Serum Level Screening

Normal


Abnormality with Hypoparathyroidism
PTH
10-65 pg/mL
<10 pg/dL
Serum Calcium
8.6-10.3 mg/dL
<8.5 mg/dL
Serum Ionized Calcium
4.5-5.1 mg/dL
<4.5 mg/dL


(Sommers,2011, p. 538).


High Phosphorus: Once renal failure, intestinal disorders or nutritional deficiencies are ruled out, high phosphorus is tied to hypoparathyroidism. (McCance & Huether, 2008, p. 460). It is elevated along with hypocalcemia that is associated with hypoparathyroidism (Sommers, 2011, p.538).

Magnesium: Normal serum levels measured to rule out other disorders (Moore, 2007).

Creatinine: Normal serum levels measured to rule out other disorders (Moore, 2007).

external image high-blood-pressure-tests.jpg
http://medicalimages.allrefer.com/large/high-blood-pressure-tests.jpg

Other Diagnostic Tests
ECG: Used to detect arrhythmia's that would be caused by hypocalcemia related to hypoparathyroidism (Mayo Clinic, 2012), often a prolonged QT interval (Sommers, 2011, p. 538).

Urine calcium: Looking for excess calcium excreted in the urine as a result of hypoparathyroidism (Mayo Clinic, 2012c).

Computed Tomography: Used to determine an increased bone density (Sommers, 2011, p. 538).

Bone Density Test and X-rays:Used to determine if abnormal calcium levels affected the strength of bones (Mayo Clinic, 2012c).

In order for a diagnosis of hypoparathyroidism in children, tooth development and developmental milestones should be compared to the norm for the age. (Mayo Clinic, 2012c).


Bone density scan
Bone density scan

http://health.allrefer.com/health/osteoporosis-bone-density-scan.html
Katie McGuigan