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PUBMED FOR HANDHELDS

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  • Title: Current issues in hyperparathyroidism.
    Author: Krempl GA, Medina JE.
    Journal: Otolaryngol Clin North Am; 2003 Feb; 36(1):207-15. PubMed ID: 12803017.
    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.
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