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99mTc-sestamibi dual phase images showing a 4-gland parathyroid hyperplasia.. (a) Tracer uptake by the thyroid and parathyroid glands in the early phase image.. (b) Delated tracer washout from all the hyperplastic parathyroid glands (the arrows), in the late phase image.
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Fig. 1 shows a Sestamibi scan for a patient with secondary hyperparathyroidism.
Changes in Serum Calcium and PTH postoperatively.. Serum Ca: total serum calcium; Ca2: serum ionized calcium level; PTH: Parathyroid hormone.
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Fig. 2 illustrates the patient's changes in serum/ ionized calcium and PTH levels.
Changes in Electrolytes (Phosphorus and Magnesium) Postoperatively.
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That plan involved providing the necessary amount of calcium, closely monitoring her serum levels as well as her weight for an additional few days (Fig. 3, Fig. 4).