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Hyperparathyroidism (Primary Adenoma / Hyperplasia (Findings (⬆ PTH, ⬆…
Hyperparathyroidism
Primary
Adenoma / Hyperplasia
Stones Renal
Thrones ( Polyuria )
Bones
Groans ( Weakness & Constipation )
Psychiatric Overtones ( Disturbances )
Hx
Abdominal / Flank Pain
Renal Stones & Acute Pancreatitis
OSTEITIS FIBROS CYSTICA ( Due to ⬆ PTH)
Cystic Bone Spaces
Filled with BROWN Fibrous tissue
Consists of OSTEOCLASTS & HEMOSIDERIN from Hemorrhage
Findings
⬆ PTH
⬆ ALP
⬆ cAMP
Hypercalcemia & Hypocalciuria
Hyperphosphatemia
Secondary
Hyperplasia in Chronic Renal Failure
Due to HYPOCALCEMIA & Hyperphosphatemia
⬆ ALP & PTH
Tertiary ( Autonomus )
Chronic Renal Disease
⬆⬆ PTH
⬆ Ca+2
RENAL OSTEODYSTROPHY
Due to Renal Disease
2 & 3 Hyperparathyroidism
Bone Lesions