We summarize the clinical presentation and pathophysiology of pseudogout following parathyroidectomy. We present a case of a 71-year-old woman who developed pseudogout following removal of a parathyroid adenoma. [ncbi.nlm.nih.gov]

Unilateral recurrent laryngeal nerve injury presents with postoperative hoarseness. Bilateral nerve injury is a rare but serious complication, resulting in aphonia and requiring immediate intubation. [openanesthesia.org]

• Dentist

  In conclusion, this case should attract the attention of general practitioner dentists, since they may be the first professionals who have contact with the patient with a brown tumour in the jaws. [ncbi.nlm.nih.gov]

  In all cases, the area of the incision is pre-treated with a local anesthetic (numbing medicine similar to what you might receive at a dentist's office) that lasts approximately 6 hours. [uclahealth.org]

• HELLP Syndrome

  CASE: A 27-year-old primigravida at 32+3 weeks' gestation had a serum calcium level in excess of 2.75 mmol/L and evidence of HELLP syndrome. She underwent concurrent parathyroidectomy and Caesarean section. [ncbi.nlm.nih.gov]

• Hyperthermia

  Malignant hyperthermia (MH) Documented: Avoid all trigger agents such as succinylcholine and inhalational agents, Proposed general anesthetic plan, total intravenous anesthesia Ensure MH cart available: [MH protocol] Family history or risk factors for [clinicalpainadvisor.com]

• Left Flank Pain

  Our patient is a 16-yr-old male presenting with gross hematuria, left flank pain, and right foot pain. A biochemical evaluation revealed hypercalcemia and elevated parathyroid hormone levels. [ncbi.nlm.nih.gov]

• Foot Pain

  Our patient is a 16-yr-old male presenting with gross hematuria, left flank pain, and right foot pain. A biochemical evaluation revealed hypercalcemia and elevated parathyroid hormone levels. [ncbi.nlm.nih.gov]

• Psychomotor Retardation

  There may be psychomotor retardation and muscle weakness. f. Endocrine: N/A g. [clinicalpainadvisor.com]

We present a review of the literature and discuss elements of the history and physical examination suggestive of occult CVS, with additional workup proposed for appropriate cases. [ncbi.nlm.nih.gov]

Workup for hyperparathyroidism includes an intact PTH level with a serum calcium level, 24 hour urine calcium, sestimibi-parathyroid scan, and ultrasound of the thyroid and parathyroid. Dr. Alfred Simental and Dr. Paul D. [medical-center.lomalindahealth.org]

This results in a workup to exclude a multitude of other causes of Hypercalcemia, and ensure the diagnosis is correct. A thorough history is obtained to exclude drug induced Hypercalcemia, or other medical conditions causing Hypercalcemia. [ent.uci.edu]

In my pre-surgical workup, I weighed 102 lbs, pretty standard for me. The surgery was necessary and beneficial, but I now weigh 135 lbs. This is more than I weighed when I was pregnant and overdue! [steadyhealth.com]

• Soft Tissue Calcification

  We believe that this is due to a decreased PTH level and decreasing bone turnover which resulted in more circulating calcium facilitating vascular and soft tissue calcification. [ncbi.nlm.nih.gov]

  We also noted muscular weakness (18 patients, 62.1%), pruritus (12 patients, 41.4%), high blood pressure (12 patients, 41.4%), soft tissue calcification (4 patients, 13.8%). [cyberleninka.org]

  2008/19/5/854/42479 Calciphylaxis is a rare, but serious disorder characterized by systemic medial calcification of the arteries those results in ischemic necrosis of skin and soft tissues. [sjkdt.org]

• Pericardial Effusion

  Other past medical history included atrial fibrillation, type II diabetes mellitus, hypertension, gout, pericardial effusion needing pericardial window, deep vein thrombosis, mitral insufficiency, and cardiomyopathy with implantable cardioversion device [ncbi.nlm.nih.gov]

• Increased Bone Density

  Bisphosphonates: Many patients will have decreased bone density due to excessive bone resorption. Bisphosphonate drugs, such as Alendronate (Fosamax), are administered to counteract the bone loss and to increase bone density. [clinicalpainadvisor.com]

