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Step 1
Parathyroid
hyperparathyroidism
hypoparathyroidism
hypercalcemia
hypocalcemia
parathyroid disease
thyroidectomy and calcium
biotin supplement can cause falsely elevated or decreased PTH
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Endocrine
Endocrine
related:
Medicine
MKSAP
Disorders of Glucose Metabolism
Disorders of the Pituitary Gland
Disorders of the Adrenal Glands
Disorders of the Thyroid Gland
Reproductive Disorders
Transgender Hormone Therapy Management
Calcium and Bone Disorders
Pituitary
pituitary adenoma
inappropriately normal TSH could be sign of central hypothyroidism
pituitary apoplexy
MEN
hyperprolactinemia
Hyperparathyroidism
hyperparathyroidism
related:
Endocrine
,
Parathyroid
tags: #endocrine
Hyperparathyroidism
primary hyperparathyroidism: inappropriate high PTH
high PTH, high Ca
secondary: chronically low Ca in renal failure
high PTH, low Ca
tertiary: renal failure, unresponsive.
high PTH, high Ca
familial hypocalciuria hypercalcemia: abnormal Ca sensor
Hypoparathyroidism
hypoparathyroidism
Keywords:
Step 3
,
Medicine
,
Endocrine
,
Parathyroid
Hypoparathyroidism
primary: low PTH, surgery, radiation, autoimmune, congenital (Digeorge, APS-1)
pseudohypoparathyroidism: abnormal sensor to PTH in kidney and bone
lab looks like secondary hyperparathyroidism
high PTH, low Ca, high phos
Albright's Hereditary Osteodys
Hypocalcemia
hypocalcemia
related:
Endocrine
,
Parathyroid
,
hypocalcemia after osteoporosis treatment
,
hypercalcemia
tags: #note
Causes
hyperphosphatemia: check ionized Ca.
IV bicarb can cause hypocalcemia and deposition of calcium phosphate in renal tubules
hypocalcemia is common abnormality after massive transfusion
Symptoms
mild: muscle cramps, tingling sensations
severe: seizure
long QT
Treatment
Usually do not need reple