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#Hypocalcaemia
ganeshtbrc · 9 months
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Parathyroid Hormone Market Forecast 2023-2032: Market Size, Drivers, And Trends
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The Parathyroid Hormone Global Market Report 2023, provides comprehensive information on the parathyroid hormone market across 60+ geographies in the seven regions - Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa for the 27 major global industries. The report covers a ten year historic period – 2010-2021, and a ten year forecast period – 2023-2032.
Learn More On The Parathyroid Hormone Market’s Growth:
As per The Business Research Company’s Parathyroid Hormone Global Market Report 2023, the global parathyroid hormone market grew from $2.15 billion in 2022 to $2.26 billion in 2023 at a compound annual growth rate (CAGR) of 5.0%. The Russia-Ukraine war disrupted the chances of global economic recovery from the COVID-19 pandemic, at least in the short term. The war between these two countries has led to economic sanctions on multiple countries, a surge in commodity prices, and supply chain disruptions, causing inflation across goods and services and affecting many markets across the globe. The market size of the parathyroid hormone is expected to grow from $2.8 billion in 2027 at a CAGR of 5.6%.
Get A Free Sample Of The Report (Includes Graphs And Tables):
The parathyroid hormone market is segmented:
1) By Disease Type: Hypocalcaemia, Hypoparathyroidism
2) By End-User: Hospitals, Clinics, Othe End-Users
3) By Product Type: Recombinant Parathtyoid Hormone, Parathyroid Hormone Analogues
North America was the largest region in the parathyroid hormone market in 2022.
The table of contents in TBRC’s parathyroid hormone market report includes:
1. Executive Summary
2. Market Characteristics
3. Market Trends And Strategies
4. Impact Of COVID-19
5. Market Size And Growth
6. Segmentation
7. Regional And Country Analysis
.
.
.
27. Competitive Landscape And Company Profiles
28. Key Mergers And Acquisitions
29. Future Outlook and Potential Analysis
Learn About Us:  The Business Research Company is a market intelligence firm that pioneers in market, company, and consumer research. TBRC’s specialist consultants are located globally and are experts in a wide range of industries that include healthcare, manufacturing, financial services, chemicals, and technology. The firm has offices located in the UK, the US, and India, along with a network of proficient researchers in 28 countries. Through the report businesses can gain a thorough understanding of the market’s size, growth rate, major drivers and leading players.
Contact Us:  The Business Research Company  Europe: +44 207 1930 708
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jean-perry · 1 year
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aggerfigueroa · 2 years
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Quantifying person impact inside leading-following habits regarding Bechstein's baseball bats.
Have a look at show that the particular massive character associated with quasiparticles in some lessons involving nanostructured superconductors can be planned on to a new massive rotor. Furthermore, we provide a straightforward experimental process to convert this particular nanoscale superconducting rotor right into a typical as well as upside down quantum pendulum together with tunable gravitational area, inertia, as well as generate. All of us details how these types of story claims may be recognized via encoding tunneling spectroscopy. The actual offered experiments can provide this website information into huge character as well as quantum chaos.Objectives: To gauge, medical difficulties and also recurrence designs right after core throat dissection (CND) within papillary hypothyroid carcinoma (PTC). Methods: A new retrospective examination has been performed upon 361 people that have total thyroidectomy with or without CND regarding PTC coming from The year 2000 for you to 07. Clinicopathological outcomes and also recurrence ended up stratified in accordance with treatment method method. Results: Likelihood associated with occult key metastasis of PTC has been Sixty-four.3%. Regarding medical morbidities, the entire thyroidectomy (Turbulence training) together with CND party displayed an extremely increased chance of transient vocal retract paralysis (10.0% versus Three.4%, s Equals 0.029) and long lasting hypocalcaemia (Eleven.4% vs 4.5%, g Equals Zero.041), along with drastically prolonged imply operating moment (195.7 min