Article 

Nutritional Secondary Hyperparathyroidism Case Challenge Discussion

Husbandry-related conditions are very common in reptiles, and nutritional secondary hyperparathyroidism is frequently recognized in clinical practice. The discussion portion of this Case Challenge reviews pathogenesis, history, examination findings, and diagnostic test results with radiography, and clinical pathology. Key points of case management are explored, including correction of husbandry and dietary factors, management of hypocalcemia, as well as stabilization and supportive care. Prognosis and prevention are also discussed.