Hyperparathyroidism Flashcards

1
Q

Hyperparathyroidism Pathology

A

Hypersecretion of PTH

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2
Q

Primary Hyperparathyroidism

A

Due to parathyroid pathology (adenoma, hyperplasia, carcinoma)

  • Sporadic
  • Familial (MEN-1)
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3
Q

Secondary Hyperparathyroidism

A

Physiological response to other disease: chronic renal failure, decreased calcium/vitamin D

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4
Q

Hyperparathyroidism Symptoms

A
  • Depression
  • Cognitive change
  • Change in sleeping pattern
  • Myalgias
  • Fatigue
  • Polyuria, polydipsia
  • Nausea, loss of appetite
  • Constipation
  • Abdominal pain
  • Bone and joint pain
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5
Q

Hyperparathyroidism Complications

A
  • Osteoporosis
  • Kidney stones
  • Cardiovascular disease
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6
Q

Hyperparathyroidism Investigations

A
  • Palpable neck mass
  • Blood test: PTH, calcium
  • Urine test: 24-hour calcium
  • Imaging: DEXA, US, CT kidney
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7
Q

Hyperparathyroidism Management

A
  • Surgical resection
  • Monitoring
  • Biphosphonates
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