How is tx of primary hyperPTH?

-Surgical excision of the abnormal parathyroid glands = the only permanent, curative treatment for PH -There is universal agreement that surgical treatment should be offered to all patients with symptomatic disease -Some controversy exists regarding the optimal management of asymptomatic patients Management of severe hyperCa in the acute setting -Reduction of elevated serum Ca can be accomplished by the use of intravascular volume expansion with sodium chloride and loop diuretics such as furosemide once the intravascular volume is restored -Drugs such as calcitonin and IV bisphosphonate have been used as a temporary measure prior to surgical treatment