Hyperparathyroidism - Primary vs Secondary vs Tertiary ...

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Hyperparathyroidism - Primary vs Secondary vs Tertiary 

Lab Comparison:

 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D, ↓Phosphate

 • Secondary Hyperparathyroidism: ↑PTH, ↓→Calcium, ↓Vitamin D, ↑↓Phosphate

 • Tertiary Hyperparathyroidism: ↑↑PTH, ↑Calcium, ↓Vitamin D, ↑Phosphate



Physical Symptoms: Commonly no signs, Fragile bones/osteoporosis, Kidney stones, Excessive urination, Abdominal pain, Tiring easily/weakness, Bone/joint pain

Psychiatric Symptoms: Disorientation, Delirium, Confusion, Paranoia, Hallucinations, Forgetfulness, Alteration in hunger/sexuality



Satyendra Dhar, MD @DharSaty



#Hyperparathyroidism #diagnosis #endocrinology #PTH #Primary #Secondary #Tertiary #pathophysiology

Contributed by

Satyendra Dhar, MD

@DharSaty

#Hospitalist
Hospital Medicine
Assistant Clinical Professor

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