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PRIMARY HYPERPARATHYROIDISM-INVESTIGATION

Endocrinology

PRIMARY HYPERPARATHYROIDISM-INVESTIGATION

1. Hypercalcemia + hypophosphatemia + raised PTH.

2. 25% of patient may have normal/high-normal PTH. Normal patients will have suppressed PTH in the setting of hypercalcemia.

3. Raised ALP - indicating increased bone resorption.

4. Check 1,25-dehydroxychocecalciferol and replace if low.

5. DDx - familial hypocalciuric hypercalcaemia.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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