5-Hyperparathyroidism Testchi PDF

# 5-Hyperparathyroidism ## Symptoms: - Do you have pain in your bones and joints?: *No* - Have you noticed muscle weakness?: *Yes* - Have you had fractures due to fragile bones in the limbs or spine?: *No* - Have you been diagnosed with kidney stones?: *No* - Do you experience nausea or a loss o...

# 5-Hyperparathyroidism ## Symptoms: - Do you have pain in your bones and joints?: *No* - Have you noticed muscle weakness?: *Yes* - Have you had fractures due to fragile bones in the limbs or spine?: *No* - Have you been diagnosed with kidney stones?: *No* - Do you experience nausea or a loss of appetite?: *yes* - Do you feel increased fatigue?: *Yes* - Do you observe a decrease in muscle tone?: *No* - When did the pain start?: During pregnancy: 6 months - Nationality: Uzbek - Do you regularly use SPF cream?: Yes - How do you assess your skin color?: Rang - What is the conclusion of the scintigraphy?: conclusion ## Laboratory tests: - What is the bone mineral density (Z-score)?: -3 (Normal: -2.5) - Calcium (Ca): 2 mmol/L (Normal: 2.1-2.6 mmol/L) - Blood Phosphorus (P крови): 0.46 mmol/L (Normal: 0.45-2.2 mmol/L) - Alkaline Phosphatase: 317 U/L (Normal: 75-316 U/L) - Parathyroid Hormone (PTH): 14 pg/mL (Normal: 15-65 pg/mL) - Osteocalcin: 45 ng/mL (Normal: 11.0-43.0 ng/mL) - β-CrossLaps: 0.5 ng/mL (Normal: <0.573 ng/mL) - Vitamin D (25-OH-D): 35 ng/mL (Normal: 30-100 ng/mL) - Calcitonin: 5 pg/mL (Normal: 0-5.3 pg/mL) - ALT: 32 U/L (Normal: ≤ 31 U/L) - AST: 30 U/L (Normal: ≤ 31 U/L) - Creatinine: 40 µmol/L (Normal: 44-106 µmol/L) - eGFR: 1.6 (calculated) - Red Blood Cells (RBC): 4 million/mm³ (Normal: 3.9-4.7 million/mm³) - Hemoglobin (HGB): 110 g/L (Normal: 120-140 g/L; pregnant: 105-120 g/L) - Hematocrit (HCT): 0.5 (Normal: 0.36-0.42) - Platelets (PLT): 155 x 10⁹/L (Normal: 150-390 x 10⁹/L)