症狀/併發症(symptom/complication) | @CNS: seizure. @cataract白內障 @excitable @@Tetany: similar as hypomagnesemia or metabolic alkalosis |
病因(etiology) | |low concentration of PTH ||Parathyroid hormone resistance: Pseudohypoparathyroidism(假性副甲狀腺功能低下) |Vit D dysfunction ||1,25(OH)2D deficiency ||1,25(OH)2D resistance |Acute calcium deposition ||Acute hyperphosphatemia |||Rhabdomyolysis |||Tumor lysis |||Citrate complex due to blood transfusion |||Saponification due to pancreatitis |Hypoalbuminemia: Low total calcium, normal free calcium, due to liver dysfunction, not real hypocalcemia-->Corrected Ca = [0.8 x (normal albumin - patient's albumin)] + serum Ca level |
檢查/準則(examination/criteria) | #Chvostek’s sign #Trousseau’s sign ![]() 資料來源:biology-forums |
治療(treatment) | $Intra-venous calcium infusion 400 – 1000 mg/24hr for spasm phase $oral calcium intake during stable: 2000mg/day $Preparation for vitamin D $Protect air way and be alert to spasm $Intra-venous calcium infusion in emergeny |
鑑別診斷(Differential Diagnosis) | |
流行病學(Epidemiology) |
HomeAny source

No comments:
Post a Comment