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PPT on Hypoparathyroidism akki


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PPT on Hypoparathyroidism akki

  1. 1. Hypoparathyroidism By- Mr. ASHOK DHAKA BISHNOI Director ,JINC
  2. 2.  The parathyroid glands release a chemical (hormone) called parathyroid hormone. This hormone helps to control the levels of two salts in the body: calcium and phosphorus  Normal level of serum Calcium is:- (9-10.5 mg/dl)  Normal level of phosphorous is 2.5-4.5 mg/dl Introduction:-
  3. 3. “”It occur due to hypo-secretion of PTH By parathyroid gland Characterized by decrease calcium level & Hyperphosphetemia”” Meaning:-
  4. 4. 1. Acquired hypoparathyroidism 2. Transient hypoparathyroidism (occurs most commonly in babies who are born too soon (prematurely) 3. Congenital hypoparathyroidism DiGeorge's syndrome (The parathyroid glands do not develop properly while the baby is growing in the womb) 4. Inherited hypoparathyroidism (caused by an inherited problem caused by chemicals called antibodies attacking the parathyroid gland. This is called an autoimmune illness) Types/Classification:-
  5. 5.  Tumor of thyroid gland  It can occur following thyroidectomy because of removal of parathyroid tissue Etiology:-
  6. 6.  Hypocalcemia & hyperphasphatemia  Dry hair, rough pale skin Hair loss  Cold intolerance (you can't tolerate cold Due to hypocalcemia there is sign of Tetany:- ◦ Carpopedal spasm ◦ Bronchospasm ◦ Laryngospasm ◦ Visual disturbance ◦ Seizures  Numbness & tingling in the face  Muscle cramps & cramps in the abdomen & or in the extremities C/M:-
  7. 7.  Positive Trousseau’s sign ( When we inflate the BP cuff on arm (Inflate above systolic) then there is spasm/contraction of finger of that arm.
  8. 8.  Positive Chevostek sign:-Contraction of facial muscle when light tapping of facial nerve in front of the ear.
  9. 9.  Monitor vital sign  Administer Calcium gluconat or calcium chloride for hypocalcaemia  Vit. D (To enhances the absorption of cal from GI tract)  Administer Phosphate binder (to promote excretion of phosphate from GI tract) Management:-
  10. 10. S/M:-  Keep ready article Treacheotomy /Intubation on bed side  Hormonal replacement therapy Diet:-High cal ,Vit D, Low phosphate Instruct the client to wear a medic-alert bracelet