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

The Curbsiders Internal Medicine Podcast

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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