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diagnosis differential hypercalcemia management signs symptoms acromegaly algorithm bulimianervosa complications elevated evaluation hypertension indications parathormone parathyroid phosphorus psychiatry sarcoidosis secondary
Hypercalcemia Workup and Differential Diagnosis Framework 1) Determine whether PTH-dependent 2) Assess for other hormonal causes 3) Assess for
Hypercalcemia Workup ... Determine whether PTH-dependent ... causes 3) Assess ... Diagnosis #algorithm #endocrinology ... #calcium
Parathyroid Hormone (PTH) Effect in Calcium and Phosphorus Calcium - Net Effect Hypercalcemia: ↑ intestinal
Parathyroid Hormone ... (PTH) Effect in ... Hypercalcemia: ... #pathophysiology ... #endocrinology
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... 2) PTH - Frankly ... #diagnosis #endocrinology ... #calcium #elevated
Causes of Hypocalcemia by Clinical Cause Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... low circulating calcium ... or parathyroid hormone ... Malabsorption syndrome ... #Diagnosis #Endocrinology
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 Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... bruit or signs of hormonal ... Vasculitis • Endocrinologic ... apnea: CPAP, most pts ... #Hypertension #Workup
Causes of Hypocalcemia - Differential Diagnosis Decreased calcium absorption • Vitamin D deficiency -
Causes of Hypocalcemia ... Diagnosis Decreased calcium ... Malabsorption Syndromes ... Increased calcium ... #endocrinology
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
-55; f 50-60y (hormonal ... survival is 93-95% Pathophysiology ... fibrosis. 4) Calcium ... hyperphosphatemia, hypercalcemia ... symptoms are not caused
Bulimia Nervosa: Complications GASTROINTESTINAL • Dehydration & inability to digest food -> Constipation • Recurrent vomiting exposes
• Boerhaave syndrome ... Calcium, VitD) and ... levels cause bones ... ) • Overall: hypokalemia ... Complications #pathophysiology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
Usually presents ~5th ... Beckwith Wiedemann syndrome ... Diagnosis and Workup ... or refractory cases ... Diagnosis #Management #Endocrinology
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