Hyperparathyroidism and the different types, causes, pathophysiology, treatment

[@patchworkpig89]

This is the first and best time I have ever understood this topic, so much thanks to you Armando! You have been teaching me since my first year of college and now I'm in my third year of MD school! 7 years of fabulous biology and medicine training. Please continue!!! I will always come to your channel first when I don't understand something.

[@desifeminism4576]

Hey. Love LOVEE your lectures but especially the ones in which you literally draw everything from your hand like the graves disease one!!!! Your art is beyond amazing not to mention the calligraphy skills!!! All in all, perf!!!!

[@johnwong1679]

Thank ya

[@kimmd7572]

been watching these videos from my undergraduate now even in my postgrad I still refer to them for understanding....

[@lolhappyOO7]

Thank you so much for this explanation- no where else put it all together in such a succinct and absorbable way. Got it now.

[@elekwachiemezikam7898]

Thank you Armando. Thank heavens I found your videos. your lessons are so comprehensive and precise. And I love your artistic drawings... the fact you draw right out of you head. I'm wowed.

[@tasnubatarannum8944]

What a presentation!!!!thank you for saving time.Ma Sha Allah.

[@maryreinhardt8661]

Thank you for explaining this so very clearly for somebody who had never heard of the paeathyroid gland before, much less that it could be disordered.

[@learnwithsaim8319]

Very informative and conceptual content provided by sir armando

[@lindan728]

Could you please address thyroidectomy and the difficult aftereffects of TSH levels

[@yiguy5ed6ugh8h7]

Thank you so much! I hope for you a good day sir!

[@joaovitorpimentel2140]

Excellent video! Thanks a lot.

[@rabiul_awal_ovi]

Can you Give us The Page you written the entire thing...That will help for a quick recap

[@ঞ্জ]

right

[@ginac4447]

Great lecture! One thing I wish you had gone over is Normocalcium/normoPTH hyperparathyroidism, as it is pretty common. Would have also liked to understand the timing of it all. Instantaneous? Minutes/hours? Just to understand the feedback loop and how long it takes to correct. Your videos are surely an amazing way to learn!

[@KarthiKarthi-bp2qw]

Paravau ye rnjkiyybdrukkitai

[@aceoffice776]

I also want to know about normal calcium and vitamin D with high PTH. I have unilateral renal agenisis with high blood pressure along with primary aldosteronism ( low renin normal aldostrone). I find it difficult to gain information..

[@chandansaloni]

Brilliant explanation 🙏🏼

[@kay-8648]

Thank you for the lecture!

[@foxy12746]

Love u Armando hassudugan a very beautiful presentation of hyperparathyroidism first time in life I get crystal clear concept of this topic ❤❤❤

[@justgostudy1908]

Can you make a video on the diabetic foot?

[@qamarfallatah8636]

Thank you, it’s real beneficial❤️

[@aleenamaria1838]

Very informative lecture. Thankyou.

[@michaelknight2721]

What are the digestive symptoms of primary hyperparathyroidism

[@DoesWhatItLikes]

Thank you! So helpful

[@iribagizavictoire4422]

Thank you, the video is very helpful .

[@david9840]

5:15 Why do calcimimetics work to make the parathyroid think there’s too much calcium? Previously the video said that the negative feedback mechanisms aren’t working.

[@waseemumer8923]

Great job

[@Tinyteacher1111]

Thank you. That explains a lot.

[@destinaaydemir4919]

Hey is everything good? You sound not that enthusiastic/energetic anymore.. I started yachting your videos like 7 years ago and back then you sounded super optimistic. I hope you are doing well! Greetings

[@armandohasudungan]

Hey thanks for the feedback, haha im good thanks.

[@foxy12746]

@@armandohasudungan love u you are a blessing to us with great lecture

[@david9840]

He’s a doctor. They all sound tired and burned out.

[@thisumamarasinghe8171]

very comprehensive lec

[@alinaimran9514]

Excellent

[@fatherofmyson7854]

Very well explained thank u Sir ❤️😊

[@B.O.Z.5]

Thanks for the class video and catchy presentation, Armando! At 08:12 I have a little stoked, because you speak here to the vitamin D deficiency correction only of ergocalciferol (vitamin D2). However, the deficiency could also be corrected by cholecalciferol (vitamin D3) through UV-B rays of the sun, as far as available and possible, as well as through diet (Vitamin D3 from fatty sea fish, etc.) or through vitamin D3 supplements (which according to studies act more potent than vitamin D2 supplements). What is your opinion on this? Thank you and keep up the good work!

[@pupreti3094]

Thank you, you really made is easy to understand

[@phatman38th]

Thank you for the lesson! I was wondering why calcimimetics are used as a treatment option for tertiary HPT if hypercalcemia is a feature?

