Week 8: Disorders of Ca2+ Homeostasis Flashcards
Principles of Ca2+ physiology
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What is extracellular Ca2+ needed for?
is required to maintain normal biological function of nervous system and blood coagulation
What is intracellular Ca2+ needed for?
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How does Ca2+ circulate
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Describe the mechanisms of normal Ca2+ flux
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Describe hormone and Ca2+ homeostasis
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Describe Calcitonin
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Describe PTH
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Parathyroid glands
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Normal parathyroid function requires how many glands
at least 2 of the 4 functioning glands
Renal parathyroid hormone effects
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Bone parathyroid hormone effects
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Gut parathyroid hormone effects
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Interpreting PTH & Ca2+ lab tests
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Describe Vitamin D
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Describe Vitamin D metabolism
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Describe Vitamin D metabolism
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Hypocalcemia
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DDx of hypocalcemia
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Primary hypoparathyroidism
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Pseudohypoparathyroidism
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Vitamin D deficiency
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Vitamin D dependent Rickets Type 1
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Vitamin D dependent Rickets Type 2
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Acute Tx of hypocalcemia
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Tx of chronic hypocalcemia
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DDx of hypercalcemia
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Complications of hypercalcemia
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Primary hyperparathyroidism
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Clinical features of HPT
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Primary Hyper PTH clinical features
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Hyper PTH Work-up
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Lab abnormalities in HPT
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Indications for surgery in primary HPT
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Other considerations for surgery for HPT
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Pre-operative imaging
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Parathyroid adenomas imaging
Technitium99-Sestamibi
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Natural Hx of Asymptomatic HPT
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Medical management primary HPT
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Familial Syndromes of HPT
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MEN syndromes
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Granulomatous Disease
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Hypercalcemia of malignancy
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Medications for hypercalcemia of malignancy
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Familial benign hypercalcemia
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Creatinine Clearance ratio
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Secondary PTH: Renal failure
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Secondary hyper-PTH
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Tertiary HPT
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Other causes of hypercalcemia
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Sally brooks
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Disorders of Ca2+ homeostasis Conclusions
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