HN pimp questions

Question 1

Indications for parathyroidectomy

Answer 1

Symptomatic hyperparathyroidism
Stones, bones, groans, psych overtones, etc

Asymptomatic hyperparathryoidism

1. Age < 50
2. Serum calcium greater than 1 mg/dL above the upper limit of normal
3. Bone mineral density T score less than –2.5
4. Vertebral fracture
5. Creatinine clearance less than 60 mL/minute or reduced more than 30% for age
6. Twenty-four-hour urine calcium greater than 400 mg/dL
7. Nephrolithiasis or nephrocalcinosis on imaging