AMA Criteria for Permanent Impairment Associated with Hyperparathyroidism

Hyperparathyroidism may cause impairment that can be measured using the AMA criteria.

Parameters:

(1) hypercalcemia and response to therapy

(2) symptoms

Symptoms:

(1) nausea and vomiting

(2) polyuria

(3) lethargy, with coma in severe cases

(4) constipation

(5) bone pain

(6) renal calculi

(7) renal failure

Hypercalcemia	Symptoms	Impairment of the Whole Person
minimal, no therapy required	none	0%
therapy very effective	none with therapy	0 - 14%
partially effective	mild nausea and polyuria	15 – 29%
therapy ineffective with severe hypercalcemia	nausea and lethargy (severe)	30 – 90%

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