Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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31 results
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Hypocalciuric Hypercalcemia ... calcitriol induced hypercalcemia ... Infantile idiopathic hypercalcemia ... @aishaikh #Hypercalcemia
Hypercalcemia Workup and Differential Diagnosis Framework
1) Determine whether PTH-dependent
2) Assess for other hormonal causes
3) Assess for
Hypercalcemia Workup ... other hormonal causes ... for non-hormonal causes ... uw_IMresidency #Hypercalcemia ... #Diagnosis #algorithm
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 β€’ Primary Hyperparathyroidism
 β€’ Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia - ... Elevated PTH (High ... Hypocalciuric Hypercalcemia ... Thiazides/Lithium #Hypercalcemia ... #causes #endocrinology
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 β€’
Emergency Management ... of Hyperkalemia ... of hyperkalaemia ... recurrence #Hyperkalemia ... #management #algorithm
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... PTH - Frankly high ... BrighamChiefs #Hypercalcemia ... #workup #differential
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... patients sensitive to high ... Potassium #Binding #Hyperkalemia ... #pharmacology #table ... #comparison #binders
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
abnormalities - Hypercalcemia ... - Hypokalemia ... Low #Magnesium #Table ... Classification #Causes ... #Workup #hypomg
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Hyperkalemia Management ... the cause & optimize ... treatment leadingto hyperkalemia ... / Removal #Hyperkalemia ... #Management #Algorithm
Potassium Binders for Management of Hyperkalemia
 β€’ SPS - Sodium polystyrene sulfonate
 β€’ Patiromer (veltassa)
 β€’
Potassium Binders for Management ... of Hyperkalemia ... #Hyperkalemia # ... #pharmacology #table ... #comparison #nephrology
Hyperkalemia - Management Algorithm
 β€’ IV calcium
 β€’ IV insulin and glucose and/or salbutamolt
 β€’ Consider
Hyperkalemia - Management ... Algorithm β€’ IV ... , asystole #hyperkalemia ... #potassium #high ... #algorithm #treatment