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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 ... #Diagnosis #algorithm ... #endocrinology

Causes of Hypercalcemia - Differential Diagnosis Algorithm
• Primary Hyperparathyroidism
• Possible Familial Hypocalciuric Hypercalcemia

Causes of Hypercalcemia ... - Differential Diagnosis ... Algorithm • Primary ... #Algorithm #Causes ... #endocrinology

Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be

Causes of Hypokalemia ... - Differential Diagnosis ... Algorithm Once ... #Algorithm #Causes ... #workup #nephrology

Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
• Primary Hyperparathyroidism
• Familial Hypocalciuric Hypercalcemia
Low

Differential Diagnosis ... Algorithm Elevated ... #Differential #Diagnosis ... #Algorithm #causes ... #endocrinology

Trousseau's Sign of Hypocalcemia on Physical Exam

Carpopedal spasm caused by ischemia induced by an inflated blood

Carpopedal spasm caused ... Trousseaus #Sign #PhysicalExam ... #Hypocalcemia # ... clinical #video ... #endocrinology

Hypercalcemia Evaluation
1) Clinical clues
- Is the patient symptomatic?
- Family history?
- Have you done

Hypercalcemia Evaluation ... 1) Clinical clues ... #workup #differential ... #diagnosis #endocrinology ... elevated #evaluation #workup

Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
• Trauma
•

Causes of Approach ... Consciousness - Workup ... Non-Focal • Refer ... #diagnosis #workup ... #algorithm #Causes

Hypokalemia Differential Algorithm
Acidosis
- RTA
- Diarrhea
pH Normal
1. Decreased Mg
2. Intracellular Shift

Hypokalemia Differential ... Algorithm Acidosis ... #Differential #Algorithm ... #Diagnosis #Causes ... #Workup #Nephrology

Trousseau's Sign in Hypocalcemia

Trousseau sign of latent tetany is a medical sign observed in patients with

Trousseau's Sign in Hypocalcemia ... metacarpophalangeal joints flex ... #PhysicalExam # ... Video #Clinical ... #Endocrinology

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