compared to 153.2 minute, s <Zero.001) compared to Turbulence training by yourself group. Research into the repeat designs said that stage Four had been normally involved in equally groups. In the event the area associated with repeat ended up being listed directly into main along with horizontal neck, the repeat rate inside the horizontal neck has been significantly above in which within the core neck, no matter initial CND. Conclusions: CND has been linked to permanent hypocalcaemia and also temporary oral fold paralysis. The actual horizontal guitar neck has been mostly involved in repeat irrespective of initial CND, advising the particular scientific good thing about CND could possibly be modest. (Chemical) The year 2013 Elsevier Ireland in europe Limited. Most legal rights set-aside.Japan cloudy salamander Hynobius nebulosus, native to the island for you to Western Japan, can be ranked as susceptible in debt Set of The japanese. Nonetheless, microsatellite indicators effective with regard to estimating genetic selection along with structures for the preservation actions haven't recently been noted. Therefore, we all developed 19 fresh microsatellite markers pertaining to H. nebulosus. The amount of alleles along with expected heterozygosity each and every locus have been 3-14 (mean Equals Six.63) along with 3.22-0.82, correspondingly, on this varieties. Your markers defined the following will be a good choice for looking into the anatomical range as well as genetic construction, along with preparing preservation treating . nebulosus.ObjectivePatients on servicing haemodialysis (High definition) have got reduced circulating no cost along with bioactive insulin-like growth aspect My partner and i (IGF-I) on account of elevated IGF-binding healthy proteins (IGFBPs). This study investigated your postprandial reaction in the IGF system in HD patients in comparison with matched up wholesome themes.
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marccurelab · 2 years
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Calvit 12 syrup is used for vitamin D deficiency, cardiovascular health, hypocalcaemia, osteoporosis, hypocalcaemia, hypophosphatemia, vitamin B12 deficiency, pernicious anemia and different situations. It is a nutritional supplement for all age groups. Calvit 12 syrup that will also be used for functions not indexed in this remedy guide. Calvit 12 syrup consists of calcium, vitamin B12 and vitamin D3 as energetic components. Calvit 12 syrup works by using curing weakening of bones and for higher absorption; growing absorption of calcium and phosphorus required for sturdy bones; treating diet B12 deficiency.
Uses of Calvit 12 syrup:
It helps to improve vitamin D & B12 deficiency.
Preventing osteoporosis.
Helps in anemia & hypophosphatemia.
Improves phosphorus absorption.
Effective in hypocalcaemia.
Benefits:
It fulfils the extra need during pregnancy & lactation.
Promotes growth and development of the musculoskeletal system.
Follow up therapy to parental calcium in Tetany of the newborn and Hyperparathyroidism.
Post-menopausal & senile osteoporosis.
Rickets and osteomalacia.
Precautions:
Before the usage of Calvit 12 Syrup, inform your medical doctor about your modern listing of medications, over the counter merchandise (e.g. vitamins, natural supplements, etc.), allergies, pre-existing diseases, and present day fitness stipulations (e.g. pregnancy, upcoming surgery, etc.). Some fitness stipulations can also make you extra prone to the side-effects of the drug. Take as directed by way of your physician or observe the course printed on the product insert. Dosage is based totally on your condition.
Tell your physician if your situation persists or worsens.
Important counseling factors are listed below:
Breastfeeding.
Consult your medical doctor in case of allergies, diarrhea, belly or intestinal problems, coronary heart disease, hypercalciuria, hyperparathyroidism, sarcoidosis, renal impairment, hypercalcaemia-associated disease.
Consult your physician in case of questions about the quantity of calcium you need to be taking in every day.
Do now not supply injectable structure of calcium to children
Elderly
Folic acid deficiency
Iron deficiency
Kidney disease
Liver disease
Pregnancy
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tareqbnyan · 2 years
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9. A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?
A .Diverticulosis B . Hypercalcaemia C .Hypocalcaemia D . Irritable bowel syndrome
Correct answer
B. Hypercalcaemia.
Rationale
Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.
