2019 results
Mechanism of malignancy-associated hypercalcemia. Abbreviations: 1,25(OH)2D, 1,25-dihydroxyvitamin D; NHL, non-Hodgkin lymphoma; PTH, parathyroid hormone; PTHrP, PTH-related
Mechanism of malignancy-associated ... lymphoma; PTH, parathyroid ... Hypercalcemia #Malignancy
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hyperparathyroidism: Parathyroid ... adenoma, Parathyroid ... hyperplasia, Parathyroid ... • High PTHrP: Malignancy ... nephrology #PTH #parathyroid
Causes of Hypercalcemia
Parathyroid gland structure-related
 • Primary hyperparathyroidism
 • Parathyroid adenoma
 • Parathyroid hyperplasia
 • Parathyroid
Hypercalcemia Parathyroid ... hyperparathyroidism • Parathyroid ... adenoma • Parathyroid ... hyperplasia • Parathyroid ... disease of bone Malignancy
Hypercalcemia of Malignancy - Pathophysiology
PTH-mediated
 • Parathyroid cancer
 • Ectopic production: Small cell lung cancer, ovarian
Hypercalcemia of Malignancy ... PTH-mediated • Parathyroid ... Hypercalcemia #Malignancy
Radial Fracture Due to Parathyroid Carcinoma- ...A plain radiograph of the left arm showed a diaphyseal
Fracture Due to Parathyroid ... with an intact parathyroid ... found to have parathyroid ... #clinical #radiology ... #NEJM #parathyroid
Malignant Pericardial Effusion causing Tamponade on POCUS

Parasternal long with some RV collapse explaining this cancer patient's
Malignant Pericardial ... causing Tamponade on POCUS ... Pericardial #Effusion #Malignant ... Echocardiogram #POCUS ... #Clinical #PLAX
â–º
Massive Pericardial Effusion on Echocardiogram

I recently saw the largest pericardial effusion of my life. Something out
removed - Suspected Malignancy ... Echocardiogram #POCUS ... #Clinical #S4C
â–º
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
probability of malignancy ... be considered malignant ... probability of malignancy ... , clinical judgment ... A malignant nodule
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Causes of Fever CRITICAL ... - Neuroleptic malignant ... Drug fever - Malignancy
Malignant Adrenal Mass - Differential Diagnosis Algorithm
Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Malignant Adrenal ... Suggestive of Malignancy ... High Plasma E2 + Clinical ... #AdrenalMass #Malignant