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First Aid
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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 349 -
5 Picmonics to Learn | 10 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
Renal Osteodystrophy
Pathophysiology
Chronic Kidney Disease
Secondary Hyperparathyroidism
Hyperphosphatemia
Hypocalcemia
Decreased Calcitriol
Clinical Features
Osteitis Fibrosa Cystica
Osteoporosis
Osteomalacia
Management
Treating Underlying Disorder
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2 mins
Hypercalcemia
Assessment
> 10.5 mg/dL Ca2+
Pathologic Fractures
Lethargy
Hypercoagulation
Constipation
ECG Changes
QT Shortening
Interventions
No Calcium Intake
Chelating Drugs
Calcitonin
Bisphosphonates
Loop Diuretics instead of Thiazide Diuretics
Considerations
Increased Risk for Renal Calculi
Increase Fluids
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3 mins
Hypercalcemia Causes
Two CHIMPANZEES Acronym
Thyroid Disorders
Calcium Supplements
Hyperparathyroidism
Iatrogenic (Drugs, immobility)
Milk-Alkali Syndrome
Paget's Disease of Bone
Acromegaly or Addison's Disease
Neoplasms
Zollinger-Ellison Syndrome
Excessive Vitamin A
Excessive Vitamin D
Sarcoidosis
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2 mins
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

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