9 : HyperParathyroidism

48.5K 1K 42
                                    


Hyperparathyroidism

✔️⬆️PTH
✔️may be due to tumor growth

ASSESSMENT :
1. Hypercalcemia
2. Muscle weakness
3. Constipation
4. Kidney dse, osteoporosis
5. Dysrythmias (cardiac arrest)
- shortened ST and QT interval

MANAGEMENT :
1. Fluids
2. Diuretics
3. Calcitonin ( Calcimar)
4. Surgery

⚜️🔱⚜️

Aviona

The scenes have played so fast in my mind like it all happened in just a day. Sabi nga nila, the past will always have an effect to the present but it must not dictate the scenes that may happen.

I am now a stranger to my past but still a refugee to my own present.

" Avi may update ka na ba sa schedule ni Governor Luke para bukas?" Tanong sa akin ni Claire iyung editor in chief ng newspaper line na pinagtatrabahuan ko. I nodded in reply.

" Ah oo, I will feature it up. Ipapasa ko na din iyung output ko pagkatapos kong isulat bukas na bukas din." I answered in reply.

Ang bilis ng panahon. A year have passed. Maraming nangyari. Pero iisa lamang ang tumatak sa puso't isipan ko. That the governor now had been the man I love. Bitch says you only miss him when you let him go.

Nagtungo kami ni Henry sa capitolyo para kuhanan ang detalye ng pangalawang talumpati ng governador.

A lot of people were there. Pati na rin ang aking kapatid na todo ang suporta kay Luke. Masakit pero kailangan kong tanggapin na hindi na siya para sa akin. Sa katunayan, ako pa ang gumawa nung artikulo patungkol sa love story ng dalawa. Minsan pinapagalitan ko ang aking sarili na kasalanan ko din naman ang lahat. I was the one who made my own decision. I denied him right on the spot and swallowed the fact that I saw it before my own eyes how the heartache affected him so much.

I tried to stay away from him. Iniwasan ko siya hanggat sa makakaya ko. I've been contented with just seeing him from afar and watching him rule the city with great honor. I'm proud of what he had achieved. I'm proud of what he had become. The people loves him. I see him as one of the best governor of our city.

" Miss Avi ano na, tara na ba? Nakahanda na iyung gamit sa sasakyan. Kailangan na din nating umalis dahil baka maabutan pa tayo ng traffic" Wika sa akin ni Henry na may hawak pang tripod. Mabilis kong kinuha iyung mga gamit na kailangan kong dalhin.

" Sige, tara na." Hindi ko na napansin ang oras.

Naabutan nga kami ng traffic. Buti nalang at mukhang makakaabot naman kami sa capitolyo sa oras bago pa man mag-umpisa iyung talumpati ng gobernador.

Kasabay ng pagdating namin ay kapansin pansin din ang pagdating ng kotseng kinasasakyan ng gobernador.

He still looks so handsome and more handsome with his suit. Beside him is my sister. Cassy was wearing a big smile while walking with Luke. Bagay nga talaga sila. I tried to hide my out of place jealousy and held on to the fact that what I am seeing is real.

Nakasunod lamang kami sa likuran nila ng aksidenteng mapatingin siguro si Luke sa likuran niya. Nagsimula ng magcover si Henry ng mga kaganapan kung kayat ako naman ay nakatutok lamang ang mga mata sa gobernador.

In an instant I didn't know how but our eyes met. He saw me looking at him and he directed his attention towards me. It was just for seconds but It seemed like a minute to me.

Naputol ang tinginan namin ng tawagin ako ni Henry.

" Miss Avi, makisingit ka nalang sa loob para mainterview mo si Gov, ako na bahalang sumunod sa 'yo" Wika ni Henry. When I looked back, the governor is already gone. Marahil ay nakapasok na sa capitolyo.

Unholy Sinner  [R-18]Tahanan ng mga kuwento. Tumuklas ngayon