All right, so we're going to do, it's going to be a little bit short of a podcast today.

We're going to do hyper-thyroidism versus hyperthyroidism.

Still two pretty high-yield topics.

So let's start with primary hyper-perythroidism. so this is going to be caused from an

excess p.thyrrhoid hormone so we know p.th. H regulates the serum

calcium in the body by acting on the bones the kidneys kidneys, the intestines to control the amount of

calcium released into the body.

So in this case it's in excess.

And the most common cause by far is going to be a parathyroid at a noma.

That's going to be about 80 to 85% of all of the cases of primary hyper-perathyroidism.

So that should be your first thought if you see this in a vignette.

That's really important to remember.

Another important one as well that I remember seeing on a lot of exams throughout school

is lithium.

That's another big one that can cause this.

And then it's also seen in Men 1 and men 2 a in the multiple endocrine

neoplasia syndrome so remember that as well not as important but definitely

remember the parathyrid adenoma that's the big one that's almost all of the

cases of this.

So what are we going to see in a patient presenting with hypercalcemia?

So most patients are honestly asymptomatic.

A lot of times it's just an incidental lab finding, but if they do have symptoms,

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