Condition Info - BotMed Application

ConditionName

Hyperparathyroidism

ConditionDescription

Symptoms

Most asymptomatic;
Nausea/Vomiting/abdominal pain;
Hypercalcemia (chronic fatigue, constipation, anorexia, nausea and vomiting, poor concentration, confusion, and depression);

PhysicalFindings

ClinicalTests

Initial test: PTH;
↑PTH, Ca, Urinary Ca;
ECG: Short QT interval;
↑BUN, ↑creatinine;
↑ALP;
DEXA – better test if suspect;
Preoperative imaging;
R/O: PUD;

RiskFactors

Chronic Kidney Dz.

IsRedFlag

IsNPLEX

Consequence

Osteoporosis; 
KI stones;
PUD – Ca stimulates gastrin-> high acid

ProgressionFromCondition

TreatmentOptions

Less protein in the diet;
Surgery (after acute control) for symptomatic patients

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/endocrine-and-metabolic-disorders/parathyroid-disorders/hyperparathyroidism