HYPERPHOSPHATEMIA

HYPERPHOSPHATEMIA Hyperphosphatemia Decreased Excretion FEPO4 < 20% Pseudo-hyperphosphatemia Renal Disease Hypoparathyroidism Pseudo-hypoparathyroidism Acromegaly Bisphosphonate Therapy Transcellular Shift Rhabdomyolysis Tumor Lysis Metabolic or Respiratory Acidosis Insulin Deficiency(> 1.46 mmol/L) Increased Intake/ Absorption Hypervitaminosis D Phosphate Supplementation Phosphate Containing Enemas/Laxatives Multiple Myeloma Hyperbilirubinemia Hemolysis Hyperlipidemia Tumor Lysis Normally in Context of Impaired Renal Function