Hello and welcome back to Ackrak. I'm Jed Wolpaw, and we are back with another fantastic keyword

episode with the one and only Dr. Tim Kastura.

And we today are going to talk about central and peripheral nervous system anatomy.

Super high yield.

Lots of questions on this come up on ITEs and board exams all the time.

So Tim, thanks for coming back to tackle this one.

My pleasure as always.

And I promise we'll get to the nervous system anatomy, but I have a couple things to take care of at the top. First, I will a big thank you to Crystal Wang, one of our amazing Hopkins medical students. She helped me comb through the entire ABA content outline and all the ACRAC episodes to better understand what we've covered well so far and what still needs to be covered on the keyword episode. So thank you again. It was a big effort. Thanks, Crystal. That's awesome. And I'd like to make a plug again for any request for

topics or comments about the keyword episode. Send those to ACRAC at ACRAC.com. Please do.

Second, spending some time in the archives gave me an idea to kick off the keyword episodes.

We're going to do a little spaced repetition and reinforce some previous concept.

So Jed, sorry to put you on the spot right from the top of the episodes, but it's time to review some old questions.

I love this. I think this is

fabulous. Let's do it. All right. Number one, a patient with a hyperfunctional benign parathyroid

adenoma has undergone a successful parathyroidectomy with no apparent intraoperative complications.

Which of a following is standard of care postoperatively for this patient? A, phosphorus infusion for at least 14 hours, B, intermittent monitoring of calcium with repletion as necessary, or C, intermittent monitoring of potassium with repletion as necessary.

Great. Taking us back to our endocrine episode. And so hopefully folks remember that when we have a parathyroidectomy or a thyroid

ctomy for that matter, the concern is that there may be not enough parathyroid hormone left,

parathyroid organ left to allow calcium homeostasis, and so calcium can get very low.

And so the main thing we want to be thinking about is monitoring calcium, and then, of course, we're pleading it as necessary. And if

you've ever seen someone who is profoundly hypalcemic after one of these surgeries, it is not

hard to miss. They get all the classic signs. They can't open their hands. They get tetanus.

...