PPT-Hyperparathyroidism in a ESRD case

Drzahedi What is the Type of hyperparathyroidism in this case What is the management of this case Type of hyperparathyroidism PHPT Coexistence Vitamin D deficiency and PHPT Secondary hyperparathyroidism. CHS-University. Preceptor: Elaine Jones, RDN, LDN. Presenter: Chantal . Otelsberg. , M.S. .. November 20. th. , 2015 . . presentation OUTLINE. Introduction to Patient . Background of Underlying Medical Condition. Hosp. -based, hospital-based dialysis centers; . Indep. , independent dialysis providers; SDO, small dialysis organizations.. v. ol 2 Figure . 8.1 Dialysis units & patient counts, by unit affiliation, . vol. 2 Figure 5.1 Adjusted all-cause mortality rates, overall and by modality. Vol. 2, ESRD, . Ch. 5. 3. Data Source: Reference Tables H.4, H.8, H.9, and H.10, and special analyses, USRDS ESRD Database. Adjusted for age, sex, race, and primary diagnosis. Ref: 2011 patients. Abbreviation: ESRD, end-stage renal disease.. dialysis; . Tx. , transplant. . v. ol. . 2 Figure . 7.1. Incident & December 31 point prevalent ESRD patients (. aged 0-19 years). (a) Incidence . of ESRD in . children. Vol. 2, ESRD, . Ch. 7. 2017 . Annual Data Report. Volume 2: End-Stage Renal Disease. 2. vol 2 Figure 9.1 Trends in ESRD expenditures, 2004-2015. Data Source: USRDS ESRD Database; Reference Table K.1. Abbreviation: ESRD, end-stage renal disease. . 2012-2014. (a) Denominator excludes missing/unknown causes of death. 2016 Annual Data Report, Vol . 2, ESRD. , . Ch. . 9. 2. Data Source: Special analysis using Reference Table H12. . Denominator . includes other causes of death and excludes missing/unknown causes of death (24.7% of patients have unknown or missing causes of death. (bars; scale on right), and annual change (%) in the adjusted* incidence rate of ESRD . (lines; scale on left) in the U.S. population, 1996-2013. Vol 2, ESRD, Intro. 2. Data Source: Reference Table A.2(2) and special analyses, USRDS ESRD Database. *Adjusted for age, sex, and race.. Medical. . Faculty. Department. of . the. . Endocrinology. . and. . Metabolism. DISORDERS OF THE PARATHYROID GLANDS. Parathyroid . glands are normally the size of a rice . grain. Each . gland: 5 to 7 mm(6X2X2 mm. Also decreased PO intake. Expressive aphasia due to CVA, cannot give further history. PMH to de discussed later…. PE: . Vitals stable. Moderate respiratory distress. Somnolent but . arousable. Breath sounds only in R chest. Professor Dr. . Khurshid Khan . MBBS, M.D. (USA). , F.A.C.E. (USA). Diplomate. of American Board in Diabetes, Endocrinology & Metabolism (USA). . Diplomate. of American Board in Internal Medicine (USA) . and Young Adults. 2017 . Annual Data Report. Volume 2: End-Stage Renal Disease. 2. vol 2 Figure 7.1 (a) Incidence and, (b) December 31. st. point prevalence of ESRD among pediatric patients (aged 0–21 years), by modality, 1996-2015. 463 Chapter 7 : ESRD among Children, Adolescents, and Young Adults  The number of children and adolescents beginning end - stage renal disease ( ESRD ) care is steadily decreasing from a high Primary . Hyperparathyroidism. 99% of total body calcium in the bone . 1% in ICF ,ECF , cell membranes *. * 50% ionized . 40% bound to albumin. . 10% citrate, phosphate. United States Renal Data System. 2012 Annual Data Report. Adjusted all-cause rehospitalization . rates in pediatric patients 30 days . after live hospital discharge. Figure 8.1 (Volume 2). ESRD patients age 0–19. .