Primary hyperparathyroidism

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Surgical Management of Primary Hyperparathyroidism (Current Problems in Surgery, XXII (22))The correct answer is D

Explanation
Primary hyperparathyroidism is resulting from overactivity of one or more parathyroid glands. This is characterized by hypercalcemia, hypophosphatemia and hypercalciuria. It is caused usually by an adenoma, less commonly by primary hyperplasia. Calcium stones in the urinary tract are frequently present.

Symptoms in primary hyperparathyroidism such as fatigability, anorexia and weakness result from the hypercalcemia. Serum parathyroid hormone level can be determined accurately by radioimmunoassay or immunoradiometric assay.

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