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12 Cards in this Set

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Parathyroid Gland

Chief cells

Chief Cells

Regulates serum free calcium via PTH

Parathyroid Hormone

Increases bone osteoclast activity


Increases small bowel absorption of Ca and phosphate


Increases renal calcium reabsorption

Parathyroid Glands

Increased serum ionized calcium levels


Provide negative feedback to dec PTH secretion

Primary Hyperparathyroidism

Excess PTH due to to a disorder of the parathyroid gland itself

Parathyroid Adenoma

Most common cause of primary hyperparathyroidism

Parathyroid Adenoma

Benign neoplasm


Usually involves one gland


Asymptomatic hypercalcemia, inc PTH


Inc PTH, Inc Ca, Dec PO4, Inc urinary cAMP, Inc ALP


Treatment, surgical removal of affected gland

Secondary Hyperparathyroidism

Excess production of PTH due to a disease process extrinsic to the parathyroid gland

Secondary Hyperparathyroidism

Most common cause is chronic renal failure


Inc PTH, Dec Ca, Inc PO4, Inc ALP

Hypoparathyroidism

Low PTH


Causes include autoimmune damage to the parathyroids, surgical excision, DiGeorge syndrome

Hypoparathyroidism

Presents with symptoms related to low calcium


Numbness and tingling


Muscle spasms (tetany)


Dec PTH, Dec Ca

Pseudohypoparathyroidism

Due to end organ resistance to PTH


Autosomal dominant


Associated with short stature and short 4th and 5th digits


Hypocalcemia with Inc PTH