[@iribagizavictoire4422]

It's administered after the removal of a parathyroid gland

[@shashwatchavan1690]

So, calcimimetics are used for secondary as well as ar tertiary hyperparathyroidism because they act as an allosteric activation of calcium receptors. In other words imagine a restless drug addict whom we are giving a replacement drug to keep him in peace and to not cause a ruckus . in this case the activated parathyroid gland is a drug addict who is wondering why calcium levels are not increasing inspite of him releasing PTH so we keep the parathyroid gland in peace by tricking it to believe by giving calcimimetics that “bro , don’t release more PTH there is normal level of calcium in the blood “ but in fact calcium is decreased in blood it’s just that we’re tricking the parathyroid by giving calcimimetics that calcium is normal and it doesn’t need to activate any further.

[@caligirlmarti]

My Intact Parathyroid Hormone level is high, but, my calcium and phosphorous levels are great. So I'm confused and worried about it. I have an appointment with my Endocrinologist in May.

[@manal9514]

Thank you! 🙏🏻

[@jeny2500]

What is calcitonin’s role in hyperparathyroidism? Does it try to bring down the calcium?

[@scienceqila3993]

You're all amazing Armando! Super interesting,your all content! Tons of love from "SCIENCE QILA" team! And dear Armando,your way of teaching and writing style is changed,why???

[@armandohasudungan]

I know it is a shame. I may do drawings intermittently :)

[@scienceqila3993]

@@armandohasudungan You've been a wonderful mentor through out all our medical career! You're doing great job Sir❤ You are pride for us💖 Gratitude for the feedback 💞

[@beautyqueenndiy1052]

I really need an answer for this question please , so in secondary and tertiary hyperparathyrodism what is the levels of phophosphate and calcium in urine ?

[@fantanabe2141]

Where can I find this note for printing out.

[@mngunicyphril1353]

danko... meaning thank you in south african language!!!

[@mataramasukomaya]

Nice one and Thank You!

[@g.s.5868]

many pills to try this of that and that will cause more problems in the future.... what is the root cause & solution ?

[@tomprovan50]

fantastic

[@annotatedmedicaltutorials858]

Great work Dr

[@baderj.akhter-vo1pf]

Hi I want to know, how much vit D I need to take. I have primary hyper parathyroid

[@musthafamd5716]

Hope you will make a video of explaining displacement of uterus

[@M.F.118]

Please also make hyoparathyroidism, hyperthyroidism, hypothyroidism

[@sachinvijayan]

Thank you for the video

[@sumayyashaheen6208]

Thank you

[@qayssyounis4177]

always different and beneficial

[@heenasaifi8506]

Can u please explain about syphilis.. Make a viodeo on syphilis

[@vedtiwari5884]

Hey!! My mom as high pth level as 450 but low calcium level 8.1mg/dl and phosphate 2.31 mg/dl what type is it??

[@MultiMaulana123]

How to make video like this?

[@_---_539]

Love the video Armando, I subscribed first time I watched one. Small addition at 3:45, MEN 2a associated not 2b. Keep up the good work!

[@nihalmohammed6674]

LOW calcium & HIGH phosphates level

[@nomars4827]

I have high 96 pg/ml PTH ! High 88 ng/ml 25Oh-vitaminD ! And normal calcium 2,39 mM/ml and phosphorus 1,39 mM/ml levels What can it be?

[@financewitholive9900]

Test coming up

[@veletzasmicromalakos9568]

Top

[@iceyred6668]

cede Pterps

[@iceyred6668]

cede Pterps go!

[@samadali5532]

❤❤❤

[@fitrinuraeni3625]

Sub Indonesia, please :(

[@Dr.djouhainadadi1460]

First comment

[@tajammulhussain4772]

Great

[@danielfreeman8136]

I down-voted this video. A liitle knowledge is a bad thing. As @Gina C commented you've only covered 75% of primary cases. In my case, my Calcium is high (I also have skeletal issues and kidney stones), and my 25 Hyroxy Vitamin D is low. But my PTH is in normal range. As a patient... It's difficult to find an endocrine specialist who has a complete knowledge of their subject.

[@vixxp2856]

Looks like you have a kidney issue, because the kidneys excrete Ca (which is high in your case) and activate the enzyme which produces calcitriol, which is the active form of vitamin D. Your hypercalcemia causes low or normal levels of PTH. You should check your phosphate levels, if they're also high it's probably a problem with the kidneys, probably the kidney stones cause an issue because everything that comes out in urine seems to be blocked? That's my view from what I know by now. It could also be osteoporosis, where the oscteoclasts release too much Ca from the bones into the blood, which causes hypercalcemia. I'm sorry for my english btw, it's not my first language.

[@catchmykunai135]

@@vixxp2856the thing is if the kidneys were in question then he would be calcium deficient which is secondary hyperparathyroidism. If his PTH is normal and calcium is high then it’s more or so a form of cancer yet to be discovered.

[@marcyk.empson6975]

Did you find out what kind your is/was and the cause? I can relate to everything you've gone is happening to me now. I started fx major bones 15 years ago in my late 20's and went into heart failure at age 33 and now kidney stones, calcium deposits, etc...

[@iceyred6668]

cede Pterps go! //nd.D

[@somebody5126]

Thank you