13. Hyperparathyreoidismus Flashcards

1
Q

(HPT)

Formen (3)

A
  • primärer
  • sekundärer
  • tertiärer
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2
Q

(HPT)

primärer HPT: Ursachen (2)

A

Adenome oder Hyperplasien der Nebenschilddrüsen

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3
Q

(HPT)

sekundärer HPT: Ursachen (2)

A
  • renale Genese
  • nicht-renale Genese
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4
Q

(HPT)

renale Genese: Beispiel

A

CKD

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5
Q

(HPT)

nicht-renale Genese: Beispiele (2)

A

Calcium- oder Vitamin-D-Mangel

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6
Q

(HPT)

tertiärer HPT: Ursache

A

Folge eines langjährigen, unbehandelten sekundären HPT

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7
Q

(HPT)

Komplikation

A

Gefäßkalzifizierung

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8
Q

(HPT)

Leitsymptome (4)

A

“Stein-, Bein- und Magenpein und ein bisschen traurig sein”

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9
Q

(HPT)

Laborparameter (4)

A
  • AP
  • PTH
  • Calcium i. S.
  • Phosphat i. S.
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10
Q

(HPT)

Calcium und Phosphat i. S. bei primärem HPT

A
  • Hyperkalzämie
  • Hipophosphatëmie
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10
Q

(HPT)

Laborbefund

A

erhöhte AP und PTH

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10
Q

(HPT)

Calcium und Phosphat i. S. bei sekundärem HPT

A
  • Normo- oder Hypokalzämie
  • Normo- oder Hyperphosphatämie
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11
Q

(HPT)

Calcium und Phosphat i. S. bei tertiärem HPT

A
  • Hyperkalzämie
  • Hyperphosphatämie
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12
Q

(HPT)

primärer HPT: Therapie der Wahl

A

partielle oder totale Parathyreoidektomie

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13
Q

(HPT)

Therapie der 2. Wahl

A

Calcimimetikum (Cinacalcet)

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