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Primary Hyperparathyroidism (causes (solitary adenoma, hyperplasia,…
Primary Hyperparathyroidism
causes
solitary adenoma
hyperplasia
multiple adenoma
carcinoma
features
'bones, stones, abdominal groans and psychic moans'
polydipsia
polyruia
peptic ulceration
constipation
pancreatitis
bone pain/fracture
renal stones
depression
HTN
associated with
HTN
MEN I and II
typically
elderly female with unquenchable thirst and an inappropriately normal or raised PTH
ancillary
PTH - raised or normal
technetium - MIBI subtraction scan
diagnosis
raised Ca, low phosphate
treatment
surgical
total parathyroidectomy