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differential causes algorithm management nephrology hypercalcemia potassium treatment checklist anesthesia anesthesiology cardiology hypocalcemia hypokalemia hypophosphatemia signs symptoms adrenal criticalcare evaluation
Hypercalcemia Workup and Differential Diagnosis Framework 1) Determine whether PTH-dependent 2) Assess for other hormonal causes 3) Assess for
Hypercalcemia Workup ... and Differential Diagnosis ... #Workup #Differential ... #endocrinology ... #calcium
Causes of Hypercalcemia Hypercalcemia due to increased bone Ca2+ resorption: • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
histoplasmosis) • Milk (calcium ... )-alkali syndrome ... #differential #diagnosis ... #calcium #high ... #endocrinology
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential Diagnosis ... disease, Viral Syndromes ... #Differential #Diagnosis ... #Algorithm #Workup
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... PTH - Frankly high ... #diagnosis #endocrinology ... #calcium #elevated ... #evaluation #workup
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Elevated PTH (High ... Bony Mets - Calcium ... #Differential #Diagnosis ... Algorithm #causes #endocrinology
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
- Differential Diagnosis ... Phenytoin, Nephrotic Syndrome ... Activating Mutation in Calcium ... #Differential #Diagnosis ... Algorithm #Phosphate #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Primary Hyperparathyroidism • Adenoma • Hyperplasia • MEN 1 and 2A Tertiary Hyperparathyroidism
Differential Diagnosis ... Autosomal Dominant Calcium ... Other • Excess Calcium ... #Differential #Diagnosis ... #Algorithm #Endocrinology
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Hypocalcemia Workup ... - Differential Diagnosis ... metastases, Hungry bone syndrome ... #Hypocalcemia #Workup ... #Differential #Diagnosis
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Algorithm • IV calcium ... potassium and ECG ... blocks, QRS axis shift ... #potassium #high ... #diagnosis #management
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... Transcellular Shift ... • Normal or High ... #Framework #Workup
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