Parathormone

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Onset of Parathormone Deficiency

Determining the Onset of Hypoparathyroidism
Onset	Age-related decline	After trauma such as surgery of the parathyroid gland
Patient’s age	Patients under adequate treatment with anabolic hormones: Elderly men Postmenopausal women	Any age: children (rarely), young adults or elderly people who underwent parathyroidectomy, thyroidectomy or thyroid irradiation
Appearance	Slow, progressive	Acute, sudden, from one day to the next
Physical signs	Signs of osteoporosis: Thinner bones Proneness to bone fractures	Thyroidectomy scar, or Thyroid gland atrophy Signs of osteoporosis:Thinner bones Proneness to bone fractures
Osteoporosis	Only at old age	0 to 15 years after thyroid surgery or irradiation

Complaints of Hypoparathyroidism

Complaints suggestive of Hypoparathyroidism
PSYCHIC complaints
Behavior	Decreased consciousness	Energy	Fatgigue
PHYSICAL complaints
Hair	Dry hair	Adomen	Abdominal pain
Skin	Dry, scaly skin	Nervous System	Tingling and numbness of lips, fingers and toes Excessive tendon reflexes ( patellar, Achilles’ reflexes)
Nails	Brittle nails
Teeth	Children: Weakned tooth enamel Delayed or absnt toth formation	Back	Cervicalgia (neck pain) Dorsalgia (middle back pain) Lumbalgia (lower back pain) Vertebral crushed (proneness)
Breathing	Breathin difficulties (due to muscular spasms of the larynx) Hyperventilation Asphyxia
Face and limbs	Pain in the face, legs and feet	Bones	Soft, painful bones Proneness to spontaneous or pathological fractures Children: rickets and impaired growth
Muscles	Tensed muscles Spasmophilia, muscle cramps Muscle aches Fibromyalgia Spasms through to convulsions and tetany

Physical Signs of Hypoparathyroidism

Possible signs of Hypoparathyroidism
Thyroid	Thyroid gland atrophy at palpation Thyroidectomy scar
Bones	Bowed back (kyphosis) Remnants of bone fractures Vertebral disc hernia
Muscles	Tensed muscles, especially of the chest, back and limbs Spasmophilia cramps: spasms of hand muscles caused by pressure (Compressed with blood pressure armband) Fibromyalgia with positive tender points
Lungs	Superficial breathing Hyperventilation ( faster breathing)
Nervous System	Nervous behavior