Question

A 60-year-old man presents with polyuria, polydipsia and hypercalcaemia. He is diagnosed with primary hyperparathyroidism. Which definitive treatment is recommended according to NICE if symptomatic and suitable

Accepted Answer

Parathyroidectomy

Answer

Bisphosphonate therapy only

Answer

Cinacalcet

Answer

No intervention unless calcium is above 4 mmol L

Answer

IV normal saline infusion long-term

Practice question

A 60-year-old man presents with polyuria, polydipsia and hypercalcaemia. He is diagnosed with primary hyperparathyroidism. Which definitive treatment is recommended according to NICE if symptomatic and suitable