Saturday, 20 April 2013

HYPERPARATHYROIDISM

definisi : peningkatan aktiviti kelenjar parathyroid menghasilkan lebih hormon parathyroid

jenis :

1. primary : hyperplasia / adenoma kelenjar parathyroid
2. secondary : eningkatan aktiviti akibat hypokalsemia
3. tertiary : hilang resspon terhadap maklum balas paras normal serum kalsium

MK :
1. decalcification tulang
2. muscle atrophy
3. renal calculi
4. epigastric pain, peptic ulcer, loya muntah
5. HPT, cardiac failure
6. metabolic acidosis

ujian :
1. serum Ca tinggi
2. serum phosphorus rendah
3. serum alkaline phosphate tinggi
4. serum PTH tinggi
5. urine for Ca tinggi
6, ct scan, ultrasound, MRI, bone scan

komplikasi :
-renal calculi, renal failure
-peptic ulcer
-demineralization
-fracture

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