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Hyperparathyroidism
hyperparathyroidism
- related: Endocrine, Parathyroid
- tags: #endocrine
Hyperparathyroidism
- primary hyperparathyroidism: inappropriate high PTH
- high PTH, high Ca
- secondary: chronically low Ca in renal failure
- high PTH, low Ca
- tertiary: renal failure, unresponsive.
- high PTH, high Ca
- familial hypocalciuria hypercalcemia: abnormal Ca sensor
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Hypoparathyroidism
hypoparathyroidism
- Keywords: Step 3, Medicine, Endocrine, Parathyroid
Hypoparathyroidism
- primary: low PTH, surgery, radiation, autoimmune, congenital (Digeorge, APS-1)
- pseudohypoparathyroidism: abnormal sensor to PTH in kidney and bone
- lab looks like secondary hyperparathyroidism
- high PTH, low Ca, high phos
- Albright's Hereditary Osteodys
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Hypocalcemia
hypocalcemia
- related: Endocrine, Parathyroid, hypocalcemia after osteoporosis treatment, hypercalcemia
- tags: #note
Causes
- hyperphosphatemia: check ionized Ca.
- IV bicarb can cause hypocalcemia and deposition of calcium phosphate in renal tubules
- hypocalcemia is common abnormality after massive transfusion
Symptoms
- mild: muscle cramps, tingling sensations
- severe: seizure
- long QT
Treatment
- Usually do not need reple