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PRIMARY HYPERPARATHYROIDISM-MANAGEMENT

Endocrinology

PRIMARY HYPERPARATHYROIDISM-MANAGEMENT

1. Symptomatic patients - surgery. Do US and sestamibi scans to localize adenomas.

2. Other indications for surgery
- CKD stage 3
- T-score < -2.5
- Z-score < -2.5 in premenopausal women, men < 50 years.
- Age < 50 years.

2. Bisphophonates - build bone.

3. Following treatment - do yearly serum calcium, 1-2 yearly bone scans.


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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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