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stemlyns · 2 years
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More on Calcium and blood products in trauma. St Emlyn's
Survey from @leechcaroline & #EleriClarke of UK prehospital provision of blood product transfusion and calcium supplementation to prevent hypocalcaemia in trauma #FOAMed #stemlyns
This week we have a nice paper that highlights some of the ongoing thoughts and controversies about the use of calcium in major haemorrhage protocols. Hopefully you’ve already read Iain’s excellent review of the matter here which is well worth a read together with the links at the end of this article. You should probably also read up on the RePHILL trial of blood in major trauma patients which…
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willolivia297-blog · 2 years
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What Are the Health Benefits of Vitamin D?
Exposure to sunlight is something that provides the human body with vitamin D. However, instead of going out in the sun and exposing yourself to the harmful UV rays too, you can enhance your vitamin D intake through supplements and foods. 
Vitamin D is extremely important to maintain healthy teeth and bones. It will also play a key role in improving other aspects of the body such as boosting the functionality of the immunity system and regulating inflammation. However, keep in mind that vitamin D is more of a prohormone or hormone. Continue reading the article to know the vitamin d supplement benefits. 
Healthy Bones 
Vitamin D plays an important role in absorbing intestinal calcium as well as the help your body maintain proper levels of calcium and phosphorus in your blood. These two are extremely important for the mineralization of the bones. 
The effects of vitamin d deficiency can be mild or serious. The deficiency of vitamin D amongst adults is known as osteomalacia which will soften your bones. Due to this condition, you will not only suffer from muscular weaknesses but also poor bone density. 
Immunity System 
When you take the vitamin d supplement properly, you will be able to boost the functionality of your immunity system while also decreasing the risks of autoimmune disease. 
Researchers recommended that genestra vitamin d plays a crucial role in boosting the immunity system of the body. When you suffer from a long-term deficiency of vitamin D, your body will end up with different types of autoimmune diseases such as asthma, diabetes, and arthritis. 
What are the Symptoms of Vitamin D Deficiency?
Most people who have vitamin d deficiency don’t suffer from negative symptoms. However, due to the chronic deficiency, you might witness hypocalcaemia, which is known as a disease due to calcium deficiency. Your body can also suffer from hyperparathyroidism, which will cause the parathyroid glands to develop a hormonal imbalance that will raise the level of blood calcium. Vitamin d deficiency causes different types of secondary symptoms such as bone pain, bone fragility, muscle twitching, fatigue, osteoporosis, muscle weakness, arthralgia, and myalgia. 
If you suffer from long-term vitamin D deficiency, you will face other severe complications such as infections, cardiovascular conditions, neurological diseases, etc. 
Conclusion
These are the health benefits of vitamin D. Make sure you take relevant supplements so that you can prevent vitamin D deficiency. 
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healthherbsfood · 5 years
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Muscle twiching in the arm. What is the cause of it and what Muscle twitching in the arm. What is the cause of it and what can I do about it? I know vitamin D deficiency can cause twitching and I know I have vitamin D deficiency. But this twitching is going on for hours now and don't want to stop. Yesterday evening my leg hurt at my thigh and knee and now it hurts at my right arm, at my elbow. It's like muscle strain with twitching. And I worked out at the gymn yesterday.
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I think you have calcium deficiency (hypocalcaemia). Calcium deficiency’s main symptoms are muscle spasms, numbness and tingling in the hands and feet. You can also feel confusion, memory loss, depression and can have brittle nails. D vitamin deficiency can lead to hypocalcaemia.
You should take calcium and vitamin D tablets. The recommended doses are 2x400mg calcium and 2000 NE vitamin daily. It is essential that you take both, because vitamin D needs calcium so it can increase the calcium intake of bones and the absorption of calcium in the bowels.
I would also recommend eating the following: raspberry, almond, cheese, asparagus, milk, spinach. These are rich in calcium. And I also recommend foods rich in vitamin D: salmon, mushroom, dandelion leaves as a salad, yogurt, liver, olive.
