title: Current issues in hyperparathyroidism.
abstract: There has been a shift in the referral patterns in recent years that has resulted in increasing numbers of patients being referred to surgeons with a diagnosis of hypercalcemia rather than primary hyperparathyroidism. The surgeon must perform a thorough history, including medications, and laboratory assessment, including serum calcium and parathyroid hormone measurements. A 24-hour urinary calcium excretion should be routinely ordered to exclude FHH. After the diagnosis of primary hyperparathyroidism is made, preoperative localization studies will benefit 78% to 90% of patients, with sestamibi scan being the most commonly used.
authors.affiliation: Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, P.O. Box 26902, WP1360, Oklahoma City, OK 73190, USA.
authors.forename: Greg A
authors.initials: GA
authors.lastname: Krempl
authors.forename: Jesus E
authors.initials: JE
authors.lastname: Medina
mesh_terms: D000236:Adenoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology / Q000628:therapy*; D006961:Hyperparathyroidism / Q000097:blood / Q000175:diagnosis* / Q000628:therapy; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000175:diagnosis* / Q000601:surgery; D016105:Parathyroidectomy / Q000009:adverse effects*; D011300:Preoperative Care; D012017:Referral and Consultation / Q000458:organization & administration
chemical_list: D010281:Parathyroid Hormone