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differential hypercalcemia algorithm elevated high hormone hypertension incidentaloma indications insufficiency laboratory secondary testing tumors
Hypocalcemia - Workup Algorithm Dr Nikhil Lohiya - NEPHKIDS 2020 @NEPHKIDS1 #Hypocalcemia #Workup #Algorithm #differential #diagnosis #endocrinology #causes
Hypocalcemia - Workup ... #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
Hypercalcemia Workup ... and Differential Diagnosis ... other hormonal causes ... #endocrinology ... #calcium
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
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
Adrenal Incidentalomas: Hormone Evaluation • Zona Glomerulosa: Primary Hyperaldosteronism? - Aldosterone and renin
Adrenal Incidentalomas ... : Hormone Evaluation ... Aldosterone and renin if hypokalemia ... #Diagnosis #workup ... #endocrinology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis ... Tumors: Lung, SCC, renal ... Bony Mets - Calcium ... #Algorithm #causes ... #endocrinology
Causes of Hypercalcemia Parathyroid gland structure-related • Primary hyperparathyroidism • Parathyroid adenoma • Parathyroid hyperplasia • Parathyroid
Causes of Hypercalcemia ... Lithium use • Calcium-sensing ... , adrenal, prostate ... #Causes #endocrinology ... #diagnosis #differential
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... Approach (when evaluation ... Vasculitis • Endocrinologic ... #Hypertension #Workup
Causes of Hypocalcemia by Clinical Cause Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... low circulating calcium ... Genetic defects in calcium-sensing ... gland removal Renal ... #Diagnosis #Endocrinology
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 Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology ... #workup
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