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  • 252.0 Hyperparathyroidism
  • 252.00 Hyperparathyroidism, unspecified
  • 252.01 Primary hyperparathyroidism
  • 252.08 Other hyperparathyroidism
  • 252.02 Secondary hyperparathyroidism, non-renal
  • 588.81 Secondary hyperparathyroidism (of renal origin)
  • Associated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related
    • 315.4 Developmental coordination disorder
    • 718.45 Contracture of joint, pelvic region, and thigh
    • 719.70 Difficulty in walking involving joint site unspecified
    • 728.2 Muscular wasting and disuse atrophy not elsewhere classified
    • 728.89 Other disorders of muscle, ligament, and fascia
    • 729.9 Other and unspecified disorders of soft tissue
    • 780.7 Malaise and fatigue
    • 781.2 Abnormality of gait
    • 782.3 Edema
    • 786.0 Dyspnea and respiratory abnormalities
    • 786.05 Shortness of breath

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  • Index Line 39663 Hyperperistalsis
  • Index Line 39781 Hyperproteinemia
  • Index Line 52101 Myopathy > in (due to) > hyperparathyroidism NEC
  • Index Line 39656 Hyperparathyroidism
  • Index Line 39657 Hyperparathyroidism > primary
  • Index Line 39658 Hyperparathyroidism > secondary (renal)
  • Index Line 39660 Hyperparathyroidism > specified NEC
  • Index Line 39661 Hyperparathyroidism > tertiary
  • E21 Hyperparathyroidism and other disorders of parathyroid gland
  • E21.0 Primary hyperparathyroidism
  • E21.1 Secondary hyperparathyroidism, not elsewhere classified
  • E21.2 Other hyperparathyroidism
  • E21.3 Hyperparathyroidism, unspecified
  • N25.81 Secondary hyperparathyroidism of renal origin

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Description

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Essentials of Diagnosis

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  • Usually diagnosed before symptoms occur via complete blood count (CBC) test
  • Elevated calcium in the blood
  • Elevated parathyroid hormone
  • Decreased phosphorus in the blood
  • Vitamin D deficiency

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General Considerations

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  • May cause pathology in multiple organ systems
    • Gastrointestinal (GI): liver
    • Cardiovascular: heart, peripheral circulation, blood pressure
    • Integument
  • Decreased calcium in the bones
  • May result in secondary problems such as aerobic capacity and muscle endurance impairment, sarcopenia, weakness/impaired muscle performance, musculoskeletal problems, neuromuscular problems, indicating the need for physical therapy intervention depending on severity

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Demographics

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  • Primary type in adults: 1:1,000 in the Unites States2
  • More common in individuals with Columbia descent
  • More common over age 50
  • More common in females after menopause2

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Signs and Symptoms

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