Hyperparathyroidism Flashcards
1
Q
hyperparathyroidism
A
elevated levels of PTH
2
Q
types
A
primary
secondary
tertiary
3
Q
primary causes
A
adenoma
ectopic tumour
4
Q
secondary
A
parathyroid hyperplasia to control chronic hypocalcaemia
usually caused by CKD, vit D deficiency.
5
Q
tertiary
A
evolution from secondary
prolonged elevation of PTH that is irreversible
6
Q
primary signs
A
high Ca, low Phosphate, high PTH/abnormal level of normal
bones, stones, groans, moans
7
Q
secondary signs
A
normal Ca
high phosphate
high PTH
8
Q
tertiary signs
A
high Ca
low/normal phosphate
high PTH
9
Q
management
A
primary - surgery
secondary - manage CKD,
tertiary - self-limiting, surgery if refractory Hypercalcaemia/symptomatic
10
Q
what will be seen on the x-ray for primary hyperparathyroidism
A
pepper pot skull
11
Q
what do you give if not suitable for surgery
A
cincalet - Ca mimic
