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{| class="wikitable"
{{familytree/start |summary=Sample 1}}
! colspan="3" |Factors influencing sensitivity of sestamibi-SPECT scan
{{familytree | | | | | | | | | | | | | | | | A01 |A01=Hypercalcemia}}
|-
{{familytree | | | | | | | | | |,|-|-|-|-|-|-|^|-|-|-|-|-|-|.| | | }}
| colspan="2" |'''Factors'''
{{familytree | | | | | | | | | B01 | | | | | | | | | | | | B02 | | |B01=Related to Parathyroid gland|B02=Unrelated to parathyroid gland}}
|'''Sensitivity'''
{{familytree | | | | |,|-|-|-|-|+|-|-|-|-|.| | | | | | | | |!| }}
|-
{{familytree | | | | C01 | | | C02 | | | C03 | | | | | | | |!|C01=Primary hyperparathyroidism|C02=Secondary hyperparathyroidism|C03=Tertiary hyperparathyroidism}}
| rowspan="4" |'''Biochemical factors'''
{{familytree | | |,|-|^|-|.| | | | | | | | | | | | | | | | |!| | }}
|High serum calcium level
{{familytree | | D01 | | D02 | | | | | | | | | | | | | | | |!| | |D01=Typical primary hyperparathyroidism|D02=Familial hypocalciuric hypercalcemia}}
|Increased
{{familytree | | | | | | | | | | | | | | | | | | | | | | | |!| | |}}
|-
{{familytree | | | | | | | |,|-|-|-|-|-|-|-|v|-|-|-|-|-|v|-|^|-|-|-|-|v|-|-|-|-|.| | |}}
|High serum parathyroid hormone level
{{familytree | | | | | | | E01 | | | | | | E02 | | | | E03 | | | | | E04 | | | E05 | |E01=Malignancy|E02=Medication induced|E03=Nutritional|E04=Granulomatous disease|E05=Surgical}}
|Increased
{{familytree | | | | | |,|-|^|-|.| | | |,|-|^|-|.| | |,|-|^|-|.| | | |!| | | | |!|}}
|-
{{familytree | | | | | F01 | | F02 | | F03| | F04| | F05 | | F06 | | F07 | | | F08| |F01=Para-neoplastic syndrome: Parathyroid hormone related peptide|F02=Metaplasia: Hypercalcemia due to bone destruction|F03=Thiazide diuretics|F04=Lithium|F05=Milk alkali syndrome|F06=Vitamin D toxicity|F07=Sarcoidosis|F08=Immobilization}}
|Vitamin D deficiency
{{familytree/end}}
|Increased
 
|-
=Codes=
|Calcium channel blocker use
<div style="text-align: center;">'''Corrected total calcium = measured total calcium + 0.8 (4.0 − serum albumin)''' </div>
|Decreased
 
|-
 
| rowspan="2" |'''Gross architectural factors'''
<div style="width: 70%;">
|Size (Larger)
 
|Increased
<br style="clear:left" />
|-
 
|Multi-glandular disease
==References==
|Decreased
|-
|'''Cytological factors'''
|Increased amount of cellular content
(Chief cells and oxyphil cells)
|Increased
|-
|'''Immunohistochemical factors'''
|Increased P-glycoprotien expression
|Decreased
|}

Latest revision as of 15:49, 5 March 2018

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Hypercalcemia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Related to Parathyroid gland
 
 
 
 
 
 
 
 
 
 
 
Unrelated to parathyroid gland
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Primary hyperparathyroidism
 
 
Secondary hyperparathyroidism
 
 
Tertiary hyperparathyroidism
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Typical primary hyperparathyroidism
 
Familial hypocalciuric hypercalcemia
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Malignancy
 
 
 
 
 
Medication induced
 
 
 
Nutritional
 
 
 
 
Granulomatous disease
 
 
Surgical
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Para-neoplastic syndrome: Parathyroid hormone related peptide
 
Metaplasia: Hypercalcemia due to bone destruction
 
Thiazide diuretics
 
Lithium
 
Milk alkali syndrome
 
Vitamin D toxicity
 
Sarcoidosis
 
 
Immobilization
 

Codes

Corrected total calcium = measured total calcium + 0.8 (4.0 − serum albumin)



References

Retrieved from "https://www.wikidoc.org/index.php?title=Sandbox:ap&oldid=1451595"