Curbside Consults Podcast

Published February 25, 2021

In this episode of Curbside Consults, we discuss the diagnosis and management of primary, secondary, and tertiary hyperparathyroidism with Dr. O.P. Hamnvik, who is an endocrinologist and educator at the Brigham and Women’s Hospital in Boston and the NEJM Group Education Editor.

0:05 – Intro
0:50 – Description of hyperparathyroidism
1:40 – Prevalence of primary hyperparathyroidism
2:00 – Causes of primary hyperparathyroidism
3:20 – Signs and symptoms of primary hyperparathyroidism
4:35 – Laboratory investigations for primary hyperparathyroidism
6:20 – Imaging studies for primary hyperparathyroidism
8:40 – Asymptomatic primary hyperparathyroidism
10:42 – Medical management for primary hyperparathyroidism
11:25 – Complications of parathyroid surgery
12:50 – Long-term follow up post parathyroid surgery for primary hyperparathyroidism
13:00 – Secondary hyperparathyroidism
14:20 – Management of secondary hyperparathyroidism
15:20 – Tertiary hyperparathyroidism
17:30 – Treatment of tertiary hyperparathyroidism
19:03 – Outro

Resources and articles discussed in this episode:

1. Insonga K. Primary Hyperparathyroidism. N Engl J Med 2018.
2. Vodopivec D et al. Looking for the Outsider. N Engl J Med 2020.

The Curbside Consults series complements the foundational information in Rotation Prep by taking a deep dive into key clinical topics with expert clinicians and educators. These podcasts explore and critique the evidence behind clinical practice and break down statistical concepts for the busy clinical trainee.

Dr. Hamnvik is an endocrinologist and educator at Brigham and Women’s Hospital and Harvard Medical School in Boston. He is a core faculty in the HMS endocrine course; an advisor for HMS medical students during their clinical years; an assistant program director for the internal medicine residency program and an associate program director for the endocrinology fellowship program at Brigham and Women’s Hospital; and also involved in several continuing medical education courses.
James is a 2020-2021 NEJM Editorial Fellow and a graduate of the National University of Ireland, Galway. He has a Masters of Science in Evidence-Based Healthcare from University College London and completed Basic Specialist Training in general internal medicine with the Royal College of Physicians in Ireland.