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Surgery > Parathyroid > Flashcards

Parathyroid Flashcards

1
Q

The 4th branchial arch gives rise to ____ parathyroid gland

A

superior parathyroid gland

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2
Q

This branchial pouch gives rise to the inferior parathyroid gland

A

inferior parathyroid glands

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3
Q

[Superior vs inferior parathyroid]

which has a more consistent position?

A

superior parathyroid glands

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4
Q

Where is the usual location of the superior parathyroids?

A

posterior aspect of the upper and middle thyroid lobes

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5
Q

This super parathyroid gland is at this level of what cartilage

A

cricoid

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6
Q

The inferior parathyroid glans are usually located

A

1 cm from where the inferior thyroid artery crosses the RLN

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7
Q

[Superior vs inferior parathyroid]

which is dorsal to the RLN?

A

superior parathyroid

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8
Q

[Superior vs inferior parathyroid]

which is anterior to the RLN?

A

inferior parathyroids

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9
Q

the most common location of ectopic parathyroids?

A

paraesophageal

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10
Q

the most common location of supernumeraray glands

A

thymus

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11
Q

what artery supplies the parathyroids

A

inferior thyroid artery

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12
Q

[diagnose]

kidney stones
painful bones
abdominal groands
psychic moans
fatigue overtones
A

primary hyperparathyroidism

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13
Q

[diagnose]

the most common cause of primary hyperparathyroidism

A

parathyroid adenoma

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14
Q

[diagnose]

increase in serum Ca
increase in intact PTH
decrease serum phosphate

A

primary hyperparathyrodism

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15
Q

what are the indications for parathyroidectomy

A
  1. Serum Ca >1mg/dL above upper limits
  2. life threatening hypercalcemic crisi
  3. creatine clearance reduced by 30%
  4. kidney stones
  5. urine Ca (>400 mg/d)
  6. BMD > 2.5
  7. Age less than 50
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16
Q

What do you call the preoperative localization the for parathyroid gland?

A

Sestamibi

17
Q

[diagnosis]

persistent hyperparathyroidsm
hypercalcemia after renal transplant

A

Tertiary Hyperparathyroidism

18
Q

[diagnosis]

hypercalcemia
occurs in patients with chronic renal failure

A

secondary hyperparathyroidism

Surgery (19 decks)

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