PPT-Case presentation A 29 y/o female with primary hyperparathyroidism and extra-parathyroid

imaging Presented by AH Ghanooni MD Mordad 1396 Taleghani Hospital SBMU Present illness A 29 yearold single female from Garmsar presented with protrusion of left maxillary bone beside the nose 1 year ago. 99M. TECHNETIUM-SESTAMIBI PARATHYROID SCINTIGRAPHY IN PREOPERATIVE LOCALIZATION OF PARATHYROID ADENOMA IN PATIENTS WITH PRIMARY HYPERPARATHYROIDISM AT AN ACADEMIC HOSPITAL IN SOUTH AFRICA.. . BY. DR ALIKOR CHIZINDU A. Wilhelm SM, Wang TS, Ruan DT, Lee JA, Asa SL, Duh QY, Doherty GM, Herrera MF, Pasieka JL, Perrier ND, Silverberg SJ, Solórzano CC, Sturgeon C, Tublin ME, Udelsman R, Carty SE.. Wilhelm SM, Wang TS, Ruan DT, et al. The American Association of Endocrine Surgeons Guidelines for Definitive Management of Primary Hyperparathyroidism. JAMA Surg. Published online August 10, 2016. doi:10.1001/jamasurg.2016.2310. Disorders During Pregnancy. Dr. . Mitra. . Niafar. Professor of Endocrinology and Metabolism. Tabriz University of Medical Sciences. Pregnancy and . Ca. -P . homeostasis. Pregnancy is associated with substantial changes in calcium-phosphate homeostasis, resulting from . DR.APEKSHA PANWAR. DEPARTMENT OF KRIYA SHARIR. HAMC. 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. maintain the body's . calcium. . level within a very narrow range, so that the . nervous. and . muscular systems. can function properly.. Parathyroid glands control the calcium in our bodies--how much calcium is in our bones, and how much calcium is in our blood. Calcium is the most important element in our bodies (we use it to control many systems), so calcium is regulated very carefully. Parathyroid glands control the . 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) . Dr.zahedi. 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. status testing F ormulary Working Group Laboratory Medicine Program Eastern Health . 1J442 , Health Sciences Centre, 300 Prince Philip Drive, , NL A1B 3V6 Office: 709 777 - 6375 Fax : 709 - 777 2442 E What is osteoporosis?Osteoporosis occurs when the struts that form the mesh-like structure inside bones become thin. This causes the bone to become fragile and break easily, even after a minor bump or 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. sample?. Does . ultrasound . help . to differentiate . adenoma lesions from parathyroid carcinoma?. Parathyroid carcinoma . is rare. , representing. <. 1% . of . primary hyperparathyroidism . cases.. The parathyroid glands secrete PTH to help control the levels of calcium and phosphorous in the body. There are usually four parathyroid glands, located on the outside borders of the thyroid gland in the front of the neck.. . detection. , . diagnosis. . and. . treatment. of . asymptomatic. . primary. . hyperparathyroidism. in . primary. . health. . care. Dr Aleksandra Ješić. Dr Aleksandra . Kosojević. Dr Ljiljana .