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Old 12-13-2011
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Question Normocalcemic 6 months after parathyroid removal!

A 50-year-old woman complains of a 8-year history of bone pains, anorexia, weight loss, and constipation. Serum calcium is elevated and she is diagnosed with primary hyperparathyroidism. She is treated surgically, with removal of her parathyroid adenoma. She then has a long period of hypocalcemia and requires continuous treatment with vitamin D and calcium. Subsequently, after 6 months she becomes normocalcemic and does not need therapy. Which of the following
conditions best explains these events?

A. Her remaining 3 parathyroid glands were destroyed
B. She has unrecognized pseudohypoparathyroidism
C. She had severe bone disease
D. She has pancreatitis from hyperparathyroidism
E. The wrong parathyroid gland was removed
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Old 12-13-2011
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I would suspect hungry bone syndrome.
So C. she had severe bone disease.
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Old 12-14-2011
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C - bone hungry syndrome ...
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