hyperparathyroid investigation - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
USMLE Articles
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam

Thread Tools Search this Thread Display Modes
Old 09-10-2013
USMLE Forums Veteran
Steps History: CS Only
Posts: 219
Threads: 44
Thanked 44 Times in 33 Posts
Reputation: 54
Question hyperparathyroid investigation

the role of imaging in primary hyperparathyroidism

do we need to do imaging studies before surgery to locate the affected gland or only neck exploration is enough? (KLN mentioned both and caused a confusion).

thank you
Reply With Quote Quick reply to this message

Old 09-10-2013
USMLE Forums Master
Steps History: 1+CK+CS
Posts: 634
Threads: 47
Thanked 324 Times in 162 Posts
Reputation: 335

According to UW you need to do a nuclear scan like sestamibi to check out presence of adenoma and its location. If you spot an adenoma, doing, minimally invasive parathyroidectomy under radioguidance should be sufficient. But if nuclear scan is equivocal or negative you'd have to go for neck exploration with intraoperative PTH level estimations.
Reply With Quote Quick reply to this message
The above post was thanked by:
Faith-USMLE (09-11-2013)



Quick Reply

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Please enter a password for your user account. Note that passwords are case-sensitive.
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Where you live. Leave blank if you don't want to tell.


Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Similar Threads
Thread Thread Starter Forum Replies Last Post
Dysphagia Investigation; Barium or Endoscopy! tyagee USMLE Step 2 CK Forum 1 07-14-2012 04:56 PM
back pain, which is the best initial investigation amberafzal USMLE Step 2 CK Forum 4 09-30-2011 02:06 AM
Gold standard investigation for single S2 and holosystolic murmur Ace3 USMLE Step 2 CK Forum 6 07-07-2011 12:20 PM
Which investigation to use for this mitral valve issue? meduploader USMLE Step 3 Forum 1 06-06-2011 05:58 PM
Best Renal Investigation? RRMadukha USMLE Step 2 CK Forum 3 04-26-2010 04:19 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)