Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Parathyroid adenoma physical examination
Introduction
Overview
Overview
Physical examination of patients with parathyroid adenoma is usually unremarkable. Patients may have physical findings due to severe hypercalcemia and other complications of parathyroid adenoma.
Physical Examination
Physical Examination
- Physical examination of patients with parathyroid adenoma is usually unremarkable.[1]
- Patients may have physical findings due to severe hypercalcemia and other complications of parathyroid adenoma.[2]
Appearance of the Patient
- Patients with parathyroid adenoma usually appear well.
Vital Signs
- Patients with hypercalcemia and other complications may have:
- High blood pressure due to hypercalcemia and renal failure
Skin
- Persistent itching may be present due to renal failure
HEENT
- Patients with severe hypercalcemia may have:
- Band keratopathy (calcium precipitation in a horizontal band across the cornea in the palpebral aperture); may lead to vision impairment
Lungs
- Patients with hypercalcemia and other complications may have:
- Dyspnea due to fluid overload form renal failure
Cardiovasvular
- Patients with hypercalcemia and other complications may have:
- Palpitations due to arrhythmias
- Shortened QT interval
- Chest pain due to fluid overload form renal failure
- Rales and S3 due to fluid overload form renal failure
Abdomen
- Patients with hypercalcemia and other complications may have:
- Nausea and vomiting
- Anorexia
- Fecal impaction (from constipation)
- Epigastric pain and tenderness due to development of pancreatitis
- Flank pain and tenderness due to nephrolithiasis
Genitourinary
- Patients with severe hypercalcemia and other complications may have:
- Alteration in urinary habits
- Volume depletion
- Signs of renal failure
Neuromuscular
- Patient is usually oriented to persons, place, and time.
- Patients with severe hypercalcemia and other complications may have:
- Anxiety
- Fatigue and weakness due to renal failure
- Lethargy
- Sleep disturbances
- Muscle twitch and cramps
- Signs of depression
- Confusion
- Memory disturbances
- Hypotonia
- Hyporeflexia
- Paresis
- Coma
Extremities
- Swelling of feet and ankles due to renal failure
- Arthralgia due to bone resorption
References
References
- ↑ Pallan S, Khan A (2011). “Primary hyperparathyroidism: Update on presentation, diagnosis, and management in primary care”. Can Fam Physician. 57 (2): 184–9. PMC 3038812. PMID 21321169.
- ↑ Mishra SK, Agarwal G, Kar DK, Gupta SK, Mithal A, Rastad J (2001). “Unique clinical characteristics of primary hyperparathyroidism in India”. Br J Surg. 88 (5): 708–14. doi:10.1046/j.0007-1323.2001.01775.x. PMID 11350446.
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: