Anuva Rani 70yrs woman presents with post myocardial infraction after 6 weeks with mild CHF.There was past H/O neck surgery for parathyroid adenoma 5 years ago.ECG shows slow artrial fibrillation.Serum Ca+2 13.0mg/L and urinary Ca+2 is 300mg/24h.On examination their is small mass in the para tracheal position behind the right clavicle.Appropriate management is-

Question

TuteeHUB · Accepted Answer

Repeat neck surgery

TuteeHUB · Answer

Observation and repeat serum Ca+2 in two months

TuteeHUB · Answer

Ultrasound - guided alcohol injection of the mass

TuteeHUB · Answer

Treatment with technetium-99

1.	Anuva Rani 70yrs woman presents with post myocardial infraction after 6 weeks with mild CHF.There was past H/O neck surgery for parathyroid adenoma 5 years ago.ECG shows slow artrial fibrillation.Serum Ca+2 13.0mg/L and urinary Ca+2 is 300mg/24h.On examination their is small mass in the para tracheal position behind the right clavicle.Appropriate management is-
A.	Observation and repeat serum Ca+2 in two months
B.	Ultrasound - guided alcohol injection of the mass
C.	Repeat neck surgery
D.	Treatment with technetium-99
Answer» C. Repeat neck surgery

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