Daily Free Practice Question

Rationale

AANP Domain Level: Diagnose

ANCC Domain Level: Diagnosis

Focus Area: Endocrine

Hypocalcemia is a potential complication immediately following parathyroid surgery. After parathyroid surgery (parathyroidectomy), there is a risk of hypocalcemia due to the removal of overactive parathyroid glands. All patients undergoing thyroidectomy or parathyroidectomy need to be observed closely overnight, as hypocalcemia can be severe. Vitamin D deficiency is often associated with hyperparathyroidism. The parathyroid glands play a role in calcium homeostasis, and a vitamin D deficiency can lead to impaired calcium absorption, causing secondary hyperparathyroidism. The diagnosis of primary hyperparathyroidism is typically based on patients having elevated levels of serum calcium and parathyroid hormone (PTH). A serum calcium:phosphate ratio above 2.5mg/dL confirms primary hyperparathyroidism. Surgical intervention, such as parathyroidectomy, is often considered for patients with severe hypercalcemia due to primary hyperparathyroidism, especially when medical management is not effective or when there are complications.

Study Tip:

Hyperparathyroidism often presents with hypercalcemia. This leads to kidney stones, bone pain, and abdominal discomfort. Elevated parathyroid hormone and calcium levels confirm the diagnosis. Remember to monitor for hypocalcemia post-thyroid or parathyroid procedures.