#443 Primary Hyperparathyroidism: Stones, bones, and almost certainly some groans

Update: 2024-06-10

Description

Don’t just sit on that borderline calcium! Learn how to approach hypercalcemia and work up primary hyperparathyroidism. In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital)

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Show Segments

00:00 Intro

03:31 Understanding Primary Hyperparathyroidism

09:03 Handling Mistakes and Complications in Surgery

11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels

22:41 Symptoms of Primary Hyperparathyroidism

25:06 The Role of Vitamin D in Primary Hyperparathyroidism

28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels

46:02 Considerations for Parathyroid Carcinoma

49:19 Parathyroid Imaging in Primary Hyperparathyroidism

52:23 The Surgical Procedure for Primary Hyperparathyroidism

57:45 Intraoperative Parathyroid Hormone Monitoring

01:00:15 Post-Operative Monitoring for Hypocalcemia

01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism

Credits

Written and produced by: Paul Williams, MD, FACP

Show Notes: Paul Williams, MD, FACP

Infographic and Cover Art: Paul Williams, MD, FACP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Fatima Syed, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Lindsay Kuo, MD

Sponsor: Freed

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Sponsor: Panacea Financial

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Sponsor: Grammarly

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