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  1. 1. Hypocalcaemia dr shabeel’s presentations
  2. 2. Causes <ul><li>Hypo-parathyroidism </li></ul><ul><ul><li>Post surgical </li></ul></ul><ul><ul><li>Idiopathic </li></ul></ul><ul><ul><li>Infantile </li></ul></ul><ul><li>Acute Pancreatitis </li></ul><ul><li>Hypoalbuminaemia </li></ul><ul><li>Chronic renal failure </li></ul><ul><li>Vit D deficiency </li></ul>
  3. 3. Clinical features <ul><li>Tetany </li></ul><ul><ul><li>Contraction of the distal muscles of the hands with extension of IP joints & flexion & adduction of MP joints (carpo -pedal spasm – Accoucher’s hand) associated with tingling around the mouth & distally in the limbs </li></ul></ul><ul><li>Stridor </li></ul><ul><li>Trousseau’s sign – inflation of BP cough above syst BP will produce carpal spasm in 3 mts </li></ul>
  4. 4. Contd…….. <ul><li>Chvostek sign – taping facial nerve – twitching of facial muscles </li></ul><ul><li>Seizure </li></ul><ul><li>Psychosis </li></ul>
  5. 5. Management <ul><li>Re-breathing to reverse alkalosis </li></ul><ul><li>Calcium gluconate </li></ul><ul><li>Treatment of the cause </li></ul>