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What is the PTH assay? If this is low, hypoparathyroidism ought to be considered the most likely diagnosis. If it is normal or increased, other causes of hypocalcemia should be investigated.
... DIAGNOSTIC WORKUP
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Calcium is the most abundant mineral in the body, with 99% stored in bone. Calcium in the plasma is either protein-bound (mostly to albumin) or ionized and readily available for use. Decreased plasma Ca... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hypocalcemia is defined as total calcium <7.5 mg/dL. Causes include inadequate inflow of calcium from the GI tract, bone, or kidney, or excessive loss of calcium into urine, stool, and bone. Calcium level is>... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The physiologic model of Intake, absorption, transport, regulation, and excretion lends itself well to developing a list of possible causes of hypocalcemia.
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... Carpopedal spasm is the violent, painful contraction of the muscles in the hands and feet. (See Recognizing carpopedal spasm, page 126.) It's an important sign of tetany, a... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Chvostek's sign is an abnormal spasm of the facial muscles that's elicited by lightly tapping the patient's facial nerve near his lower jaw. (See Eliciting Chvostek's sign.) This... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Hypoalbuminemia*
Vitamin D–deficiency states
Sunlight deficiency
Dietary deficiency
Malabsorption (see 5-G)
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... Calcium plays an indispensable role in cell permeability, bone and teeth formation, blood coagulation, transmission of nerve impulses, and normal muscle contraction. Nearly all (99%) of the body’s calcium... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Carpopedal spasm is the violent, painful contraction of the muscles in the hands and feet. (See Recognizing carpopedal spasm.) It’s an important sign of tetany, a potentially life-threatening... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Chvostek’s sign is an abnormal spasm of the facial muscles that’s elicited by lightly tapping the patient’s facial nerve near his lower jaw. (See Eliciting Chvostek’s sign, page 180.) This sign... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Calcium plays an indispensable role in cell permeability, formation of bones and teeth, blood coagulation, transmission of nerve impulses, and normal muscle contraction. Nearly all (99%) of the body’s... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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Carpopedal spasm
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Carpopedal spasm is the violent, painful contraction of the muscles in the hands and feet. (See Recognizing carpopedal spasm, page 70.) It’s an important sign of tetany, a potentially life... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... Carpopedal spasm is the violent, painful contraction of the muscles in the hands and feet. (See Recognizing carpopedal spasm.) It’s an important sign of tetany, a potentially life-threatening condition... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Chvostek’s sign is an abnormal spasm of the facial muscles that’s elicited by lightly tapping the patient’s facial nerve near his lower jaw. (See Eliciting Chvostek’s sign.) This sign... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Carpopedal spasm is the violent, painful contraction of the muscles in the hands and feet. (See Recognizing carpopedal spasm.)
It's an important sign of tetany, a potentially life-threatening condition characterized by... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Chvostek's sign is an abnormal spasm of the facial muscles that's elicited by lightly tapping the patient's facial nerve near his lower jaw. (See Eliciting Chvostek's sign, page 138.) ... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The physiologic model of intake, absorption, transport,
regulation, and excretion lends itself well to developing a list of possible
causes of hypocalcemia.
Intake. Poor dietary intake of... Pictures
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