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I would recommend you to drink peony (Paeonia officinalis) root tea: Add the peony root to boiling water and allow it to simmer (not boil) for 20 minutes before taking it off the stove. Let the decoction steep until it is cool enough to drink. Drink it daily.
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medical-hint · 2 years
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ptmasterguide · 3 years
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Clinical Features of Hypocalcaemia
Clinical Features of Hypocalcaemia
In this article, we will discuss the Clinical Features of Hypocalcaemia. So, let’s get started. Clinical Features Sign and Symptoms of Hypocalcemia The clinical manifestations vary from asymptomatic state to life-threatening features like convulsions, tetany, laryngeal spasm, depending on the level of ionized calcium. The neuromuscular and neurological manifestations of hypocalcaemia are due…
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shahideal · 4 years
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COVID-19 - প্রসবোত্তর হতাশা টাইমস অফ ইন্ডিয়া
COVID-19 – প্রসবোত্তর হতাশা টাইমস অফ ইন্ডিয়া
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একটি নতুন মা হওয়ার অর্থ শরীরে এই ক্ষতিকারক হরমোনগত পরিবর্তনগুলি ছাড়াও জীবনে বিরাট ট্রানজিশনগুলির মধ্য দিয়ে যাওয়া। কখনও কখনও, বিন্দু মা হওয়ার প্রত্যাশা পূরণ করা আপনাকে দুঃস্বপ্ন দেয় এবং জন্ম দেওয়ার সমস্যাগুলি থেকে সেরে নিতে পর্যাপ্ত ঘুম পেতে আপনার অক্ষমতা আপনাকে ক্লান্তি এবং শারীরিক অস্বস্তিতে সংবেদনশীল করে তোলে। এই সমস্ত কারণে, গর্ভাবস্থা এবং প্রসবোত্তর সময়কাল মহিলার জীবনে সবচেয়ে…
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medicalnewstoday · 4 years
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Hypocalcaemia Treatment Market to Witness Stellar Growth Rate in the Next 10 Years
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Hypocalcaemia is imbalance of electrolytes which is indicated by abnormally low level of calcium in the body. A healthy person has 8.5-10.2 mg/dL calcium level in his/her body, however, drop in this level could possibly led to hypocalcaemia disorder. Middle aged population needs to take 1000 mg of calcium while geriatrics population aged 65 and above should take 1500 mg of calcium per day. Hypocalcaemia is caused by hypoalbuminemia, hyperphosphatemia, surgical effects, medication effects, hypomagnesemia, heart failure, muscle cramps, vitamin D deficiency, alcoholism, magnesium deficiency, insufficient protein in the blood, in the blood and many more. Neuromuscular irritability is the most common sign of hypocalcaemia. Hypocalcaemia are mostly diagnosed by clinical suspicion and laboratory testing. Hypoparathyroidism has a major effect on hypocalcaemia and high recurrence rate.
The hypocalcaemia can be caused at any age but it is commonly observed in ill patients and patients with parathyroid surgery and with increase in the prevalence of heat related disorders in the older population witnessing the growth of hypocalcaemia treatment market is expected to expand at considerable CAGR during the forecasted period. Also, with increase in the awareness among the aging population and availability of treatment creates an opportunity for hypocalcaemia treatment market worldwide. However, the biochemical abnormality associated with hypocalcaemia carries risks in diagnosis and treatment.
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The Hypocalcaemia Treatment Market has been classified on the basis of product, application, end use and geography.
Hypocalcaemia Treatment Market by type:
Asymptomatic
Symptomatic
Prophylactic
Hypocalcaemia Treatment Market by Drug type:
Radiocontrast
Loop diuretics
Calcium supplements
Antibiotics
Antiepileptic drugs
Estrogen
Bisphosphonates
Cinacalcet
To receive extensive list of important regions, ask for TOC here @ https://www.persistencemarketresearch.com/toc/9650
Hypocalcaemia Treatment Market by dosage forms type:
Calcium supplements
Vitamin D supplements
Parenteral preparation
Oral preparation
Parenteral preparation
Oral preparation
Parenteral calcium supplements dosage are given to patients suffering from acute hypocalcaemia. Whereas, in case of chronic hypocalcaemia oral calcium supplements are administered. Medical supervision is given to avoid risk associated with parenteral administration. With increasing demand for effective treatment of hypocalcemia, companies need to capitalize on their resources to offer effective medications and in turn further expand their business footprint in developing regions.
