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Primary hyperparathryoidism
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Parathyroid level may be normal or high (in myeloma it would be low) Stereotypical - elderly female with thirst and normal or high PTH - commonly due to solitary adenoma Causes 80% solitary adenoma 15% hyperplasia 4% multiple adenoma 1% carcinoma Features - bones, stones, abdo moans and psychic groans polydipsia, polyuria peptic ulceration, constipation, pancreatitis bone pain / fracture renal stones depression HT associations - HT and MEN 1 and 2 (multiple endocrine neoplasia) Ix raised Ca and low phosphate PTH raised or normal technetium MIBI subtraction scan if considering op if cCa <3 - repeat bloods 6/12ly and do BMD scan Rx Total parathyroidectomy
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Hypercalcaemia