A 28-year-old lady presented with nausea, vomiting and abdominal pain. X-Ray was done which showed centrally located lytic lesions in metacarpals as shown. Next line of management will be:
Above x ray depicts- Classical and pathognomic feature of hyperparathyroidism is subperiosteal coical resorption of middle phalanges on radial aspect. Don't confuse it with enchondroma because middle age and female gender point it more towards hyperparathyroidism. Parathyroid hormone and serum calcium levels measurement is required to confirm the diagnosis.
Bone curettage with bone grafting
Extended curettage with phenol
Extended curettage with bone grafting
Parathyroid hormone and serum calcium levels measurement
Metabolic disorders - 1