Depending on geographic region, hypocalcaemia treatment market is segmented into seven key regions: North America, Latin America, Europe, Asia Pacific, and Middle East & Africa. Incidence rate of hypocalcaemia is quite high in North America compared to other regions. North America dominates the global hypocalcaemia treatment market followed by Europe, Asia Pacific owing to high awareness about the treatments of hypocalcaemia in these regions. The developing regions such as Asia Pacific, Middle East & Africa hold huge potential and is a promising market for hypocalcaemia treatment due to significant increase in medical tourism industry.
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Key players of Hypocalcaemia Treatment Market are;
Hoffman La Roche
Novo Nordisk
Sanofi
GlaxoSmithKline (GSK)
Pfizer Inc.
Ranbaxy Pharmaceuticals Ltd.
The report covers exhaustive analysis on:
Hypocalcaemia Treatment Market Segments
Hypocalcaemia Treatment Market Dynamics
Historical Actual Market Size, 2013 – 2015
Hypocalcaemia Treatment Market Size & Forecast 2016 to 2022
Hypocalcaemia Treatment Market Current Trends/Issues/Challenges
Competition & Companies involved
Hypocalcaemia Treatment Market Drivers and Restraints
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doctorfoxtor · 3 years
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YOU WANT A HOT BODY YOU WANT A BUGATTI YOU WANT A MASERATI YOU BETTER WORK BITCH
100 days of productivity
day 42 + 43
CVS/RS
COPD w/ serum eosinophilia = likely to respond to steroids! → grey area between COPD and asthma
other steroid responsive features: ≥20% diurnal variation in PEFR, ≥400 ml variation in FEV1 over time, previous h/o atopy/asthma
also, if need to add a long-acting inhaler and pt is taking SAMA, switch the SAMA to SABA first then add either LABA+LAMA (no steroid-responsive fx) or LABA+ICS (steroid-responsive fx)
place an ICD for parapneumonic effusion if fluid is frankly turbid, or if clear fluid stain/culture is positive, or if pH <7.2
Lofgren syndrome: acute sarcoidosis w/ b/l hilar nodes, fever, erythema nodosum and polyarthralgia
normal rhythm variants in athletes include sinus brady, first degree block, type 1 second degree and even junctional rhythm
Ivabradine Inhibits I-funny Ion channels to help angIna but also causes funny I (eye) problems
multiple rapidly resolving episodes of breathlessness/chest tightness after tx for ACS → did pt get ticagrelor? it can cause temporary accumulation of adenosine which is a bronchoconstrictor
CNS/Ophthal/Psych
AACG vs uveitis: AACG = mid-dilated pupil w/ hazy cornea w/ severe pain and haloes; ant uveitis = fixed miotic pupil w/ ciliary flush ± hypopyon
myasthenia-precipitating drugs: My Partner supports LGBTQ (Macrolides, Procainamide/Penicillamine*, Lithium, Gentamicin, Beta-blockers, Tetracyclines, Quinonlones/Quinidine) (*NOT penicillins!)
