Treatment Plan

Treatment Plan

– Conservative management:
– Vitamin D supplementation
– Calcitonin
– Bisphosphonates
– Denosumab
– Cinacalcet

Surgical:
Parathyroidectomy is indicated if:
– Symptomatic
– Age <50 years
– Calcium ≥0.25 above normal
– eGFR <60 – Renal stones
– Osteoporosis with fragility fractures

Emergency management:

– Severe hypercalcaemia (>3.41): hospital admission, IV fluids, bisphosphonates