Interpret PTH in context of serum calcium: high Ca + high PTH = primary hyperparathyroidism; high Ca + low PTH = non-PTH-mediated hypercalcemia; low Ca + high PTH = secondary hyperparathyroidism; low Ca + low PTH = hypoparathyroidism.
Enter the values for the scenario you are assessing. Interpret PTH in context of serum calcium: high Ca + high PTH = primary hyperparathyroidism; high Ca + low PTH = non-PTH-mediated hypercalcemia; low Ca + high PTH = secondary hyperparathyroidism; low Ca + low PTH = hypoparathyroidism. Use the pth interpretation result to inform your calculation.