08 - Surgery Parathyroid And Breast

Question 1

Primary Hyperparathyroidism Pentad

Answer 1

Kidney Stones
Painful Bones
Abdominal Groans
Psychic Moans
Fatigue Overtones

Question 2

In Asymptomatic Patients of Primary Parathyroidism, Surgery is recommended in:

Answer 2

• Serum Ca> 1mg/dL above upper limits of Normal
• GFR <60 mL/min
• > 2.5 SD Below peak bone mass, T score < 2.5 on bone densinometry
• Age <50 Years
• Medical Surveillance no possible or desired by patient

Question 3

What is the Chvostek Sign

Answer 3

Tapping on the Facial Nerve, anterior to the ear causes contraction of the ipsilateral facial muscles
- Sign of Hypocalcemia

Question 4

What is Trosseau Sign?

Answer 4

Carpopedal spasm after occlusion of Blood flow to the forearm
- Sign of Hypocalcemia

Question 5

Painful, violaceous lesion on the extremeties that may necrose and become gangrenous, leading to sepsis and death

Answer 5

Calciphylaxix

Question 6

Increased PTH in response to Hypocalcemic states (Chronic renal failure, inadequate calcium intake, gut malabsorption)

Answer 6

Secondary Hyperparathyroidism

Question 7

Increased PTH from abnormal parathyroid glands with Symptomatic patient management is Parathyroidectomy

Answer 7

Primary Parathyroidism

Question 8

Hallmark of Primary Parathyroidism Diagnostic Labs

Answer 8

Elevated PTH and Serum Calcium

Question 9

Uses a Radioisotope taken by parathyroid glands to show activity

Answer 9

Sestamibi Scan

- Ectopic Parathyroid