Primary hyperparathyroidism – Investigation and management

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0.5 mins

Educational Activities (EA)
These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.

RP
0.5 mins

Reviewing Performance (RP)
These are activities that require reflection on feedback about your work.

MO
0 mins

Measuring Outcomes (MO)
These are activities that use your work data to ensure quality results.

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Description

In this episode:

  • Even mild primary hyperparathyroidism significantly increases CV mortality
  • Minimally invasive surgery has become the recommended treatment – where the surgery is done and by whom is critically important for the 10% of cases that are difficult
  • Do a serum calcium and PTH for patients with unspecific neurocognitive, neuromuscular and renolithiasis or low BMD
  • Normo calcaemic hyperparathyroidism may be caused by primary HPT or secondary and a therapeutic/diagnostic trial with 2,000 IU of vitamin D3 for 3 months will disclose the cause
  • Image with ultrasound and parathyroid 4DCT angiogram

 

Host: Dr David Lim, GP and Medical Educator

Total time: 38 mins

Guest: Prof Leigh Delbridge, Parathyroid and Thyroid Surgeon

 

Recommended resources:

Last Updated: 9 Aug, 2022

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Parathyroid and Thyroid Surgeon; Emeritus Professor of Surgery, Sydney University; Founding Committee Member, Australia and New Zealand Endocrine Surgeons

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