16 results
Hypocalcemia - Workup Algorithm

Dr Nikhil Lohiya - NEPHKIDS 2020 @NEPHKIDS1

#Hypocalcemia #Workup #Algorithm #differential #diagnosis #endocrinology #causes
Workup #Algorithm #differential ... #diagnosis #endocrinology ... #causes #calcium
Hypercalcemia Workup and Differential Diagnosis Framework
1) Determine whether PTH-dependent
2) Assess for other hormonal causes
3) Assess for
Diagnosis Framework ... other hormonal causes ... for non-hormonal causes ... #endocrinology ... #calcium
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Causes of Hypercalcemia ... Hypercalcemia #Causes ... #differential # ... diagnosis #calcium ... #high #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... Bony Mets - Calcium ... #Diagnosis #Algorithm ... #causes #endocrinology
Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,
Causes of Urinary ... Obstruction - Differential ... Diagnosis Algorithm ... Stone • Calcium ... #Causes #Urology
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... Diagnosis Algorithm ... #Gynecomastia #Differential ... #Diagnosis #Algorithm ... #causes #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical clues ... Hypercalcemia #workup #differential ... #diagnosis #endocrinology ... #calcium #elevated
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Causes of Hypercalcemia ... Lithium use • Calcium-sensing ... Hypercalcemia #Causes ... #endocrinology ... #diagnosis #differential
Causes of Hypocalcemia by Clinical Cause

Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
low circulating calcium ... Genetic defects in calcium-sensing ... D deficiency Neck ... #Differential # ... Diagnosis #Endocrinology
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
right lateral neck ... Differential/diagnosis ... Lemierre's Syndrome case ... On ultrasound note ... POCUS #Clinical #Ultrasound