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diagnosis differential algorithm causes endocrinology nephrology management pharmacology pathophysiology hypercalcemia workup clinical hepatology hypocalcemia hypophosphatemia secondary comparison table lfts liver
Hyperparathyroidism classification Different causes and features of hyperparathyroidism - raised parathormone (PTH). #Diagnosis #Hyperparathyroidism #Differential #Primary #Secondary #Tertiary
Hyperparathyroidism ... and features of hyperparathyroidism ... - raised parathormone ... #Diagnosis #Hyperparathyroidism
Hypocalcemia - Differential Diagnosis Algorithm - Low and High Phosphate LOW PHOSPHATE - Low/NormaI PTH
LOW PHOSPHATE ... NormaI PTH • Hypoparathyroidism ... Resistance (Pseudo-hypoparathyroidism ... Low PTH • Hypoparathyroidism ... • Secondary Hyperparathyroidism
Hyperparathyroidism - Primary vs Secondary vs Tertiary Lab Comparison: • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism ... , ↑Vitamin D, ↓Phosphate ... • Secondary Hyperparathyroidism ... ↓Vitamin D, ↑↓Phosphate ... , ↓Vitamin D, ↑Phosphate
Initial treatment of renal bone disease and cinacalcet for secondary hyperparathyroidism Phosphate binders reduce hyperphosphataemia and hyperparathyroidism.
for secondary hyperparathyroidism ... Phosphate binders ... hyperphosphataemia and hyperparathyroidism ... Calcium-containing phosphate ... hypocalcaemia and hyperparathyroidism
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 Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm • GI loss • Redistribution
Measurement of urine phosphate ... Redistribution • Primary Hyperparathyroidism ... urine #urinary #phosphate
Hypocalcemia Workup - Differential Diagnosis Algorithm • Low Magnesium, High Magnesium - Functional Hypoparathyroidism • High
Magnesium - Functional Hypoparathyroidism ... • High Phosphate ... , Low PTH - Hypoparathyroidism ... , HIV • High Phosphate ... deficiency, CKD • Low Phosphate
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
heparin Acute Phosphate ... Exogenous: Excessive phosphate ... intake, Phosphate ... Increased Renal Phosphate ... Absorption: • Hypoparathyroidism
Hyperphosphatemia - Differential Diagnosis Algorithm Transcellular Shift: • Rhabdomyolysis • Tumor Lysis • Metabolic or Respiratory Acidosis
Renal Disease • Hypoparathyroidism ... • Pseudo-hypoparathyroidism ... Hypervitaminosis D • Phosphate ... Supplementation • Phosphate
Hypocalcemia Laboratory Evaluation Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
hypocalcemia: - Hypoparathyroidism ... Laboratory #Levels #Hyperparathyroidism
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 Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney Phosphate ... Diarrhea, Antacids, Phosphate ... Inappropriately High Kidney Phosphate ... Vitamin D: Primary Hyperparathyroidism
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