blepharitis assoc w/ meibomian gland dysfn, seborrhoeic dermatosis, S aureus, rosacea
Endocrine/Repro
SGLT2is can cause either hyperglycaemic or euglycaemic DKA by causing dehydration from osmotic diuresis; if euglycaemia is present, it is bc of glucose wasting in urine
Hashimoto's is specifically link to thyroid MALToma, characterised by marginal B-cells on histology
toxic multinodular goitre → radioiodine, NOT surgery
Pendred sd → borderline hypothyroidism (often euthyroid w/ small goitre) w/ progressive B/L SNHL
Rheum/Derm/Immuno
achondroplasia: homozygotes do not survive past few months of life, so adults with achondroplasia are obligate heterozygotes
systemic mastocytosis: urticaria pigmentosa (itchy nonbleeding truncal red-brown papules) with Darier sign (palpation of paps makes surrounding skin erythematous and itchy/rubbing produces wheals); urine histamine → skin biopsy if inconclusive
IL-1 mainly produced by macrophages
Raynaud is only seen in type 1 cryo and is associated with monoclonal globulinopathies (myeloma/Waldenström)
flexural/face psoriasis: 1st ONLY steroids 2nd vitamin D, tacro 3rd coal tar
drugs for hereditary angiooedema: exogenous C1-esterase inhibitor, icatibant (bradykinin antag), ecallantide (kallikrein inactivator), FFP, danazol (prophylactic)
GIT/Renal
dyspepsia causing drugs: acid producing/ulcerative - NSAIDs, steroids; GERD - bisphosphonates, Ca channel blockers, nitrates, methylxanthines
lactulose can worsen bloating ssx in IBS—to avoid in IBS
idiopathic membranous gnitis → anti-phospholipase A2 Abs
duloxetine can actually be used for stress incontinence if pelvic floor exercise don't work out
Onc/Haem
citrate is also used in stored plasma, so hypocalcaemia is just as much a complication in plasma exchange
factor V Leiden makes factor V resistant to protein C
lymphohistiocytic variant of RS cell is seen in lymphocyte predominant HD
ID
Lyme: ELISA is screening, immunoblot is confirmatory
Japanese B encephalitis: fever, AMS, seizures, and characteristically parkinsonism; serology; supportive care
Pharm/Toxo
only antiepileptics not safe in breastfeeding are barbiturates
IFN-alpha uses: hep B, hep C, Kaposi, metastatic RCC, hairy cell leukaemia
Genetics
Friedrich's ataxia: AR adolescent ataxiGAA, cerebellar/spinocerebellar tract dysfunction, optic atrophy, absent deep reflexes but extensor plantars, HOCM, diabetes, arched palate
Ataxia-telangiectasia: AR toddler ataxia, double strand break repair, cerebellar dysfunction, IgA deficiency, lymphomas/leukaemias, AV malformations (including telangiectasias)
if an AFAB person develops X-linked disorders, also rule out Turner syndrome
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biomedicool · 4 years
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Kidney function tests
Creatinine
Creatinine is a waste product produced in muscles from the breakdown of a creatine. 
Creatine is part of the cycle that produces energy needed to contract  muscles. 
Both creatine and creatinine are produced at a relatively constant rate. 
Almost all creatinine is excreted by the kidneys, so blood levels are a good measure of how well your kidneys are working.
If low: 
Low levels are not common and are not usually a cause for concern. 
As creatinine levels are related to the amount of muscle the person has, low levels may be a consequence of decreased muscle mass (such as in the elderly) but may also be occasionally found in advanced liver disease.
If high:  
Kidneys break down creatinine - if levels are high, they’re not working properly -->
Damage to or swelling of blood vessels in the kidneys (glomerulonephritis) caused by, eg, infection or autoimmune diseases bacterial infection of the kidneys (pyelonephritis)
Death of cells in the kidneys’ small tubes (acute tubular necrosis) caused, for example, by drugs or toxins
Prostate disease, kidney stone, or other causes of urinary tract obstruction.
Reduced blood flow to the kidney due to shock, dehydration, congestive heart failure, atherosclerosis, or complications of diabetes
Creatinine blood levels can also increase temporarily as a result of muscle injury and are generally slightly lower during pregnancy.
Urea
Urea is the final breakdown product of the amino acids found in proteins. Nitrogen in the form of ammonia is produced in the liver when protein is broken down. The nitrogen combines with other chemicals in the liver to form the waste product urea.  Healthy kidneys remove more than 90% of the urea the body produces.
If Low: 
Low urea levels are not common and are not usually a cause for concern. They can be seen in severe liver disease or malnutrition but are not used to diagnose or monitor these conditions. Low urea levels are also seen in normal pregnancy.
