12 results
Laboratory Evaluation of Hypocalcemia #Diagnosis #EM #IM #Evaluation #Workup #Hypocalcemia #PTH #Differential #Algorithm #Ddxof
Laboratory Evaluation ... of Hypocalcemia ... #Workup #Hypocalcemia ... #PTH #Differential ... #Algorithm #Ddxof
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 ... #Workup #Differential ... Diagnosis #algorithm #endocrinology ... #calcium
Causes of Hypercalcemia
Hypercalcemia due to increased bone Ca2+ resorption:
 • Primary hyperparathyroidism, Malignancy, Pseudohyperparathyroidism, Renal failure,
Pseudohyperparathyroidism, Renal ... histoplasmosis) • Milk (calcium ... #Causes #differential ... #diagnosis #calcium ... #high #endocrinology
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... #workup #differential ... #diagnosis #endocrinology ... #calcium #elevated ... #evaluation #workup
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 Laboratory Evaluation

Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
Evaluation Serum ... dihydroxyvitamin D can help differentiate ... Hypoparathyroidism - Calcium-sensing ... Hyperparathyroidism #Diagnosis #Endocrinology ... #Differential
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis ... Tumors: Lung, SCC, renal ... Bony Mets - Calcium ... #Differential # ... 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 ... Approach (when evaluation ... Vasculitis • Endocrinologic ... Hyperthyroidism, Hypercalcemia