PPT-The AAES Guidelines for Definitive Management of Primary Hyperparathyroidism (PHPT)

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 doi101001jamasurg20162310. The 10 Principles of Chronic Pain Management, Part 1. Managing chronic pain is hard. Highly . prevalent . Incomplete . e. xplanatory models . Patient experience . of pain . is real. But so are addiction and diversion, often disengaged. 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. F.Hosseinpanah,M.D. Obesity Research Center . Research Institute for Endocrine Sciences. Shahid. . Beheshti. University of Medical Sciences. April 14,2016. Tehran. . 6. 7. 1. 8. 9. 10. 11. 1. 2. 3. 4. 5. 6. 7. 1. 8. 9. 10. 11. 1. 2. 3. 4. 5. 6. 7. 1. 8. 9. 10. 11. 1. 2. 3. 4. 5. 6. 7. 1. 8. 9. 10. 11. Parathyroid hormone is secreted in three distinct ways: . tonic secretion. 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. (unexplained . hypercalcaemia. with PTH high or in the upper normal range, and calcium clearance: . creatinine. clearance ratio > 0.02)* . Genomics test directory . criteria R151. 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. to . optimize the freeze-drying process. Olga . Yee. NCS 2018. Paris, France. Lyophilized products. Examples:. 2. Lyophilization. 3. Very expensive process. It can take 1 week to finish one lyophilization run.. 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 case report . B.Rezvankhah.MD. January.2017. What is the diagnosis?. What is the treatment? . Hypercalcemia & Elevated or Inappropriately NL PTH Levels. Primary Hyperparathyroidism . Familial . Hypocalcuric. 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. . detection. , . diagnosis. . and. . treatment. of . asymptomatic. . primary. . hyperparathyroidism. in . primary. . health. . care. Dr Aleksandra Ješić. Dr Aleksandra . Kosojević. Dr Ljiljana .