ppt课件-nutrition- r c r m c family medicine residency（营养- r c r m c家庭医学居留权）.pptVIP

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2017-01-25 发布于四川
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ppt课件-nutrition- r c r m c family medicine residency（营养- r c r m c家庭医学居留权）.ppt

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Most commonly caused by chronic kidney disease ?A:if primary hyperparathyroidism is associated with the statement?B:if secondary hyperparathyroidism is associated with the statement?C:if BOTH primary hyperparathyroidism and secondary hyperparathyroidism are associated with the statement?D:if NEITHER primary hyperparathyroidism NOR secondary hyperparathyroidism is associated with the statement Answer ?B: if secondary hyperparathyroidism is associated with the statemen May result in hypercalcemia ?A:if primary hyperparathyroidism is associated with the statement?B:if secondary hyperparathyroidism is associated with the statement?C:if BOTH primary hyperparathyroidism and secondary hyperparathyroidism are associated with the statement?D:if NEITHER primary hyperparathyroidism NOR secondary hyperparathyroidism is associated with the statement Answer ?C: if BOTH primary hyperparathyroidism and secondary hyperparathyroidism are associated with the statement Hyperparathyroidism ?Four parathyroid glands are located behind the thyroid gland. Through the secretion of parathyroid hormone (PTH), these small glands regulate calcium absorption from the gut, calcium secretion by the kidneys and calcium storage in bones. Calcium plays multiple roles within the human body including bone metabolism, nerve function and muscle activity. When serum calcium levels fall,?PTH?secretion increases. If serum levels of calcium are chronically low, the parathyroid glands may hypertrophy as they attempt to produce adequate amounts of?PTH?to maintain a normal calcium level. ?Vitamin D also has an important role in calcium metabolism.?PTH?and vitamin D closely influence each other. Inadequate vitamin D leads to reduced calcium absorption, reduced serum calcium and a reactionary increase in?PTH?production.?Vitamin D is not a true vitamin in the sense that it is not a required part of a human diet. Human skin when exposed to ultraviolet radiation creates vitamin D.?In temperate c