Hypoparathyroidism

Question 1

is Hypoparathyroidism common or rare

Answer 1

rare

Question 2

what is Hypoparathyroidism

Answer 2

low levels of PTH or insensitivity To PTH

Question 3

Hypoparathyroidism results in___.

Answer 3

hypocalcemia

Question 4

MMC of Hypoparathyroidism

Answer 4

neck surgery

Question 5

symptoms of Hypoparathyroidism

Answer 5

hypocalcemia: irritability, paresthesias, muscle cramps, generalized seizures, psychosis, dementia, depression, confusion, QT prolongation, intestinal/biliary cramping

Question 6

Physical exam of Hypoparathyroidism

Answer 6

hyperreflexia: increased DTR
TETANY
- ckvostek sign
- trousseau sign

seizures, AMS
HF, bradychardia, hypotensive

Question 7

how to diagnose Hypoparathyroidism

Answer 7

HYPOCALCEMIA, DECREASED CA
DECREASED PTH
INCREASED PHOSPHATE

EKG: bradychardia. prolonged QT

Question 8

treatment for Hypoparathyroidism

Answer 8

calcium supplementation and vitamin D
if severe hypocalcemia- parental calcium gluconate

patients with primary Hypoparathyroidism have a lifelong risk of symptomatic tetany
they should always wear a bracelet that identifies them as having primary Hypoparathyroidism