·   If high: 
High urea levels suggest poor kidney function. 
Acute or chronic kidney disease. 
However, there are many things besides kidney disease that can affect urea levels such as decreased blood flow to the kidneys as in congestive heart failure, shock, stress, recent heart attack or severe burns; bleeding from the gastrointestinal tract; conditions that cause obstruction of urine flow; or dehydration.
Albumin
Albumin is the most abundant protein in the blood. It keeps fluid from leaking out of blood vessels; nourishes tissues; and transports hormones, vitamins, drugs, enzymes, and ions like calcium throughout the body. Albumin is made in the liver and is extremely sensitive to liver damage. 
If low:
Low albumin concentrations in the blood can suggest liver disease. Liver enzyme tests are requested to help determine which type of liver disease.
Diseases in which the kidneys cannot prevent albumin from leaking from the blood into the urine and being lost.
Also seen in severe inflammation or shock.
Conditions in which the body does not properly absorb and digest protein such as Crohn’s disease.
If high: 
High albumin concentrations in the blood usually reflect dehydration.
This is a very long list so click keep reading to read the rest!
Phosphate
In the body, phosphorus is combined with oxygen to form a variety of phosphates (PO4). Phosphates are vital for energy production, muscle and nerve function, and bone growth. They also play an important role as a buffer, helping to maintain the body’s acid-base balance.
If low:  (hypophosphataemia)
Hypercalcaemia (high levels of calcium), especially when due to high levels of parathyroid hormone (PTH)
Overuse of diuretics (drugs that encourage urination)
Severe burns
Diabetic ketoacidosis after treatment
Hypothyroidism
Hypokalaemia (low levels of potassium)
Chronic antacid use
Rickets and osteomalacia (due to Vitamin D deficiencies)
Increased production of insulin
If high:  (hyperphosphataemia) 
 Kidney failure
 Hypoparathyroidism (underactive parathyroid gland)
 Hypocalcaemia (abnormally low levels of calcium)
 Diabetic ketoacidosis when first seen
 Phosphate supplementation
Alkaline phosphatase
Alkaline phosphatase is an enzyme found in high levels in bone and liver. Smaller amounts of ALP are found in the placenta and in the intestines. Each of these makes different forms of ALP (isoenzymes).
If low
Zinc deficiency. Magnesium deficiency. Anaemia. Poor nutrition.
Hypophosphatasia (Metabolism disorder, in born). Hypothyroidism.  Wilsons disease. 
If High: 
Raised levels of ALP are usually due to a disorder of either the bone or liver. 
If other liver function tests are also raised, this usually indicates that the ALP is coming from the liver. 
However, if calcium and phosphate measurements are abnormal, this suggests that the ALP might be coming from bone.
In some forms of liver disease, such as hepatitis, ALP is usually much less elevated than AST or ALT. 
However, when the bile ducts are blocked (for example by gallstones, scars from previous gallstones or surgery, or by a tumour), ALP and bilirubin may be increased much more than either AST or ALT. 
ALP can also be raised in bone diseases such as Paget’s disease (where bones become enlarged and deformed), in certain cancers that spread to bone or in vitamin D deficiency.
Calcium
 99% of calcium is found in the bones, and most of the rest circulates in the blood. Roughly half of calcium is referred to as 'free' (or 'ionized') and is active within the body; the remaining half, referred to as 'bound' calcium, is attached to protein and other compounds and is inactive.
If low: (hypocalcaemia)
The most common cause of low total calcium is low protein levels, especially low albumin. When low protein is the problem, the 'free' calcium level remains normal. 
Underactive parathyroid gland (hypoparathyroidism)
Decreased dietary intake of calcium
Decreased levels of vitamin D
magnesium deficiency
too much phosphate
acute inflammation of the pancreas
chronic kidney disease
calcium ions becoming bound to protein (alkalosis)
bone disease
malnutrition, and alcoholism.
