https://www.vetsurgeon.org/f/clinical-questions/3246/primary-hyperparathyroidism I have an 8yo JRT which I&#39;ve diagnosed with primary hyperparathyroidism. Clinically just PUPD; bloods = elevated total and ionised Calcium, elevated PTH &amp; low/normal PTHrp. All other biochemistry and haematology normal. Clincal exam normal. My researchen-USTelligent Community 10https://www.vetsurgeon.org/thread/7886?ContentTypeID=1Tue, 06 Oct 2009 16:16:07 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:ea7bf38f-f221-4b80-8be2-0e2dec1a196eMalcolm Ness<p>Primary hyper PTH is usually due to a single parathyroid tumour - typically an adenoma and consequently surgical removal is the treatment of choice as it offers full and permanent resolution. The surgery is usually very straight forward - although cases of ectopic parathyroid have been reported, they appear to be quite rare and usually it is easy to identify, by palpation, the offending gland which is then removed without incident.</p> <p>Perioperative medical management shouldn&#39;t be ignored - wash-out the hyper calcaemia with isotonic saline before surgery and keep a really close eye out for post op hypO calcaemia (even if you have removed only one of the four PT glands) Half life is short so start looking for hypocalcaemia very early (first test while you are stitching up.</p> <p>An approachable account&nbsp;of the surgery and its associated medical ramifications is to be found in Fossum&#39;s&nbsp;SA surgery text book.</p> <p>Good luck!</p> <p>Malcolm N&nbsp;</p><div style="clear:both;"></div>