Hypoparathyroidism

• Hypoparathyroidism 


  Is hyposecretion of parathormone.
• Hypoparathyroidism can occur following thyroidectomy because of removal of parathyroid tissue.
• Hypoparathyroidism: Clinical Manifestations

  1. Hypocalcemia and hyperphosphatemia. Hypocalcemia increases neuromuscular excitability.
  2. Signs of tetany
  3. BP: Hypotension
  4. Common manifestation in hypothyroidism and hypoparathyroidism.

  • dry skin
  • dry hair
  • brittle nails
• Hypoparathyroidism

  Serum - hypocalcemia

  Bones - increased calcium
• Hypoparathyroidism Management

  • DOC: PTH + Ca Gluconate
  • Calcium Diet: High + Vit D
  • Phosphate Diet: Low
  • Fluids: High
  • Fiber: Low
  • Activity: Bed rest
  • Priority: Safety