Markus2009
Forum Senior
Topics: 9
Posts: 189
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A 58 yo woman with diagnosis of a single parathyroid adenoma declines elective parathyroidectomy and elects to have close medical follow up. While doing so, it would be advisable for her to be placed on which of the following therapies:
a. Estrogen replacement
b. Long-term calcitonin
c. Low calcium intake
d. Low-dose thyazides
e. Vitamin D analogues
Would be great if you explain your answer.
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| Justice
Forum Fanatic
Topics: 101
Posts: 1,969
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a. Estrogen replacement - will prevent bone Ca loss...
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| dr.wad
Forum Senior
Topics: 3
Posts: 335
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why not calcitonin>> to avoid the hazards of estogen.
also calcitonin can lower the calcium levels.
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| aspire
Forum Senior
Topics: 24
Posts: 158
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A is the right answer, I believe.
As per washington manual, for chronic management of hypercalcemia:
thiazides should not be uses.
dietary calcium need not be restricted.
in postmenopausal women estrogen replacement therapy preserves bone mass with minimal effects on serum ionized calcium or PTH levels.
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| inkspot
Forum Guru
Topics: 26
Posts: 559
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in acute hypercalcemia thiazides are given after iv saline.
A or D .
why cant thiazide be given in low doses ? that would certainly reduce the overload. ( not that estrogen is a bad idea )
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