 If high: (hypercalcaemia)
Hyperparathyroidism (increase in parathyroid gland function) usually caused by a benign tumour on the parathyroid gland. 
Cancer when spread to the bones, which releases calcium into the blood, or when it causes a hormone similar to PTH to increase calcium levels.
Hyperthyroidism, Sarcoidosis, Tuberculosis, Too much Vit D, Drugs that increase diuretics.
Potassium: 
Abnormal concentration can alter the function of the nerves and muscles.
If low: (hypokalaemia)
vomiting,
diarrhoea, and insufficient potassium intake (rare).
In diabetes, potassium concentration may fall after insulin injection.
If high:
(hyperkalaemia)
kidney disease
Addison's disease
tissue injury
infection
diabetes
excessive intravenous potassium intake (in patients on a drip)
Glucose: 
If low: (hypoglycaemia)  
Adrenal disease (Addison's disease)
Alcohol/ drugs, such as: paracetamol and anabolic steroids
Extensive liver disease
Hypopituitarism
Hypothyroidism
Insulin overdose
Insulinomas (insulin-producing pancreatic tumours)
If high: 
High levels of glucose most frequently indicate diabetes, in fasting blood glucose test: <7mmol/L is indicative and in oral glucose test ites <11 mmol/L .
Acromegaly
Acute stress (response to trauma, heart attack, and stroke for instance)
Long-term kidney disease
Cushing's syndrome
Drugs, including: corticosteroids, tricyclic antidepressants, oestrogens (birth control pills and hormone replacement therapy [HRT]), lithium..
Hyperthyroidism
Pancreatic cancer. Pancreatitis
Triglyceride: 
Most triglycerides are found in fat (adipose) tissue, but some circulate in the blood to provide fuel for muscles to work. 
If low: 
Hyperthyroidism. Malnutrition. Certain medications and drugs can deplete fat, leading to low triglycerides. 
If high: (e.g. at least 10-15 mmol/L) --> pancreatitis. 
Parathyroid hormone: 
Part of a ‘feedback loop’ that includes calcium, PTH, vitamin D, and to some extent phosphate and magnesium.  PTH is secreted into the bloodstream in response to low blood calcium concentration. 
If both PTH and calcium results are normal, and appropriate relative to each other, then it is likely that the body’s calcium regulation system is functioning properly.
Low --> conditions causing hypercalcaemia, or to an abnormality in PTH production causing hypoparathyroidism. 
High --> hyperparathyroidism, which is most frequently caused by a benign parathyroid tumour.
Calcium - PTH Relationship
Calcium  low and PTH high, then PTH working. Low calcium may be investigated.
Calcium  low and PTH normal or low --> hypoparathyroidism.
Calcium high and PTH  --> hyperparathyroidism.
Calcium  normal and PTH high --> vitamin D deficiency or chronic kidney disease.
Amylase
Released from the pancreas into the digestive tract to help digest starch. It is usually present in the blood in small quantities. When cells in the pancreas are injured or if the pancreatic duct is blocked (by a gallstone or rarely by a tumour) increased amounts of amylase find their way into the bloodstream.
If high:
 Pancreatitis which is a severe inflammation (often 5-10 times normal)
Cancer of the pancreas, gallbladder disease, a perforated ulcer, obstruction of the intestinal tract, mumps or ectopic pregnancy. 
Increased blood amylase with normal or low urine amylase may indicate decreased kidney function or the presence of macroamylase.
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stemlyns · 3 years
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Hypocalcaemia, Trauma and Major Transfusion. St Emlyn's
Hypocalcaemia, Trauma and Major Transfusion at @stemlyns via @docib Also check our @emcrit on same. #FOAMed for all.
I’m writing this blog post after listening to the ever excellent Scott Weingart on the EMCrit podcast in discussion with the authors of this paper, to which I highly recommend you listen. Why bother to write about hypocalcaemia on St Emlyn’s when it’s already in the FOAMed forum I hear you ask. Well, I thought it would be worth considering in the UK context (as well as getting the discussion…
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