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

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

The Curbsiders Internal Medicine Podcast