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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