During thyroid resection, it is possible for the surgeon to accidentally remove one or multiple parathyroid glands.
If this happens, no gland = decreased parathyroid hormone.
No PTH = low calcium (PTH causes bones to release Ca, kidneys to reabsorb Ca, and activates 1-alpha hydroxylase to make activated vitamin D)
Hypocalcemia is responsible for the parasthesias that this man is feeling. Carpal spasm on inflation of the blood pressure cuff is called Trousseau sign and is a finding in hypocalcemia--along with Chvostek's sign (twitching of the facial muscles in response to tapping over the area of the facial n.).
submitted by โwaitingonprometric(264)
During thyroid resection, it is possible for the surgeon to accidentally remove one or multiple parathyroid glands.
If this happens, no gland = decreased parathyroid hormone.
No PTH = low calcium (PTH causes bones to release Ca, kidneys to reabsorb Ca, and activates 1-alpha hydroxylase to make activated vitamin D)
Hypocalcemia is responsible for the parasthesias that this man is feeling. Carpal spasm on inflation of the blood pressure cuff is called Trousseau sign and is a finding in hypocalcemia--along with Chvostek's sign (twitching of the facial muscles in response to tapping over the area of the facial n.).