증례 challenge · 수술 술식 결정 · 내분비외과 · teaching

원발성 부갑상선기능항진증 · 관찰 대 부갑상선절제 · 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.

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Case #1수술 술식 결정 · 내분비외과

📋 Case data

있음없음 +증상성(신결석, 취약 골절, 뚜렷한 고칼슘 증상)

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

Step 1 / 1 · 있음없음 +

증상이 있습니까? 수술 기준을 충족합니까?

💡 수술 기준(하나라도): 혈청 칼슘이 정상 상한보다 1.0 mg/dL(0.25 mmol/L) 초과, 연령 <50, eGFR <60, 24시간 요 칼슘 >400 mg에 결석 위험 증가, 영상에서 신결석·신석회화, T값 ≤−2.5 또는 척추 골절.

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.