indications for parathyroidectomy if patient has primary hyperparathyroidism
age less than 50
symptomatic
complications (osteoporosis, CKD, kidney stones)
calcium level at least 1 mg above normal
urinary calcium excretion over 400 mg a day
elevated urine sodium, greater than 20… differential
diuretics
cerebral salt wasting
adrenal insufficiency
causes of renal potassium wasting
diuretics
hyperaldosteronism
RTA
sxs of cerebral salt wasting
hyponatremia
hypovolemia
increased urine sodium, greater than 20