love it, i also love writing my own notes in the illustrations, so i can literally refresh this whole condition in like 3 minutes instead of having to watch the whole video again, it saves so much time.
hi! you explained at 30:30 that the phosphate is high with the tertiary hyperparathyroidism, but at around 52:00 in the picture it says low phosphorus. Are these the same thing that is measured in the blood? because wouldn't it be high phosphate in the blood instead of low phosphorus?
The first explanation is correct, the second updated scheme however is not. both secondary and teritary should have higher amount of phosphate in case of damage to kidneys. @NinjaNerdOfficial made a huge mistake in this case.
at 56:00 he also demonstrated that if you have high phosphate and low calcium, you would suspect vit D deficiency along with CKD, however he should have emphasized on the fact that vit D deficiency will mostly result in low phospherus and low calcium rather than high phosporus and low calcium in the blood.
I joined in order to help myself. I track everything about what is happening with my body as of June 2024. I had covid for the 5th time. At the same time, I had reactivated EBV and my Hashimoto's went from hypo to hyper. I have tiny calcium oxalate every day in my urine, bone pain, fatigue, and apparently bone "islands" in my hips and femur. I went from running 10 miles a day, having the time of my life at age 48 to feeling almost dead. Then I had a dental procedure that put me in the hospital for 4 days. My face swelled up HUGE. They said it was cellulitis and I was on IV Augmentin. Sheesh. My mom doesn't remember the details from 1998 but she had a partial thyroidectomy. She doesn't know if it was parathyroid or thyroid. She basically just takes every medication given to her and eats whatever she wants. She also takes Ozempic. I'm trying to avoid potential genetics. I eat vegetables every day and starch. No dairy, no meat. That was 8 years ago, and that is when I started feeling amazing. Like I said, until June. I'm waiting on an appointment with an endocrinologist. It looks like 4 to 5 months. In the mean time, trying to figure out wtf is going on and make modifications as needed. This channel is my favorite, and I am a youtube junkie. 😂 I am very thankful for this.
As you mentioned in case of primary hyperparath....dism there is high calcium level but low phosphate level and in case of tertiary the clacium is buildup and phosphate also why did you diagnosed primary with tertiray? They are different with their criteria.
I have a small question I would be grateful if anyone knows the answer .. how does high levels of calcium in blood cause constipation and at the same time calcium channel blockers also can cause constipation?
I was gonna die from a heartache when I didn't find the old playlist "endo pathology" but found they put some new video... thank you sooo much
Same 😅
Whenever i miss a lecture, i just type the topic on your channel and you never disappoint. Thanks
love it, i also love writing my own notes in the illustrations, so i can literally refresh this whole condition in like 3 minutes instead of having to watch the whole video again, it saves so much time.
I could never understand this topic no matter how hard I tried, thank you for such a brilliant video!
This was extremely helpful. It took an hour and 25 seconds more than my doctor spent but I also got an hour and 25 seconds more information.
PTH = Phosphate Trashing Hormone.
Thank you always.
Thanks a lot, every seconds in this video worth it 💯
hi! you explained at 30:30 that the phosphate is high with the tertiary hyperparathyroidism, but at around 52:00 in the picture it says low phosphorus. Are these the same thing that is measured in the blood? because wouldn't it be high phosphate in the blood instead of low phosphorus?
I was also wondering the same thing, hopefully there's an explanation before my exam :]!
The first explanation is correct, the second updated scheme however is not. both secondary and teritary should have higher amount of phosphate in case of damage to kidneys. @NinjaNerdOfficial made a huge mistake in this case.
at 56:00 he also demonstrated that if you have high phosphate and low calcium, you would suspect vit D deficiency along with CKD, however he should have emphasized on the fact that vit D deficiency will mostly result in low phospherus and low calcium rather than high phosporus and low calcium in the blood.
Splendid as always
Thank you so much Prof for this excellent lecture ❤
Thanks!
Oh My God!!!!! The diagnosis and treatment were like icing on the cake......👍👍
You rock!!!!!!!!! You made it so easy and I finally understood!!! Congrats from Brazil!
I joined in order to help myself. I track everything about what is happening with my body as of June 2024. I had covid for the 5th time. At the same time, I had reactivated EBV and my Hashimoto's went from hypo to hyper. I have tiny calcium oxalate every day in my urine, bone pain, fatigue, and apparently bone "islands" in my hips and femur. I went from running 10 miles a day, having the time of my life at age 48 to feeling almost dead. Then I had a dental procedure that put me in the hospital for 4 days. My face swelled up HUGE. They said it was cellulitis and I was on IV Augmentin. Sheesh. My mom doesn't remember the details from 1998 but she had a partial thyroidectomy. She doesn't know if it was parathyroid or thyroid. She basically just takes every medication given to her and eats whatever she wants. She also takes Ozempic. I'm trying to avoid potential genetics. I eat vegetables every day and starch. No dairy, no meat. That was 8 years ago, and that is when I started feeling amazing. Like I said, until June. I'm waiting on an appointment with an endocrinologist. It looks like 4 to 5 months. In the mean time, trying to figure out wtf is going on and make modifications as needed. This channel is my favorite, and I am a youtube junkie. 😂 I am very thankful for this.
Excellent as usual!
Thank you very much Prof Zach for such awesome explanation on this topic
Sir, your teaching is just 🔥
Thank you ninja, you are the best teacher ever ❤️
wonderful lecture as always!!
Thank you for helping me gain a better understanding of my recent dx! ❤❤❤
Great video, thanks Ninja Nerd!
my exam is tomorrow and I'm more then happy bc i found your video
Good luck on the exam! - TG
Very well explained... ❤❤❤
Amazing videos as usual thank you much for the efforts this helps me a lot with my exam preparation ❤
As you mentioned in case of primary hyperparath....dism there is high calcium level but low phosphate level and in case of tertiary the clacium is buildup and phosphate also why did you diagnosed primary with tertiray? They are different with their criteria.
U r the best dude big respect to you
Thank you so much,
You are the best
What a hero!
Thank you
You are a great man
thx very useful for complex briefing before seminars
Concept cleared 💯❤
I have a small question I would be grateful if anyone knows the answer .. how does high levels of calcium in blood cause constipation and at the same time calcium channel blockers also can cause constipation?
Does a patient need parathormone after parathyroidectomy?
Great video❤
amazing ❤
Zack is the best
super work
at 47:35 decrease QT interval can cause bradycardia or it will cause tachycardia?
usually associated with tachycardia
Thank you so much 😊
Thanks a lot .. u are the best ❤
Good knowledge
THANK YOU!!
Great 🔥
You are reallythe best
May God guide you to the right ways ( islam)
Hi can this also cause Afib ? Thank you
Thank you
you are amazing
Thankyou
If kidney is damaged in ESRD, how is there active vitamin d
Thats a muy bueno
Is MEN explained in this video?
U r amazingggggggggg how do u do that
High cal low PTH .???
👏🏻👏🏻👏🏻
❤❤
Thanks professor 🙏🙏...why don't you exercise in gym ninja you have to think about your body
Bro the man is literally built like a tank what are you saying
❤
Surg comp.
Med
🤩🤩🤩🤩
🙏🏿
Now throw xlh into the mix!…😂…
💯🥷💯🥷💯🥷💯
❤❤❤❤
Amazing🥹🤍🤍