PARATHYROID DISORDERS Flashcards

1
Q

what does the parathyroid gland secretes?

A

parathyroid hormone

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2
Q

what hormone is the main regulator of calcium in the body?

A

parathyroid hormone

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3
Q

what is needed for calcium absorption in GIT?

A

vitamin D

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4
Q

most active form of vitamin D

A

1,25 dihydroxycholecalciferol
1,25 dihydroxy vit. D3

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5
Q

this is called the free calcium

A

ionized calcium

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6
Q

normal value of calcium in the body

A

8.5 to 10.5 mg/dl

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7
Q

irritability of nerves in hypocalcemia

A

increased

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8
Q

irritability of nerves in hypercalcemia

A

decreased

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9
Q

responsible for ca resorption

A

osteoclast

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10
Q

bone to blood

A

calcium resorption

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11
Q

kidneys to blood

A

calcium reabsorption

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12
Q

a condition in which there is an overproduction of parathormone in the body

A

hyperparathyroidism

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13
Q

what electrolyte imbalance is associated with hypeparathyroidism?

A

hypercalcemia

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14
Q

what electrolyte imbalance is associated with hypoparathyroidism?

A

hypocalcemia

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15
Q

most common cause of hyperparathyroidism

A

tumor

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16
Q

manifestation of hyperparathyroidism in CNS

A

altered LOC

17
Q

what is the condition of the irritability of nerves in hyperparathyroidism?

18
Q

manifestation of hyperparathyroidism in heart

A

affect cardiac rhythm

19
Q

what do you see in the ECG of a patient with hyperparathyroidism?

A

shortened QT interval

20
Q

manifestation of hyperparathyroidism in the muscles?

A

muscle weakness

21
Q

a complication in hyperparathyroidism that concerns the kidneys

A

urolithiasis - inc. stone production due to inc. calcium levels in the body

22
Q

surgery that a surgeon perform if there is tumor in the parathyroid gland

A

parathyroidectomy

23
Q

why do we need to increase OFI for patients with hyperparathyroidism?

A

they are at risk for urolithiasis

24
Q

most common cause of hypoparathyroidism

A

total thyroidectomy
parathyroidectomy

25
a condition in which there is an underproduction of parathormone in the body
hypoparathyroidism
26
what is the condition of the irritability of nerves in hypoparathyroidism?
increased
27
manifestation of hypoparathyroidism in the CNS
seizures
28
why is hypoparathyroidism and hyperparathyroidism associated with hypocalcemia and hypercalcemia?
because parathormone is the main regulator of calcium in the blood
29
manifestation of hypoparathyroidism in the nerves
paresthesia
30
manifestation of hypoparathyroidism in the muscles
tetany carpopedal spasm
31
tapping the facial nerve in front of the ear causes facial muscles to contract
chvostek's sign
32
inflating a blood pressure cuff above systolic blood pressure for three minutes causes carpopedal spasm
trousseau's sign
33
drug therapy for hypoparathyroidism
calcium with vit. D