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The Curbsiders Internal Medicine Podcast
#443 Primary Hyperparathyroidism: Stones, bones, and almost certainly some groans
Jun 10, 2024
Dr. Lindsay Kuo from Temple University Hospital discusses primary hyperparathyroidism. Topics include surgery criteria, vitamin D's role, PTH testing, parathyroid imaging, and post-op monitoring. The episode covers complications, normocalcemic primary hypoparathyroidism, and normohormonal primary hyperparathyroidism.
01:13:48
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Quick takeaways
- Identifying surgical candidates based on symptoms, bone density, and urinary calcium levels is crucial for primary hyperparathyroidism management.
- Diagnostic workup for primary hyperparathyroidism includes a 24-hour urine calcium test and imaging studies to assess bone density and potential surgical indicators.
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Primary hyperparathyroidism and the surgical decision-making process were discussed in the podcast episode. Dr. Lindsay Kuo, an endocrine surgeon, shared insights and guidelines regarding identifying patients who require surgery based on symptoms, bone density, urinary calcium levels, age, and other factors. Surgical criteria include symptomatic patients with kidney stones, fractures, or significant osteoporosis. Factors like young age and feedback from patients play a role in deciding on surgery. Patients not meeting surgical criteria may opt for observation and yearly surveillance.
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Discover
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