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Question 3
•A patient is sent to the ED from his doctor’s office because of hypocalcemia. One would expect all of the following EXCEPT
A.Chvostek’s sign
B.Muscle spasms
C.Prolonged QT interval
D.Tinel’s sign
E.Weakness
Answer & Comments
•D
•Comments:
–The severity of signs and symptoms of hypocalcemia depends greatly on the rapidity of the fall of the calcium.
–Hypocalcemia is uncommon in the ambulatory setting unless the patient recently had surgery and is hypoparathyroid or has chronic renal disease.
–Symptoms of hypocalcemia include weakness, fatigue, perioral paresthesias, muscle spasms, and impaired memory.
–Hypocalcemia should be considered in refractory heart failure.
–Chvostek’s and Trousseau’s signs are evidence of hypocalcemia.
–A positive Tinel’s sign signals carpal tunnel syndrome.
•A patient is sent to the ED from his doctor’s office because of hypocalcemia. One would expect all of the following EXCEPT
A.Chvostek’s sign
B.Muscle spasms
C.Prolonged QT interval
D.Tinel’s sign
E.Weakness
Answer & Comments
•D
•Comments:
–The severity of signs and symptoms of hypocalcemia depends greatly on the rapidity of the fall of the calcium.
–Hypocalcemia is uncommon in the ambulatory setting unless the patient recently had surgery and is hypoparathyroid or has chronic renal disease.
–Symptoms of hypocalcemia include weakness, fatigue, perioral paresthesias, muscle spasms, and impaired memory.
–Hypocalcemia should be considered in refractory heart failure.
–Chvostek’s and Trousseau’s signs are evidence of hypocalcemia.
–A positive Tinel’s sign signals carpal tunnel syndrome.
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