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Disorders of calcium metabolism ©  IOS/S Nussey.

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Presentation on theme: "Disorders of calcium metabolism ©  IOS/S Nussey."— Presentation transcript:

1 Disorders of calcium metabolism ©  IOS/S Nussey

2 Box 5.2 - Control of serum calcium

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5 Box 3.21 - Embryology of parathyroid glands

6 Normal parathyroid Parathyroid adenoma

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12 Hypercalcemia - Investigations Establish hypercalcemia is real; check renal function Measure serum PTH, 25-OH-vitamin D, PTHrp, T4, ACE as appropriate Radiological investigations –Basic - e.g. hands, KUB, CXR –Localization

13 Radiology of hyperparathyroidism

14 Sarcoidosis

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16 Parathyroid - 99m Technetium/ 201 Thallium subtraction scan

17 Clinical Case 5.4 99m Technetium bone scan 99m Tc-sestaMIBI scan (MIBI = methoxyisobutylisonitrile)

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22 Box 5.28: Vitamin D deficiency

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26 Clinical Case 5.7

27 Clinical Case 5.6

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