PA de tipo quin calcio Flashcards

1
Q

4 Causas de hipercalcemia con PTH elevada o inapropiadamente normal

A
  • Hiperpara 1
  • Hipercalcemia hipocalciurica
  • Hiperpara 2
  • Hiperpara 3
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2
Q

Factores que aumentan la expresion de RANKL, el estradiol es uno de ellos?

A
  • Citoquinas
  • Deficiencia de estradiol
  • Hormonas calcitotropas (PTH, 124OH2D
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3
Q

4 Causas mas frecuentes de hipercalcemia

A
  • Hiperpara 1
  • Cancer
  • Enf granulomatosas
  • Uso de tiazidas
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4
Q

MEN 2A

A

Feo + carcinoma medular de tiroides + hiperparatiroidismo primario

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5
Q

Mujer de 52 anos con tscore lumbar de -2.6 y -2.1 cadera, dx:

A

Osteoporosis, si tuviera 49 fuera densidad osea baja para edad cronologica

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6
Q

Valores normales de calcio serico

A

8-10.5mg/dl

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7
Q

Calcio serico en 7 y fosforo en 5 (2.5-4), a que se debe?

A

Hipoparatiroidismo

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8
Q

Alteraciones que se encuentran en el sindrome del hueso hmbriento

A

Hipocalcemia + hipofosfatemia

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9
Q

Osteodistrofia renal

A

Disminucion de la 1a-hidroxilasa > baja 125oh2d

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10
Q

Hipercalcemia + fosforo serico normal + PTH, PTHrp bajo + 125OH2D ELEVADO + ECA alta

A

Enfermedad granulomatosa

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11
Q

Hipocalcemia + fosforo alto

A
Pseudohipopara
Fallo renal
Ingestion de po4
Rabdomiolisis
Lisis tumoral
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12
Q

Hipocalcemia + pth alta + p normal o bajo

A
Deficiencia de vitd
Resistencia a vid d
Hueso hambriento
Tumor hambriento
Pancreatitis
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13
Q

Hipercalcemia con pth bajo

A

Hipercalcemia por malignidad
Enf granulomatosa/linfoma
Hiperc osteolitica local

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14
Q

Que hago en sospecha de hip osteolitica local

A

Eritro,hiv,fosfatasa alcalina, t4, tsh, igf1

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15
Q

Que hago en sospecha de hiperpara 1

A

Medir vitaminas, densiometria , creatinina, us, t99

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16
Q

Hipocalcemia con pth normal

A

Alteracion de car