Tuesday, March 25, 2008

Clinical manifestations hyperparathyroidism

Clinical manifestations [women] 2 to 4 times in men, can be found in newborns, the elderly but most were found to have more calcium screening cases. Light can be asymptomatic, common symptoms are: 1. Hypercalcemia neuromuscular stress lower gastrointestinal peristalsis slow, low muscle tone, Nadai, constipation, weight loss; weight, nausea, vomiting, abdominal pain more prominent, and could be combined pancreatitis, ulcer disease, sleepiness , lethargy, bradycardia and arrhythmia, or even have a mental disorder, or decreased memory and intelligence, the cornea can be seen calcification, eye with a calcified membrane particles. 2. Urinary symptoms drink more urine, kidney stones may have colic, hematuria, secondary infection may have pyuria, advanced renal calcification after impact renal function, may be closed to the urine, renal failure, hypertension. 3. Early bone softening can be asymptomatic, can cause serious systemic bone decalcification, have bone pain or tenderness, fractures or bone deformities may be bed-ridden. Filling the bone marrow and connective tissue fibers have a secondary anemia. A neonatal hyperparathyroidism may have low muscle tone, the lower the sound, feeding difficulties, constipation, breathing difficulties. Parathyroid crisis hyperparathyroidism due to a severe high blood calcium in the stimulated stress later, there will be fatigue, anorexia, nausea, vomiting, polyuria, dehydration, prostration, lethargy, and even coma. Serum calcium> 4 mmol / L (16mg/dl), increased BUN, can be accompanied by vomiting due to low chlorine hypokalemic alkalosis, hypomagnesemia, such as heart block.

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