractory Cases ... algorithm #management #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
papilledema, heart failure ... eg, presence of renal ... : Renal artery stenosis ... Vasculitis • Endocrinologic ... Renal parenchymal
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
hyperphosphatemia, hypercalcemia ... , and possibly renal ... failure Clinical ... patients) and/or hypercalcuria ... Diagnosis #Management #Signs
Causes of Hyperkalemia l. Pseudohyperkalemia A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis B.
Causes of Hyperkalemia ... Congestive heart failure ... Renal resistance ... Advanced renal insufficiency ... End-stage renal
Causes of Hypocalcemia - Differential Diagnosis Decreased calcium absorption • Vitamin D deficiency -
Causes of Hypocalcemia ... (OH)D3 - Liver failure ... 1,25(OH2)D3 - Renal ... failure, hyperphosphatemia ... #endocrinology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary Fluid resuscitation can be beneficial when required or
lower risk of renal ... failure. ... cardiac output causes ... precede other signs ... #criticalcare #comparison
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