Neck lecture-Parathyroid glands Flashcards
1
Q
Anatomy
A
- Usually 4 in the body
- Located posterior to the thyroid gland
- Regulate calcium and phosphate levels
2
Q
Disease
A
Painful stones
Aching bones
Psychic bones
Abdominal pain
3
Q
Diseases of painful stones?
A
renal calculi
Polyuria (XS consumption of fluids)
4
Q
Diseases of aching bones?
A
Osteoporosis
5
Q
Psychic bone disease
A
Anxiety, Depression
6
Q
Abdominal pain disease?
A
Constipation
Peptic ulceration
Pancreatitis
Weight loss
7
Q
Tests for parathyroid disease
A
- U&Es
- Creatitinine
- Calcium
- Phosphate
- Vitamin D
- Parathyroid hormone
- CT/MRI for ectopic glands
- US
- Surgery: only for hyperparathyroidism
8
Q
Hyperparathyroidism causes
A
- Adenoma (80% of cases)
- Malignancy
- Hyperplasia
9
Q
Surgery for hyperparathyroidism
A
- can remove one/multiple adenomas
- Can remove carcinomas along with thyroid gland and lymph nodes
- Can remove 3-3.5 hyperplastic plates