Module 1 Case This case was written by David A . Sandmire, MD and was edited for content for use in this class. Chief Complaint: 3 7 - year - old female complaining of acute pain over her right flank and persistent abdominal pain.
History: A 3 7 - year - old female presents to her physician's office with acute pain over her right flank and persistent abdominal pain. Additionally, she reports a 2 - year history of generalized fatigue and depression associated with dificulty concentrating and significant mood swings. She has no history of drug or alcohol use and no significant family history. Following ultrasound examination, she is diagnosed with a kidney stone. Laboratory tests of serum parathyroid levels reveal an abnormally high parathyroid hormone concentration of 1 2 5 pg / mL . The patient is further diagnosed with hyperparathyroidism and it is determined that exploratory surgery is needed. Once the parathyroid glands have been exposed they are visually and physically examined. On palpation a smalI mass is found on the right inferior parathyroid gland and removed. Parathryoid hormone levels were monitored until returning to normal limits .