Primary Hyperparathyroidism Flashcards
1
Q
In exams, what is the common scenario in which the patient presents?
A
Elderly female with unquenching thirst.
Inappropriately normal or raised parathyroid hormone level.
2
Q
What are the most common causes of hyperparathyroidism?
A
- 80%: solitary adenoma
- 15%: hyperplasia
- 4%: multiple adenoma
- 1%: carcinoma
3
Q
What are some common features of hyperparathyroidism?
A
- polydipsia, polyuria
- peptic ulceration
- constipation
- pancreatitis
- bone pain/fracture
- renal stones
- depression
- hypertension
4
Q
what 2 conditions is primary hyperparathyroidism associated with?
A
- Hypertension
- Multiple Endocrine Neoplasia (MEN 1 & MEN 2)
5
Q
How do you treat primary hyperparathyroidism?
A
Parathyroidectomy
6
Q
How would you investigate primary hyperparathyroidism and what would you find?
A
- Raised calcium and low phosphate
- PTH may be raised or normal
- Technetium-MIBI subtraction scan
