Concluded Case

Hypocalcemia evaluation

25 y female presented with c/o gen numbness and linking found to have low potassium and calcium which was corrected and discharged.agian came after a week with gen. convulsions found to have very low calcium level 5.4 now being given calcium gluconate 2 amp daily since last 3 days, still her calcium rising very slowly it's 6.21.pt is c/o gen bodyache. ct head wnl TSH 0.53. what next should be done.

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Concluded answer
ADVISABLE.. PTH MAGNESIUM LEVELS VIT. D 3 K. F. T. L. F. T. USG....CHEST. AND. ABDOMEN
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It's A Case of "Hypocalcemia and Hypokalemia The hormone disorder hypoparathyroidism may also cause�calcium�deficiency disease. Other causes of hypocalcemia include malnutrition and malabsorption. Malnutrition is when you're�not getting enough nutrients, while malabsorption is when your�body�can't�absorb�the vitamins and minerals you need from the food you eat R/0----VitB12,,VitD3 ,,Magnesium,PTH Add Nuts,Seeds,oily Fish in your Diet.
Magnesium is required for the production and release of parathyroid hormone, so when magnesium is too low, insufficient parathyroid hormone is produced and blood calcium levels are also reduced Chronic hypomagnesemia is closely associated with hypocalcemia, which is caused by impaired parathyroid hormone (PTH) secretion Kindly check for serum magnesium level as it can cause refractory hypocalcemia
Yes hypomagnesemia is linked with hypocalcemia and hypokalemia. Because pt having both hypokalemia with hypocalcemia it may be barter syndrome...so ABG , urinary potassium ,ttkg is required
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Recurrent Symptomatic Hypocalcemia in a young 25 year old female raises the suspicion for Anxiety induced Hyperventilation which may cause recurrent hypocalcemia and resultant tetany features....other less common causes are Acquired Hypoparathyroidism or Genetic causes like Kearns Sayre Syndrome, MELAS syndrome, Kenney Caffey Syndrome type 2 etc
Thank you doctor
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Check phosphorus, and PTH , and magnesium levels. Hypoparathyroidism is possible. Need to chech serum albumin and correlate it with calcium .VIT D3 deficiency to be ruled out
Thank you, Doctor
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Dr.Shiv Sir ------- Hypocalcemia ?? Hypomagnesemia. ?? Hypocalkemia Needs further Investigations still. Adv:---------VitD3 Magnesium PTH Phosphorus,
Causes of hypocalcemia should rule out- Dietory Malabsorption Endocrine-hypoparathyroidism-PTH , phosphorus,vit d deficiency Ckd-
Thank you doctor
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Check PTH, VITAMIN D 3,MAGNESIUM LEVEL, RFT, LIPASE level PHOSPHORUS level LFT See all reports & plan accordingly
Thank you doctor
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ADVISABLE.. PTH MAGNESIUM LEVELS VIT. D 3 K. F. T. L. F. T. USG....CHEST. AND. ABDOMEN
Thank you doctor
0
Hypocalcemia Advise PTH, Mg Level,Vitamin D3,Malabsorption USG Abdomen and chest
Look for PTH,CKD profile
What about the above report?
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