Anatomy & Physiology: The Unity of Form and Function, 7th Edition

Published by McGraw-Hill Education
ISBN 10: 0073403717
ISBN 13: 978-0-07340-371-7

Chapter 17 - Section 17.7 - Study Guide - Assess Your Learning Outcomes - Page 670: 3

Answer

**Effects of Hypoparathyroidism**: Hypoparathyroidism occurs when the parathyroid glands produce insufficient parathyroid hormone (PTH), which plays a crucial role in regulating calcium and phosphorus levels in the body. The effects of hypoparathyroidism include: 1. **Hypocalcemia**: The most significant effect of hypoparathyroidism is low levels of calcium in the blood (hypocalcemia). PTH normally stimulates the release of calcium from bones and enhances calcium absorption from the intestines. With reduced PTH levels, calcium levels drop, leading to various symptoms: - Muscle cramps and spasms - Tingling and numbness in extremities (paresthesias) - Muscle weakness - Tetany (prolonged muscle contractions) - Convulsions and seizures (in severe cases) 2. **Hyperphosphatemia**: With decreased PTH, the kidneys may not excrete excess phosphorus effectively, leading to elevated levels of phosphorus in the blood (hyperphosphatemia). Elevated phosphorus levels can contribute to the formation of calcium-phosphate crystals in soft tissues and organs. 3. **Bone Health**: Reduced PTH levels can result in decreased bone resorption (breakdown) and impaired bone remodeling. This can lead to weakened bones and an increased risk of fractures. **Effects of Hyperparathyroidism**: Hyperparathyroidism occurs when the parathyroid glands produce excessive amounts of PTH. There are two main types: primary and secondary hyperparathyroidism. The effects of hyperparathyroidism include: 1. **Hypercalcemia**: The primary effect of hyperparathyroidism is elevated levels of calcium in the blood (hypercalcemia) due to increased bone resorption and increased calcium reabsorption from the kidneys. High calcium levels can lead to various symptoms: - Fatigue and weakness - Constipation - Kidney stones (calcium oxalate or calcium phosphate stones) - Confusion and cognitive disturbances - Muscle pain 2. **Bone Resorption**: Excessive PTH stimulates bone resorption, leading to weakened bones and an increased risk of fractures. 3. **Calcium Deposition**: Over time, hyperparathyroidism can result in abnormal calcium deposition in soft tissues and organs, leading to conditions like calcifications and kidney stones. 4. **Secondary Effects**: Secondary hyperparathyroidism can occur as a result of other conditions, such as chronic kidney disease, where the parathyroid glands become overactive in response to low calcium levels. This can exacerbate bone loss and contribute to mineral imbalances. It's important to note that both hypo- and hyperparathyroidism are medical conditions that require proper diagnosis and management by a healthcare professional. Treatment may involve medications, dietary changes, and in some cases, surgical intervention to restore proper parathyroid function and maintain appropriate calcium and phosphorus levels in the body.

Work Step by Step

**Effects of Hypoparathyroidism**: Hypoparathyroidism occurs when the parathyroid glands produce insufficient parathyroid hormone (PTH), which plays a crucial role in regulating calcium and phosphorus levels in the body. The effects of hypoparathyroidism include: 1. **Hypocalcemia**: The most significant effect of hypoparathyroidism is low levels of calcium in the blood (hypocalcemia). PTH normally stimulates the release of calcium from bones and enhances calcium absorption from the intestines. With reduced PTH levels, calcium levels drop, leading to various symptoms: - Muscle cramps and spasms - Tingling and numbness in extremities (paresthesias) - Muscle weakness - Tetany (prolonged muscle contractions) - Convulsions and seizures (in severe cases) 2. **Hyperphosphatemia**: With decreased PTH, the kidneys may not excrete excess phosphorus effectively, leading to elevated levels of phosphorus in the blood (hyperphosphatemia). Elevated phosphorus levels can contribute to the formation of calcium-phosphate crystals in soft tissues and organs. 3. **Bone Health**: Reduced PTH levels can result in decreased bone resorption (breakdown) and impaired bone remodeling. This can lead to weakened bones and an increased risk of fractures. **Effects of Hyperparathyroidism**: Hyperparathyroidism occurs when the parathyroid glands produce excessive amounts of PTH. There are two main types: primary and secondary hyperparathyroidism. The effects of hyperparathyroidism include: 1. **Hypercalcemia**: The primary effect of hyperparathyroidism is elevated levels of calcium in the blood (hypercalcemia) due to increased bone resorption and increased calcium reabsorption from the kidneys. High calcium levels can lead to various symptoms: - Fatigue and weakness - Constipation - Kidney stones (calcium oxalate or calcium phosphate stones) - Confusion and cognitive disturbances - Muscle pain 2. **Bone Resorption**: Excessive PTH stimulates bone resorption, leading to weakened bones and an increased risk of fractures. 3. **Calcium Deposition**: Over time, hyperparathyroidism can result in abnormal calcium deposition in soft tissues and organs, leading to conditions like calcifications and kidney stones. 4. **Secondary Effects**: Secondary hyperparathyroidism can occur as a result of other conditions, such as chronic kidney disease, where the parathyroid glands become overactive in response to low calcium levels. This can exacerbate bone loss and contribute to mineral imbalances. It's important to note that both hypo- and hyperparathyroidism are medical conditions that require proper diagnosis and management by a healthcare professional. Treatment may involve medications, dietary changes, and in some cases, surgical intervention to restore proper parathyroid function and maintain appropriate calcium and phosphorus levels in the body.
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