#443 Primary Hyperparathyroidism: Stones, bones, and almost certainly some groans

Don’t just sit on that borderline calcium!  Learn how to approach hypercalcemia and work up primary hyperparathyroidism.  In this episode, we learn who goes to surgery, how to work them up, and some variants of typical primary hyperparathyroidism. We’re joined by Dr. Lindsay Kuo @lindsaykuo (Temple University Hospital) Claim CME for this episode at curbsiders.vcu health.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Intro 03:31 Understanding Primary Hyperparathyroidism 09:03 Handling Mistakes and Complications in Surgery 11:44 Case Discussion: Hypercalcemia and Elevated PTH Levels 22:41 Symptoms of Primary Hyperparathyroidism 25:06 The Role of Vitamin D in Primary Hyperparathyroidism 28:07 Testing Considerations for Parathyroid Hormone (PTH) Levels 46:02 Considerations for Parathyroid Carcinoma 49:19 Parathyroid Imaging in Primary Hyperparathyroidism 52:23 The Surgical Procedure for Primary Hyperparathyroidism 57:45 Intraoperative Parathyroid Hormone Monitoring 01:00:15 Post-Operative Monitoring for Hypocalcemia 01:04:38 Normocalcemic Primary Hypoparathyroidism and Normohormonal Primary Hyperparathyroidism Credits Written and produced by: Paul Williams, MD, FACP Show Notes: Paul Williams, MD, FACP Infographic and Cover Art: Paul Williams, MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Fatima Syed, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Lindsay Kuo, MD Sponsor: Freed You can try Freed for free by going to freed.ai. Use code CURB50 for $50 off your first month.  Sponsor: Panacea Financial  Visit panaceafinancial.com to learn more about a nationwide digital bank built for doctors, by doctors. Sponsor: Grammarly Get AI writing support that works where you work. Sign up and download for FREE at grammarly.com/PODCAST