✋ Positive Trousseau’s Sign 🩺 Detected during clinical examination 🩸 Hypocalcemia 👨‍⚕️ Examiner: Dr. Ari Omar

🩸 Hypocalcemia 🧪 Normal Calcium 🔹 Normal total calcium in adults: 8.5–10.5 mg/dL 🔍 Causes: 🦠 COVID 🔥 Burns 🩺 Pancreatitis 💪 Rhabdomyolysis 🦋 Post-thyroidectomy 🤮 Alkalosis → repeated vomiting 👶 💊 Drugs → Heparin, Aminoglycosides   ↳ Amikacin, Gentamicin ⚠️ Clinical Features: 😶 Most patients → Asymptomatic 🖐️ Peripheral numbness 💪 Muscle cramps / muscle spasm (Severe abdominal pain / severe back pain). ✋ Trousseau’s sign → Carpopedal spasm 🩺 Inflate BP cuff above systolic BP and maintain for 3 min 🙂 Chvostek’s sign ❤️ ECG: Prolonged QT interval 💉 Treatment: 🚨 Bolus: Calcium gluconate 10% — 10 mL ➕ 100 mL Normal Saline 💉 IV infusion over 10 min 🔄 Maintenance: 💧 1–2 mg/kg/hr (for 6–12 hrs). ✋ DDx of Carpopedal Spasm: 1️⃣ Hypocalcemia 2️⃣ Hypomagnesemia 3️⃣ Conn syndrome 4️⃣ Respiratory alkalosis 🧩 Causes of Hypocalcemia: 1️⃣ 🦋 Hypoparathyroidism 2️⃣ ☀️ Vitamin D deficiency / malabsorption 3️⃣ 🫘 CKD 4️⃣ ⚡ Hypomagnesemia. Dr. Ari Omar Muhialdin @DrAriER ✍️✨