The Patient With Hyperparathyroidism

Abstract

Hyperparathyroidism, may be difficult to diagnose. Demonstration of hypercalcemia is the most reliable evidence of its presence. Special preoperative measures are usually unnecessary in most patients. For those with marked hypercalcemia without severe renal insufficiency, a calcium-free diet, 4 to 6 L. water daily, and a high phosphorus intake are indicated. Hemodialysis and ultrafiltration technics against a calcium-free dialysate bath, plus phosphorus supplementation, may permit the performance of safer surgical procedures in patients with severe hypercalcemia and renal insufficiency. The major postoperative clinical problems lie in differential diagnosis of the tetanic syndromes.