Healthed Australia

Primary Hyperparathyroidism - Investigation and Management


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  • Even mild primary hyperparathyroidism significantly increases CV mortality
  • Minimally invasive surgery has become the recommended treatment - where the surgery is done and by whom is critically important for the 10% of cases that are difficult
  • Do a serum calcium and PTH for patients with unspecific neurocognitive, neuromuscular and renolithiasis or low BMD
  • Normo calcaemic hyperparathyroidism may be caused by primary HPT or secondary and a therapeutic / diagnostic trial with 2,000 IU of vitamin D3 for 3 months will disclose the cause
  • Image with ultrasound and parathyroid 4DCT angiogram

  • Host: Dr David Lim | Total time: 38 mins

    Guest: Prof Leigh Delbridge, Parathyroid and Thyroid Surgeon; Emeritus Professor of Surgery, Sydney University; Founding Committee Member, Australia and New Zealand Endocrine Surgeons


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