Secondary Hyperparathyroidism

Question 1

what is Secondary Hyperparathyroidism

Answer 1

overproduction of PTH from an abnormal stimulus-> not from parathyroid gland

Question 2

Secondary Hyperparathyroidism occurs when parathyroid gland is being chronically stimulated to release __

Answer 2

PTH

Question 3

what are some things that cause PTH to be released in Secondary Hyperparathyroidism

Answer 3

renal failure (MCC)
kidney transplantation
vitamin d DEFICIENCY
hyperphosphatemia
hypocalcemia

Question 4

decreased calcium levels will cause __ to be released

Answer 4

PTH

Question 5

clinical manifestation of Secondary Hyperparathyroidism

Answer 5

renal failure is most common

dysrhythmias, osteomalacia, myopathy

Question 6

Secondary Hyperparathyroidism labs

Answer 6

decreased to normal calcium levels
increased PTH
increased PO4 (renal) or decreased PO4 (vitamin D deficiency)
decreased vitamin D

Question 7

What imaging would be done for Secondary Hyperparathyroidism

Answer 7

x-ray for areas of bone pain

Question 8

treatment for Secondary Hyperparathyroidism

Answer 8

correct vitamin D deficiency
renal: dietary phosphate restriction, phosphate binders if dietary restriction doesn’t work
if the above aren’t successful then parathyroidectomy for severe Hyperparathyroidism

Question 9

prognosis for Secondary Hyperparathyroidism

Answer 9

medical therapy is mostly succesful

Question 10

if surgery is required to treat Secondary Hyperparathyroidism, what is the recurrence rate?

Answer 10

10%