The document discusses how various medical conditions can impact ionized calcium levels in the body. It notes that acidosis increases ionized calcium while alkalosis decreases it. Specific conditions mentioned include post-thyroidectomy hypocalcemia due to accidental parathyroid removal or damage, psychogenic hyperventilation causing respiratory alkalosis and lowered ionized calcium, and Conn's syndrome which features hypertension, hypokalemia, hypernatremia and metabolic alkalosis that decreases ionized calcium levels. The document asks if the reader has any other questions.

1. By: Alaa ElDeen Mostafa
AL, Minia University

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* ACIDOSIS INCREASE IONIZED CALCIUM
* ALKALOSIS DECREASE IONIZED CALCIUM

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*POST THROIDECTOMY HYPOCALCEMIA DUE TO
ACCIDENTAL REMOVAL OR EXCESSIVE
DISSECTION OF PARTHYROID

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*PSYCHOGENIC HYPERVENTILATION CAUSES
RESPIRTORY ALKALOSIS WHICH DECREASE
IONIZED CALCIUM

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17. *HYPOALBUMINEMIA DECRESES TOTAL BUT NOT
IONIZED CA

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19. *DIURETICS MAY DECREASE SERUM CA, MG
CAUSING MUSCLE CRAMPS

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21. *CONN’S SYNDROME IS CHARCTERIZED BY
HYPERTENSION, HYPOKALEMIA,
HYPERNATREMIA, AND METABOIC ALKALOSIS
WHICH DECREASE IONIZED CA
*TROUSSEAU SIGN?

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24. *Any Questions?