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Hypocalcemia can be a medical emergency.
a simple case introducing clincial presentation and calling for a differential diagnosis to get students thinking.
It can be caused by PTH disorders or by problems with vitamin D.
It can lead to paresthesias, neuromuscular irritability (cramps), tetany, laryngeospasm/broncheospasm, seizures, arrhythmias, , and congestive heart failure.
ECG can show
Chronic calcium deficiency can lead to osteomalacia and osteoporosis.
Pay attention to the airway and the ECG.
Cararacts, and soft tissue calcification.
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