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Pathology Unit X
Endocrine System: Parathyroid
11
Pathology
Graduate
04/19/2013

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