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Wheeless' Textbook of Orthopaedics
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Laboratory Diagnosis of Hyperparathyroidism



    - hypercalcemia;
    - hypophosphatemia   (borderline low);
    - increased PTH level;
    - increased alkaline phosphatase (because bone formation occurs in response to the destruction);
    - increase in chloride-phosphorus ratio (ratio > 33 is c/w hpt)

- Misc Labs:
    - increase in the urinary PO4 concentration;
    - increase in urinary Ca excretion;





Original Text by Clifford R. Wheeless, III, MD.