Hyperparathyroidism Presentation
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Transcript of Hyperparathyroidism Presentation
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Parathyroids
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Parathyroid Hormone: PTH
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Primary Hyperparathyroidism
Elevated Blood Calcium Level Î CaElevated Parathyroid Hormone Level Î PTHExcessive Calcium in UrineThinning of Bones: Dexa Scan
Cause: Parathyroid Adenoma
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Symptoms Hyperparathyroidism
Population: Women 40-75Stones
Bones
Abdominal Groans
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Osteoporosis
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Osteoporosis
Tibia Bone Loss
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Primary Hyperparathyroidism
Serum Calcium (ionized) ÎSerum PTH Î Excessive Calcium in UrineThinning of Bones
Diagnosis and Tests
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Parathyroid AdenomaBenign Tumor of PT Gland
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Parathyroid Scan
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Parathyroid Scan
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Parathyroid Ultrasound
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Neck Exploration
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Parathyroid Adenoma
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Mini-Incision Parathyroidect
omy
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Lateral Approach to Parathyroids
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Benefits of Preoperative Localization
Smaller IncisionShorter Operative TimeDifferent Anesthesia OptionsAmbulatory vs. OvernightDecrease Rate of Missed or Multiple Adenomas
Controlled Surgical Environment
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Aberrant Locations and Multiple Adenomas
Aberrant Location: 5-10%Multiple Adenomas: 10-20%
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Surgical Preparation
IOPTHGamma CounterNerve Dissector
Equipment