Term
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Definition
produce parathyroid hormone (PTH) which maintains normal calcium levels |
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Term
Major features of primary hyperparathyroidism |
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Definition
hypersecretion of PTH with Hypercalcemia, hyperphosphatemia and excessive urinary excretion of calcium, 80% due to functioning parathyroid adenoma |
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Term
Clinical significance of primary hyperpatathyroidism |
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Definition
neuromuscular weakness, neuropsychiatric disturbances, renal and other stones, skeletal changes due to bone Resorption, hypertension, peptic ulcers, metastatic calcification |
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Term
Secondary hyperparathyroidism |
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Definition
compensatory hypersecretion of PTH in response to end-organ resistance to PTH, resulting in depressed blood calcium levels. Most important cause is chronic renal insufficiency; also vitamin D deficiency. |
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Term
Disorders associated with Hypoparathyroidism |
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Definition
occur after thyroidectomy, congenital absence, autoimmunity |
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Term
Clinical significance of Hypoparathyroidism |
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Definition
rapid fall in blood calcium levels with clinical tetany |
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Term
Incidence of parathyroid adenomas |
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Definition
any age, any sex, peak incidence in middle decades of life, 85-90% |
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Term
Gross features of parathyroid adenomas |
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Definition
well circumscribed, soft, tan, nodule, invested by delicate capsue, invariably confined to single glands |
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Term
Clinical significance of parathyroid adenomas |
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Definition
associated with hyperparathyroidism |
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Term
Incidence of parathyroid carcinoma |
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Definition
1% of hyperfunction complications |
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Term
Clinical significance of parathyroid carcinoma |
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Definition
can cause hyperparathyroidism |
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