PPT-HYPERCALCEMIA & Hyperparathyroidism

Professor Dr Khurshid Khan MBBS MD USA FACE USA Diplomate of American Board in Diabetes Endocrinology amp Metabolism USA Diplomate of American Board in Internal Medicine USA . Hypercalcemia. Steven Chessler, MD, Ph.D.. March, 2015. Internal Medicine noon conference. (F5). History and Physical. A 45 year-old female consults you because of . a low bone mineral density (BMD). She relates that she . Disorders During Pregnancy. Dr. . Mitra. . Niafar. Professor of Endocrinology and Metabolism. Tabriz University of Medical Sciences. Pregnancy and . Ca. -P . homeostasis. Pregnancy is associated with substantial changes in calcium-phosphate homeostasis, resulting from . 6. 7. 1. 8. 9. 10. 11. 1. 2. 3. 4. 5. 6. 7. 1. 8. 9. 10. 11. 1. 2. 3. 4. 5. 6. 7. 1. 8. 9. 10. 11. 1. 2. 3. 4. 5. 6. 7. 1. 8. 9. 10. 11. Parathyroid hormone is secreted in three distinct ways: . tonic secretion. Medical. . Faculty. Department. of . the. . Endocrinology. . and. . Metabolism. DISORDERS OF THE PARATHYROID GLANDS. Parathyroid . glands are normally the size of a rice . grain. Each . gland: 5 to 7 mm(6X2X2 mm. Palak Choksi, MD. Assistant Professor of Medicine. Metabolism, Endocrinology and Diabetes. Disclosures. NONE. Intended Learning Outcomes. Review calcium metabolism. Describe symptoms of . hypercalcemia. Jessica Thom. PGY-3. Let’s start with a case. Mrs. S is a 74 year old female with a history of COPD who presents to the ER with confusion and acute renal failure. Her calcium on presentation is . 3.13mmol/L . Binu . Abi. , . PharmD. UW Medicine . PGY1 Pharmacy Resident. January 29. th. , 2015. Case. LC. 65 y/o M . Wt. 65 kg. CC . Presented to ED . with . complaints of dizziness, . auditory/visual . hallucinations, abdominal pain, polyuria in setting of starting duloxetine 10 days ago.. Also decreased PO intake. Expressive aphasia due to CVA, cannot give further history. PMH to de discussed later…. PE: . Vitals stable. Moderate respiratory distress. Somnolent but . arousable. Breath sounds only in R chest. Dr.zahedi. What is the Type of hyperparathyroidism in this case?. What is the management of this case?. Type of hyperparathyroidism. PHPT . . Coexistence Vitamin D . deficiency. and PHPT. Secondary hyperparathyroidism. status testing F ormulary Working Group Laboratory Medicine Program Eastern Health . 1J442 , Health Sciences Centre, 300 Prince Philip Drive, , NL A1B 3V6 Office: 709 777 - 6375 Fax : 709 - 777 2442 E case report . B.Rezvankhah.MD. January.2017. What is the diagnosis?. What is the treatment? . Hypercalcemia & Elevated or Inappropriately NL PTH Levels. Primary Hyperparathyroidism . Familial . Hypocalcuric. Primary . Hyperparathyroidism. 99% of total body calcium in the bone . 1% in ICF ,ECF , cell membranes *. * 50% ionized . 40% bound to albumin. . 10% citrate, phosphate. Hengameh. . Abdi. , MD. Endocrine Research Center. Research Institute for Endocrine Sciences. . Shahid. . Beheshti. University of Medical Sciences. 14 April 2016. Agenda. Introduction. Familial . PGY-2 Case Presentation. Noon Conference. Renate Gyenge, DO. 10/20/21. 1. Review Case. Discuss Disease Pathogenesis. Discuss Differential Diagnosis. Discuss Diagnostic Criteria. Discuss Treatment.