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Related Concept Videos

Hyperthyroidism II: Pathophysiology01:27

Hyperthyroidism II: Pathophysiology

Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH receptors...
The Parathyroid Glands00:59

The Parathyroid Glands

The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by producing...
Graves Disease II: Pathophysiology01:24

Graves Disease II: Pathophysiology

Graves’ disease is an autoimmune disorder characterized by the production of thyroid-stimulating immunoglobulins (TSI) that activate TSH receptors, leading to excessive synthesis and release of thyroid hormones (T3 and T4) and resulting in hyperthyroidism.Among all causes of hyperthyroidism, Graves’ disease is the most common and can happen at any age, though it is more frequent in women. It produces a hypermetabolic state with features such as weight loss, tachycardia, tremor, and heat...
Hyperthyroidism I: Introduction01:25

Hyperthyroidism I: Introduction

Hyperthyroidism is a type of thyrotoxicosis characterized by the thyroid gland's overproduction of the thyroid hormones triiodothyronine (T3) and thyroxine (T4). This hormone excess increases the basal metabolic rate and enhances sensitivity to catecholamines.DiagnosisDiagnosis is based on clinical features and biochemical testing. It typically shows suppressed thyroid-stimulating hormone (TSH) levels below 0.4 mIU/L, with elevated free T3 and/or T4. Additional tests, including thyroid...
Acute Pancreatitis II: Pathophysiology01:21

Acute Pancreatitis II: Pathophysiology

The pathophysiology of acute pancreatitis centers on injury to pancreatic acinar cells, which initiates a cascade of harmful intracellular events.This injury leads to premature activation of trypsinogen to trypsin in the pancreas. Trypsin then activates other digestive enzymes, such as chymotrypsin, elastase, and phospholipase A2, which begin breaking down pancreatic tissue. The resulting autodigestion causes local inflammation, tissue swelling, hemorrhage, and fat necrosis.Injured acinar cells...
Skeleton and Calcium Homeostasis01:21

Skeleton and Calcium Homeostasis

Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.

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Related Experiment Video

Updated: May 22, 2026

Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy
03:57

Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy

Published on: July 14, 2023

[Primary hyperparathyroidism and acute toxic hypercalcaemic crisis].

Angel Gómez Palacios1, Maitane García Carrillo, Borja Barrios Treviño

  • 1Unidad de Cirugía Endocrina, Servicio de Cirugía General y Aparato Digestivo, Hospital de Basurto, Departamento de Cirugía, Universidad del País Vasco, Bilbao, España. angel.gomezpalacios@osakidetza.net

Cirugia Espanola
|May 25, 2012
PubMed
Summary

Patients with acute hypercalcaemia due to primary hyperparathyroidism (PHPT) often have larger tumors and higher calcium and PTH levels. Parathyroidectomy effectively cures PHPT, even in crisis.

Related Experiment Videos

Last Updated: May 22, 2026

Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy
03:57

Generation of Hypoparathyroid Rats via Carbon-Nanoparticle-Assisted Parathyroidectomy

Published on: July 14, 2023

Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Nephrology

Context:

  • Primary hyperparathyroidism (PHPT) is a common endocrine disorder.
  • Acute hypercalcaemia presents a medical emergency.
  • Surgical intervention is the definitive treatment for PHPT.

Purpose:

  • To characterize clinical features and surgical outcomes in PHPT patients experiencing acute hypercalcaemia.
  • To compare these patients with PHPT patients not in hypercalcaemic crisis.

Summary:

  • A prospective study of 158 PHPT patients undergoing parathyroidectomy identified 12 (7.6%) with acute hypercalcaemia.
  • These patients had larger, heavier parathyroid tumors, leading to significantly higher preoperative calcium and parathyroid hormone (PTH) levels.
  • Post-operative outcomes and cure rates were similar between groups, with parathyroidectomy resolving the condition.

Impact:

  • Identifies specific tumor characteristics associated with hypercalcaemic crises in PHPT.
  • Highlights the efficacy of parathyroidectomy in managing severe PHPT presentations.
  • Provides data for improved patient risk stratification and surgical planning.