Hypocalcemia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Physical Examination
- Tetany, carpopedal spasm are seen.
- Latent tetany
- Trousseau sign of latent tetany (eliciting carpal spasm by inflating the blood pressure cuff and maintaining the cuff pressure above systolic)
- Chvostek's sign (tapping of the inferior portion of the zygoma will produce facial spasms)
- Tendon reflexes are hyperactive
- Life threatening complications
Clinical Features Associated with Hypocalcemia
- Abdominal pain
- Alopecia
- Anxiety
- Atopic eczema
- Biliary colic
- Brittle nails
- Bronchial spasm
- Calcification of cerebral cortex or cerebellum
- Cardiomyopathy
- Choreoathetosis
- Chvostek's sign
- Coarse hair
- Confusion
- Congestive heart failure
- Delayed tooth eruption
- Disorientation
- Dry skin
- Dysphagia
- Dyspnea
- Dystonic spasms
- Enamel hypoplasia
- Exfoliative dermatitis
- Extrapyramidal signs due to calcification of basal ganglia
- Fatigue
- Impaired intellectual ability
- Impetigo herpetiformis
- Increased dental caries
- Increased intracranial pressure
- Irritability
- Laryngeal spasm
- Muscle cramps
- Nonspecific EEG changes
- Papilledema
- Paresthesia
- Parkinsonism
- Personality disturbances
- Polymyositis
- Prolonged QT interval in EKG
- Psoriasis
- Psychoneurosis
- Psychosis
- Seizures (focal, petit mal, grand mal)
- Shortened premolar roots
- Subcapsular cataracts
- Tetany
- Thickened lamina dura
- Trousseau's sign
- Wheezing