Hypocalcemia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hypocalcemia}} | {{Hypocalcemia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{VKG}} | ||
==Overview== | ==Overview== | ||
The clinical manifestations of hypocalcemia depend on the degree of | The clinical manifestations of hypocalcemia depend on the degree of hypocalcemia. Common physical examination findings of [disease name] include Chvostek's sign, Trousseau's sign, and circumoral numbness. | ||
==Physical Examination== | ==Physical Examination== | ||
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==== Neuromuscular ==== | ==== Neuromuscular ==== | ||
* Chvostek's sign | * Chvostek's sign: Elicited by tapping the skin over the facial nerve anterior to the external auditory meatus. | ||
* Trousseau's sign | * Trousseau's sign: Elicited by inflation of a blood pressure cuff to 20 mm Hg above the patient's systolic blood pressure for 3-5 minutes. | ||
* Paresthesias | * Paresthesias | ||
* Tetany | * Tetany | ||
Revision as of 20:33, 27 June 2018
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Hypocalcemia Microchapters |
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Hypocalcemia physical examination On the Web |
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Risk calculators and risk factors for Hypocalcemia physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
The clinical manifestations of hypocalcemia depend on the degree of hypocalcemia. Common physical examination findings of [disease name] include Chvostek's sign, Trousseau's sign, and circumoral numbness.
Physical Examination
Physical examination of patients with hypocalcemia shows the following
Appearance of the Patient
- Patients with hypocalcemia usually appear confused,disoriented,fatigue.
Skin
- Dry skin
- Coarse hair
- Brittle nails
- Alopecia
- Enamel hypoplasia
- Shortened premolar roots
- Thickened lamina dura
- Delayed tooth eruption
- Increased dental caries
- Atopic eczema
- Exfoliative dermatitis
- Psoriasis
- Impetigo herpetiformis
HEENT
- Subcapsular cataracts
- Papilledema
Neuromuscular
- Chvostek's sign: Elicited by tapping the skin over the facial nerve anterior to the external auditory meatus.
- Trousseau's sign: Elicited by inflation of a blood pressure cuff to 20 mm Hg above the patient's systolic blood pressure for 3-5 minutes.
- Paresthesias
- Tetany
- Seizures (focal, petit mal, grand mal)
- Muscle cramps
- Muscle weakness
- Laryngospasm
- Bronchospasm
Neurological signs
- Extrapyramidal signs due to calcification of basal ganglia
- Calcification of cerebral cortex or cerebellum
- Personality disturbances
- Irritability
- Impaired intellectual ability
- Nonspecific EEG changes
- Increased intracranial pressure
- Parkinsonism
- Choreoathetosis
- Dystonic spasm
- Confusion
- Disorientation
- Psychosis
- Fatigue
- Anxiety
- Poor memory
- Reduced concentration
- Confusion
- Disorientation
- Psychosis
- Fatigue
- Anxiety
- Poor memory
- Reduced concentration
Abdomen
- Abdominal pain
- Biliary colic
Lungs
- Dyspnea
- Wheezing
Heart
- Prolonged QT interval on EKG
- Congestive heart failure
- Cardiomyopathy