Disorders of Calcium and Bone Metabolism
Hypercalcemia Differential Diagnosis
Causes of Primary Hyperparathyroidism
Multiple Endocrine Neoplasia
Multiple Endocrine Neoplasia
Multiple Endocrine Neoplasia
Primary Hyperparathyroidism
Incidence of Primary Hyperparathyroidism
After Multichannel Screening
Influence of “Cost-Effective Care” on the
Frequency and Method of Presentation of 1o Hyperparathyroidism
Primary Hyperparathyroidism in Rochester,
MN, 1965-1992 *
Number of Cases of Primary Hyperparathyroidism
in Olmstead County/100,00 Patients*
“SATURATION ANALYSIS”*
Primary Hyperparathyroidism Skeletal Involvement
Primary Hyperparathyroidism Skeletal Involvement
Primary Hyperparathyroidism Skeletal Involvement
Primary Hyperparathyroidism Renal Involvement
Primary Hyperparathyroidism Renal Involvement
Primary Hyperparathyroidism
Primary Hyperparathyroidism Hypercalcemic
Effects
Primary Hyperparathyroidism Hypercalcemic
Effects
Primary Hyperparathyroidism Hypercalcemic
Effects
Hypercalcemic Crisis Primary Hyperparathyroidism
- Clinical and Laboratory Findings
Hypercalcemic Crisis Primary Hyperparathyroidism
Possible Causes
Hypercalcemic Crisis Primary Hyperparathyroidism
Relationship of Serum Calcium to Size of Adenoma
Primary Hyperparathyroidism Laboratory
Abnormalities
Primary Hyperparathyroidism Level of Detection
Primary Hyperparathyroidism Changing Clinical
Presentation
Primary Hyperparathyroidism Changing Clinical
Presentation
Primary Hyperparathyroidism Possibly a
More Detailed Look at Symptoms and Associated Conditions by Prospective Questionnaire*
Primary Hyperparathyroidism Possibly a
More Detailed Look at Symptoms and Associated Conditions by Prospective Questionnaire*
Decreased Frequency* of Symptoms and Associated
Conditions Following Parathyroidectomy (Primary Hyperparathyroidism) and Following
Thyroidectomy (Non-toxic Thyroid Disorders - Controls)
Primary Hyperparathyroidism Possibly a
More Detailed Look at Symptoms and Associated Conditions by Prospective Questionnaire
Decreased Frequency* of Symptoms and Associated
Conditions Following Parathyroidectomy for Primary Hyperparathyroidism
Decreased Frequency of Symptoms Following
Surgery for Primary Hyperparathyroidism (1oHPT)
Decreased Frequency of Symptoms Following
Surgery for Primary Hyperparathyroidism (1oHPT)
Primary Hyperparathyroidism Possibly a
More Detailed Look at the Degree of Skeletal Involvement
Psychiatric Symptoms in Primary Hyperparathyroidism
Primary Hyperparathyroidism Indications
for Surgical Therapy (1990)
Primary Hyperparathyroidism Indications
for Surgical Therapy (1990 vs. 2002)*
Primary Hyperparathyroidism Indications
for Medical Monitoring
Monitoring in Primary Hyperparathyroidism
Cardiac Abnormalities in Primary Hyperparathyroidism*
Cardiac Abnormalities in Primary Hyperparathyroidism
Without Hypertension*
Left Ventricular Hypertrophy (LVH) in Primary
Hyperparathyroidism (PHPT)*
Primary Hyperparathyroidism (1oHPT) Without
Hypertension - Cardiac Abnormalities *
Recommended Therapy and Actual Therapy
for Primary Hyperparathyroidism
Possible Additional Indications for Surgery
in Primary Hyperparathyroidism
Primary Hyperparathyroidism Parathyroid
Adenoma-Intraoperative
Primary Hyperparathyroidism Parathyroid
Adenoma-Histology
Surgery for Primary Hyperparathyroidism
Changes in Post-operative Serum Calcium Levels
Failure of Initial Surgery for “Primary
Hyperparathyroidism”
Need for Second Surgery for Primary Hyperparathyroidism
Angiogram for Primary Hyperparathyroidism
(mediastinal parathyroid adenoma circled)
Familial Hypocalciuric Hypercalcemia
Autoimmune Hypocalciuric Hypercalcemia*
Hypercalcemia Differential Diagnosis
Hypercalcemia due to Granulomatous Disease
Hypercalcemia Differential Diagnosis
Milk-Alkali Syndrome
Milk-Alkali Syndrome
Milk-Alkali Syndrome
Differences Between PTH and PTHrP Hypercalcemia
Malignancies Causing PTHrP Hypercalcemia
Hypercalcemia Differential Diagnosis
Paget’s Disease
Paget’s Disease
Paget’s Disease of Long Bones
Paget’s Disease of Skull
Paget’s Disease
Treatment of Hypercalcemia
Treatment of Hypercalcemia
Hypercalcemia Effects of Treatment on Symptoms
Differential Diagnosis of Metastatic Calcification
Which When Extreme = Tumoral Calcinosis
Tumoral Calcinosis
Crystalline Components of Renal Stones
Causes of Hypercalciuria
Components of Serum Calcium
Effect of Hypoalbuminemia on Serum Calcium
Mechanism of Action of PTH
Causes of Hypoparathyroidism
Presenting Signs and Symptoms Postoperative
Hypoparathyroidism
Hypoparathyroidism
Hypoparathyroidism
Increased Neuromuscular Irritability
Hypoparathyroidism Basal Ganglion Calcification
Polyglandular Autoimmune Syndromes
Clinical and Laboratory Features Pseudohypoparathyroidism
(PH) vs Idiopathic Hypoparathyroidism (IH)
Pseudohypoparathyroidism
Pseudohypoparathyroidism
Osteoporosis
Osteoporotic vs. Normal Bone
Osteoporosis
Osteoporosis - Predisposing Factors
Disorders Associated with Osteoporosis
Drugs Associated with Osteoporosis
Osteoporosis - Prevention
Osteoporosis Treatment of the Disease