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endocrinologia📈 > Hiperparatoroidismo > Flashcards

Hiperparatoroidismo Flashcards

1
Q

Prevalencia de hipoparatiroidismo primario

A

1% hombre 2-3/1

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2
Q

Causa más frec de hipercalcemia en pacientes ambulatorios

A

Hiperparatiroidismo primario

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3
Q

Síntomas de hiperparatiroidismo

A

Asintomático

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4
Q

FR de hiperparatiroidismo

A

Radiación en el cuello
Historia fam de MEN tipo 1 o 2
Hiperparatiroidismo fam
Tumor maxilar inferior

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5
Q

Labs en plasma hiperparatiroidismo

A

Fosfato normal o disminuido
Parato hormona elevada
25 OH vitamina D normal
1, 25 OH vit D normal o alta
Ca déficit elevado
Ca orina elevado >400 mg

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6
Q

Causas de hiperparatiroidismo primario

A

Adenoma paratiroideo prim 80-85%
Hiperplasia paratiroidea múltiple 10%
Adenoma múltiple 4%
Carcinoma paratiroideo 1%

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7
Q

Características del hiperparatiroidismo secundario

A

Elevación PTH ante estados hipercalcemicos formas renales y no renales

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8
Q

Cómo se distingue ente hiperparatiroidismo secundario o terciario

A

hiperfuncion paratiroidea autónoma persistente al tx de hiperparatiroidismo sec

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9
Q

Causa de manifestación de hiperparatiroidismo

A

Hipercalcemia

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10
Q

Tx de hipercalcemia leve o asintomática

A

Disminución de la ingesta de Ca aumento de consumo de agua y sal actividad física y evitación de la inmovilización

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11
Q

Nivel de hipercalcemia moderada sintomática

A

> 12 mg/dl

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12
Q

Nivel de hipercalcemia severa

A

> 14 mg/dl

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13
Q

Tx de hipercalcemia moderada o severa

A

Reposición de volumen con sol NaCl 0.9%
Diuréticos de asa
Calcitonina
Bifosfonatos

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14
Q

Tratamiento médico de hiperparatiroidismo

A

Alendronato y cinacalcer y disminución del consumo de Ca

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15
Q

Único Tx curativo del hiperparatiroidismo primario

A

Para tiroidectomia

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16
Q

Estudio de imagen de hiperparatiroidismo en caso de manejo qx

A

Gammagrafia con Tc99 + USG cuello

17
Q

Utilidad de RT

A

Ca paratiroideo con recurrencias locales irresecables

endocrinologia📈 (26 decks)

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