In this episode:

• 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

Expert: Prof Leigh Delbridge, Parathyroid and Thyroid Surgeon

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