Hypocalcemia is associated with increased mortality in trauma patients who require massive transfusions - yet there is little research on appropriate calcium replacement. doi.org/10.1093/ajhp/z…

SO PROUD of Tim Kravchenko, MD for his commitment to defining optimal IOPTH decline in normohormonal PHPT by using a multi-institutional cohort to predict cure and hypocalcemia. Well presented! American Association of Endocrine Surgeons #aaes2024 Caitlin Finn Rachel Michigan Surgery PennSurgery Mass General Brigham

Hypocalcemia sign
'علامات نقس الكالسيوم في الدم'

Positive chvostek sign
بعد قرع العصب الوجهي ينتج رجفان او تقلص لعضلات الفم

Trousseau's sign
هالعلامه تبين بعد قياس الضغط للمريض
يحصل إنثناء للاصابع ومفصل اليد

فيديو شرح :
youtu.be/iTPPP89A1TA

#التمريض #nursing_intern

📙𝘾𝙇𝙄𝙉𝙄𝘾𝘼𝙇 𝙌𝙐𝙄𝙕:-

📝A 40yr ♂️p/w Peri -oral burns due to corrosive ingestion.Patient has chovstek's sign of hypocalcemia positive.Which acid may cause it❓

A) Oxalic acid
B) Citric acid
C) Carbolic acid
D) Acetic acid

#medx
#medEd
Yusuke Kaneko

Modern Health Chvostek sign:
The Chvostek sign is a clinical finding associated with hypocalcemia, or low levels of calcium in the blood. This clinical sign refers to a twitch of the facial muscles that occurs when gently tapping an individual's cheek, in front of the ear.

The Chvostek sign

Modern Health Positive Chvostek sign. hypocalcemia. Seems after a thyroidectomy Surgery

“Hidden Hypocalcemia as a Risk Factor for Cardiovascular Events and All-Cause Mortality among Patients Undergoing Incident Hemodialysis” ncbi.nlm.nih.gov/pmc/articles/P… $ARDX Tenapanor is protective.

Predicting Hypocalcemia by Intraoperative Parathyroid Hormone Decline in Normohormonal Primary Hyperparathyroidism: A multi-institutional validation study. American Association of Endocrine Surgeons #AAES24 Lauren Norell Krumeich MD MS

Modern Health Low calcium or Mg( low mg-induced hypocalcemia)

⚠️ Any complications? Hypocalcemia was the most commonly reported complication.

لو عيان عنده GERD او peptic Ulcer disease وبياخد PPI وف نفس الوقت عنده hypocalcemia ومحتاج تعمل replenish لل calcium، وال calcium ف السوق موجود ف صورة salts فال optimum option انك توصف calcium citrate زي البراند المعروف باسم cal mag مش calcium carbonate زي مثلا ال osteocare وده

$ARDX reverses hypocalcemia in CRF “The dramatic reversal of the wavy triple sign of hypocalcemia (Yasser sign) after calcium gluconate injection interpret that these signs were due to hypocalcemia of chronic renal failure” scholar.google.com/scholar?start=…

Hypocalcemia is common in renal failure- ncbi.nlm.nih.gov/books/NBK34407…. XPHOZAH will help it in 2 ways - increased uptake and decreased phosphate binding.

Dr Wojtowicz 🇦🇷presented use of IV Etecalcitide in secondary hyperPTH. She reported much less hypocalcemia when compared to Cinacalcet and ease of use 3/wk in MHD pts. #ISNWCN
Do you have IV Etecalcitide in your country?

​🇩​​🇷​ ​🇦​​🇩​​🇳​​🇦​​🇳​🩺 Yusuke Kaneko A.
Oxalic acid, when ingested, can bind with calcium to form calcium oxalate, which is insoluble. This binding removes free calcium from the blood, potentially leading to hypocalcemia, which could explain the positive Chvostek's sign. Oxalic acid causes burns to the oral mucosa.

𝐂𝐡𝐯𝐨𝐬𝐭𝐞𝐤 𝐬𝐢𝐠𝐧 - 𝐇𝐲𝐩𝐨𝐜𝐚𝐥𝐜𝐞𝐦𝐢𝐚

modernhealthme.com/hypocalcemia-c…

DiGeorge Syndrome
Failure of development if 3rd and 4th phayrngeal pouches
Leading to:
-Absent thymus (T cell deficiency) and parathyroid (Hypocalcemia)
-Cardiac anomalies (Tetralogy of Fallot, truncus arteriosus)
-Cleft palate

السؤال:
How to identify it by X-ray?
#MedTwitter

Muhammad Mohsin Journal of Brown Hospital Medicine Age and urinary symptoms suggest prostate cancer
But hypocalcemia and hypertension suggest Renal failure..

ريان | MD1TALK🌟 HCThaiazide is drug of choice for idiopathic hypercalcuria(commonest cause of renal stone former) and also given for chron8c hypocalcemia e.g.HPT,
Also paradoxical effect rx of nephrogenic DI.

Muhammad Mohsin If the PSA levels are through the roof, I’d also order a bone scan or a PET/CT.

Hypocalcemia could be due to osteoblastic metastatic bone spread.