• Calcium Decreased

  Patient 4 received oral alendronate, 140 mg/week for six weeks; her calcium decreased from 13.7 to 12.3 mg/dL and her CTX from 2,160 to 1,340 pg/mL. [ncbi.nlm.nih.gov]

  By negative feed back, raised serum ionised calcium decreases PTH secretion to maintain adequate serum calcium levels [ 3 ]. [omicsonline.org]

  These compounds decrease glandular parathyroid hormone (PTH) 1 secretion by binding the calcium-sensing receptor (CaSR) and decreasing the threshold for activation of the receptor by calcium ( 8 )( 9 ). [clinchem.aaccjnls.org]

• Potassium Increased

  RESULTS: Serum potassium level increased in 108 patients after surgery (P CONCLUSIONS: Preoperative serum potassium increased after parathyroidectomy with autotransplantation in patients with secondary hyperparathyroidism. [ncbi.nlm.nih.gov]

• Chloride Decreased

  Acid-base: Elevated serum calcium and chloride, decreased bicarbonate and phosphorous, metabolic acidosis. [clinicalpainadvisor.com]

The treatment of brown tumour is dependent on the treatment of the hyperparathyroidism. However, curettage should be considered if a large lesion is disturbing mastication. [ncbi.nlm.nih.gov]

Most microcarcinomas are slow growing and have a favorable prognosis. Lymph node metastasis caused by thyroid microcarcinoma is uncommon, and distant metastasis to lung or bone is even rarer. [ncbi.nlm.nih.gov]

The etiological factors and mechanisms underlying this condition, its consequences, and the possibility of treatment are the object of this study. [ncbi.nlm.nih.gov]

No associated variations were identified, and the diagnosis remained persistent primary hyperparathyroidism of unknown etiology. [clinchem.aaccjnls.org]

[…] controls matched for age, gender, and ethnic group) Neuromuscular symptoms: documented proximal weakness, atrophy, hyper-reflexia, and agait distubance Hereditary Hyperparathyroidism: Although cases of sporadic hyperparathyroidism are idiopathic and the etiology [medicine.uiowa.edu]

The effect of PTx on fractures has been evaluated in only one epidemiological study from the United States, which demonstrated a significant association of PTx and lower hip and combined fractures. [ncbi.nlm.nih.gov]

Immortal time bias in pharmaco-epidemiology. Am. J. Epidemiol. 167, 492–499 (2008). [nature.com]

Several recent studies have reported on the epidemiology of pHPT [ 1, 13 – 17 ], yet few reported on parathyroidectomy rates [ 14, 15 ]. [journals.plos.org]

Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation was used to estimate the GFR [ 10 ]. [karger.com]

Adami S, Marcocci C, Gatti D (2002) Epidemiology of primary hyperparathyroidism in Europe. J Bone Miner Res 17 Suppl 2: N18-23. Khan A, Bilezikian J (2000) Primary hyperparathyroidism: pathophysiology and impact on bone. CMAJ 163: 184-187. [omicsonline.org]

We summarize the clinical presentation and pathophysiology of pseudogout following parathyroidectomy. We present a case of a 71-year-old woman who developed pseudogout following removal of a parathyroid adenoma. [ncbi.nlm.nih.gov]

Histopathology, pathophysiology, and indications for surgical treatment of renal hyperparathyroidism. Semin Surg Oncol. 1997;13(2):78–86. CrossRef PubMed 9. Li S, Chen YW, Peng Y, et al. [springermedizin.at]

Khan A, Bilezikian J (2000) Primary hyperparathyroidism: pathophysiology and impact on bone. CMAJ 163: 184-187. Camanni F, Ghigo E Eds (2011) Malattie del sistema endocrino e del metabolismo - IV ed. Edi.Ermes, Milano. [omicsonline.org]

Safe and effective parathyroidectomy requires mastery of the anatomical and pathophysiologic features of pHPT (eAppendix in the Supplement ). [doi.org]

Use of bisphosphonates to prevent HBS should be explored in future studies. [doi.org]

Calcium supplements are therefore often required to prevent symptoms of hypocalcemia and to restore lost bone mass. [en.wikipedia.org]

He had been administered calcium carbonate 6.0 g daily to prevent reabsorption of phosphorus and alfacalcidol 1.0 microg three times weekly at the end of hemodialysis. [ncbi.nlm.nih.gov]