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First Aid for the USMLE Step 1 (2024)
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First Aid for the USMLE Step 1 (2024) | Medicine (MD/DO) School Study Aid

Page 348 -
7 Picmonics to Learn | 13 mins
Primary Hyperparathyroidism
Assessment
Hypercalcemia
Kidney Stones
Osteoporosis
Arrhythmias
Diagnostic Tests
Increased Calcium and Decreased Phosphorus
Considerations
Prevent Injury
Medication Education
Surgery
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1 min
Secondary Hyperparathyroidism
Characteristics
Hypocalcemia or Hyperphosphatemia
Increased Parathyroid Hormone (PTH)
Increased Alkaline Phosphatase (ALK-P)
Reactive Parathyroid Hyperplasia
Etiologies
Chronic Kidney Disease
Vitamin D Deficiency
Diagnosis
Laboratory Tests
Management
Treat Underlying Disorder
Phosphate Binders
Vitamin D Supplements
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2 mins
Hypoparathyroidism
Assessment
Hypocalcemia
Lethargy
Tetany
Arrhythmias
Diagnostic Tests
Decreased Calcium and Increased Phosphorus
Considerations
IV Calcium Chloride
Rebreather Mask
Lifelong Medications
Oral Calcium Supplements with Vitamin D
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2 mins
Pseudohypoparathyroidism Type 1A
Characteristics
Defect in PTH Receptor
Increased PTH
Hypocalcemia and Hyperphosphatemia
Autosomal Dominant
Mutation in GNAS Gene
Maternal Imprinting
Clinical Features
Short Stature
Shortened 4th Fingers
Developmental Delay
Subcutaneous Calcifications
Tetany
Seizures
Management
Calcium and Vitamin D Supplementation
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3 mins
Hypocalcemia
Muscle Spasms
Assessment
< 8.5 mg/dL Ca2+
Decreased Bone Density
Tetany
Chvostek's Sign
Trousseau's Sign
Increased DTR
ECG Changes
QT Prolongation
Considerations
Oral and IV Replacement of Ca2+
Seizure Precautions
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2 mins
Hypocalcemia Causes
Hypoalbuminemia
Hypomagnesemia (Less Common Hypermagnesemia)
Hypovitaminosis D
Hypoparathyroidism
Medications
Hyperphosphatemia
Malnutrition
Acute Pancreatitis
Alkalosis
Sepsis
Chronic Kidney Disease
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2 mins
Vitamin D Deficiency
Signs & Symptoms
Rickets in children
Bending bones
Rachitic rosary
Breast milk has decreased vitamin D
Osteomalacia in adults
Tetany from Hypocalcemia
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2 mins

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