Primary Hyperparathyrodism Flashcards
1
Q
Primary Hyperparathyrodism Most common in?
A
Female
2
Q
Primary Hyperparathyrodism Incidence Peaks
A
50-60
3
Q
Primary Hyperparathyrodism has been linked with uses of what? (2)
A
Neck Irradication
Prolonged Lithium
4
Q
Causes of Primary Hyperparathyrodism (3)
A
Parathyroid Adenoma 85%
Nephrolithasisis
Bone Disease
5
Q
Tests for Primary Hyperparathyrodism?
A
Ca, PTH U+E Dexa: Osteoprosis Vit D Parathyroid Ultrasound
6
Q
Medical Treatment for Primary Hyperparathyrodism
A
Fluids
Vit D Replacement
Cinacalet
7
Q
What does Cinaclet do in Primary Hyperparathyrodism Treatment
A
Mimics Calcium on Calcium Sensoring Receptor on Chief Cells = Fall in PTH and Calcium Levels
8
Q
Indications for Surgery in Primary Hyperparathyrodism? (6)
A
Symptoms due to Hypercalcaemia Serum Calcium >0.25 Skeletal: Osteoporosis on Dexa or Vertebral Fracture Renal EGFR <60 Kidney Stones <50 y/o
