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Physiology

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Endocrinology

Question
10 out of 14
 

Hypocalcemia - all are seen  except: (LQ)



A Numbness and tingling of circumoral regio               

B Hyperactive tendon reflexes and positive chvostek’ s sign

C Shortening of Q-T interval in ECG                

D Carpopedal spasm

Ans. C Shortening of Q-T interval in ECG

"In Hypocalcemia QT interval in ECG is prolonged.

CIF Features of Hyeocalcemia

1. Extensive spasm of skeletal muscle causes cramps and tetany. Q

2. Carpopedal spasm, facial grimacing, and in extreme cases Laryngeal spasm and convulsion. Q

3. Paresthesias of lips and extremities, and Abdominal pain. Q

4.JVP with papilledema in long standing hypocalcaemia. Q

5. Mental changes include - irritability, depression and psychosis. Q

6. QT interval on ECG is prolonged (in contrast shortening in hypercalcemia)Q

7. Chvostek's sign (contraction of the facial muscles in response to tapping the facial nerve anterior to ear) and Trousseau's sign (carpal spasm occurring after occlusion of the brachial artery with blood pressure cuff for 3 minutes) are usually readily elicited. Q

8. In chronic hypoparathyroidism (= chr. Hypocalcemia),cataracts and calcification of Basal ganglia. Q

Endocrinology Flashcard List

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