Hypoparathyroidsim

Question 1

Causes of hypoparathyroidism

Answer 1

Most commonyl surgery around parathyroid galnd
Rare genetics, AI destruction og gland, tumour invasion, raditation or infiltration, hypomagnesaemia and magneeisum depleton

Question 2

Bloods in hypoPTHism

Answer 2

Low calcium
Low PTH
Elevated phopshate
Normal magnesium and vit D levels

Question 3

Signs and symptoms of hypoparathyroidsim

Answer 3

Tetany - tiwtch, painful muscle cramps
Perioral paraesthesia
Trousseas sign
Chvosteks sign
Crhonic - depression, cataracts
Can be asymptomatic

Question 4

What is treatment for hyoparathyroidism

Answer 4

alfacalcidol

Question 5

What see on ECG in hypoPTHism

Answer 5

Prolonged QT interval

Question 6

What is trousseas sign

Answer 6

carpal spasm if the brachial artery occluded by inflating the blood pressure cuff and maintaining pressure above systolic

Question 7

What is chvosteks sign

Answer 7

tapping over parotid causes facial muscles to twitch

Question 8

What is psuedo hypoparathyroidism

Answer 8

Insensitivity to PTH from target cells due to abnormal G protein

Question 9

Bloods in pseudo hyoPTH

Answer 9

low calcium, high phosphate, high PTH

Question 10

What is psuedohypoparathyroidism ass with

Answer 10

Low IQ, short stature, shortened 4th and 5th metacarpals

Question 11

How diagnose pseudo hypoparathyroidsim

Answer 11

Urinary cAMP = phosphate levels after PTH infusion - neither rise = type I, cAMP rises but not phosphate = type II