Primary hyperparathyroidism (PHPTH) is one of the most common metabolic conditions requiring surgical intervention. Today, with automated blood chemistry panels a routine part of medical care, the most typical presentation of PHPTH is that of asymptomatic hypercalcemia. The individual found to have an elevated serum calcium level may have one of several conditions, however, and other potential causes must be carefully excluded before making a diagnosis of PHPTH and proceeding to any consideration of operative intervention. Once a diagnosis of PHPTH is confirmed, a decision must be made regarding the need for parathyroidectomy. Medical management of the patient awaiting parathyroid surgery must take into account their calcium metabolic issues in the preoperative period, as well as prevention of postoperative complications. Individuals with PHPTH who do not require surgery need ongoing medical care and monitoring to prevent complications of PHPTH.
KeywordsSerum Calcium Primary Hyperparathyroidism Secondary Hyperparathyroidism Parathyroid Carcinoma Parathyroid Surgery
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