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Parathyroid Disorders

Parathyroid Disorders is a topic covered in the Pocket ICU Management.

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First Things First (assess & treat for the following)


  • Does pt have severe hypercalcemia requiring immediate attention?
    • Corrected serum calcium >3.5 above upper limit of normal or ionized calcium level >20% above normal value and
      • Evidence of shock due to volume depletion
      • Mental status changes (psychosis, lethargy, stupor, coma)
      • EKG changes (short QT, arrhythmias)
      • Nausea, vomiting, and abdominal pain
      • Renal failure


  • Does pt have severe hypocalcemia requiring immediate attention?
    • Corrected serum calcium < 7.5 mg/dL or ionized calcium level < 80% of normal values and
      • Frank tetany, laryngospasm, perioral numbness and carpopedal spasms
        • Chvostek’s sign and Trousseau’s sign (which is more specific for hypocalcemia)
      • Arrhythmias: long QT, bradycardia, heart block, cardiac arrest
      • Hypotension, heart failure

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Last updated: May 10, 2010


"Parathyroid Disorders." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders.
Parathyroid Disorders. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders. Accessed March 24, 2019.
Parathyroid Disorders. (2010). In Pocket ICU Management. Available from https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders
Parathyroid Disorders [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2019 March 24]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Parathyroid Disorders ID - 534049 Y1 - 2010/05/10/ BT - Pocket ICU Management UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534049/all/Parathyroid_Disorders PB - PocketMedicine.com, Inc DB - Anesthesia Central DP - Unbound Medicine ER -