Hyperparathyrodism Flashcards
What are the 3 types of hyperparathyroidism
Primary
Secondary
Tertiary
What are 4 causes of primary hyperparathyroidism
Parathyroid Adenoma
Parathyroid Hyperplasia
Parathyroid Carcinoma
Lithium (Drug induced)
What are 2 causes of secondary hyperparathyroidism
Vit D Deficiency
Chronic Kidney Injury
What is the active form of vitamin D
Calcitriol
Activated in kidneys
What are the signs of a primary hyperparathyroidism
“Bones, moans, groans and stones”
Osteoporosis / Fatigue / Myalgia / Renal Calculi
What are the signs of a secondary hyperparathyroidism (3)
Osteomalacia
Rickets (osteomalacia in kids)
Renal Osteodystrophy
what scan is used in hyperparathyroidism
DEXA Scan
Dual energy x-ray absorptiometry
What are the levels of …… in primary hyperparathyroidism
PTH :
Ca :
PO :
PTH: High
Ca : High
PO : Low (kidneys stimulated to remove PO)
What are the levels of ….. in secondary hyperparathyroidism
PTH :
Ca :
PO :
PTH : High
Ca : Low (lack of vit D to absorb Ca)
PO : High
What are the levels of …. in tertiary hyperparathyroidism
PTH :
Ca :
PO :
PTH : High
Ca : High
PO : Low
What is the treatment of primary hyperparathyroidism (2)
Biphosphonates (osteoporosis)
Parathyroidectomy
What is the treatment of secondary hyperparathyroidism (3)
Diet (low in PO high in calcium)
Calcimimetics (Mimics calcium)
Parathyroidectomy
What are 3 complications arising in hyperparathyroidism
Renal Calculi
Acute Pancreatitis
Calcification of Cornea
