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Monday, July 19, 2010

Parathyroidectomy - to chop or not to chop?

The following are definite indications for SURGICAL management of HYPERPARATHYROIDISM  (based on American National Institutes of Health consensus)

Indications for Parathyroidectomy - Calcium BuRNS !!!

Calcium - either SERUM > 3.0 or URINARY Ca2+ markedly elevated
BMD decreased
u (null)
Renal impairment
Nephrocalcinosis &/or Nephrolithiasis
Symptomatic hypercalcemia that is severe

Conservatively managed HyperPTH patients require YEARLY:
1) serum calcium 
2) U+Es
3) Renal USS
4) BP
5) & a BMD every 2-3 years.
at 3:45 PM

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