Parathyroid disorders Flashcards
1
Q
Hypoparathyroidism- Eti
A
- Acquired- thyroidectomy, damage due to heavy metals
- Mg deficiency
- Congenital
2
Q
Hypoparathyroidism- Sx
A
- Hypocalcemia (chovstek sign, trousseau)
- Tetany, cramps, carpopedal spasm
- AMS, irritability
- Convulsions
- Stridor
- Blurry vision
3
Q
Hypoparathyroidism- Dx
A
- Low calcium, PTH
- High phosphate,
4
Q
Hypoparathyroidism- Tx
A
- Maintain serum calcium & vit D
- Teriparatide (PTH- Sub Q)
5
Q
Pseudohypothyroidism- Eti
A
- Renal resistance to PTH, congenital
- High PTH, hypocalcemia & hypophosphatemia
6
Q
Pseudohypothyroidism- Sx
A
- Short stature
- Round face
- Obesity
- Short 4th metacarpal
- Mental retardation
- Ectopic bone formation
7
Q
Hyperparathyroidism- Eti
A
- Women, 7th decade
- Most common cause of hypercalcemia,1-4 cases/ 1000
- Primary (adenoma), renal failure
- Mulitple endocrine neoplasias
8
Q
Hyperparathyroidism- Sx
A
- Hypercalcemia- stones, bones, abd groans, psych overtones
- Fracture, cystic bone lesions
- Bone pain & arthralgia
9
Q
Hyperparathyroidism- Dx
A
- Elevated Ca, PTH
10
Q
Hyperparathyroidism- Tx
A
- Bisphosphanates
- Propanalol
- Surgery
11
Q
Hypercalcemia- Eti
A
- Hyperparathyroid -90% cases
12
Q
Hypercalcemia- Sx
A
- constipation & polyuria
- Leathargy, stupor & coma
- N/V, nephrolithiasis
13
Q
Hypercalcemia- Dx
A
- Elevated calcium, chloride & low bicarb suggests PTH
- Measure PTH to determine cause
14
Q
Hypercalcemia- Tx
A
- Bisphosphenates
- Establish euvolemia
15
Q
Hypocalcemia- Eti
A
- Hypoalbinemia
- Hypoparathyroidism (pseudo), vit D deficiency
