症例 challenge · Surgical approach decision / Endocrine surgery · teaching

Primary Hyperparathyroidism · Observe vs Parathyroidectomy · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2022 international guideline / AAES

Case #1Surgical approach decision / Endocrine surgery

📋 Case data

Symptoms + surgical criteriaSymptomatic (kidney stones, fragility fracture, marked hypercalcemia symptoms)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Symptoms + surgical criteria

Symptomatic? Meets surgical criteria?

💡 Surgical criteria (any): serum calcium >ULN + 1.0 mg/dL (0.25 mmol/L); age <50; eGFR <60; 24-h urine calcium >400 mg + increased stone risk; imaging shows nephrolithiasis/nephrocalcinosis; T-score ≤−2.5 or vertebral fracture.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.