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Endocrine Case Histories - Case 29 A 50-year-old male had a total thyroidectomy followed by thyroid hormone-replacement...

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Medical Sciences

Endocrine Case Histories - Case 29
A 50-year-old male had a total thyroidectomy followed by thyroidhormone-replacement therapy.
Thirty-six hours later he developed laryngeal spasms, a mildtetany, and cramps in the muscles of the
hands and arms. The following tests were performed:
Urine calcium 20 mg/dL
Urine phosphorus 0.1 g/day
Plasma calcium 7.0 mg/dL
Plasma phosphorus 5.0 mg/dL
Calcium gluconate and vitamin D (calcitriol) were given orally eachday and the tetany and laryngeal
spasms were alleviated.
1. Discuss this patient’ blood values.

Answer & Explanation Solved by verified expert
4.3 Ratings (594 Votes)
Answer 50 As a pateint has undergone thyroidectomy and 36 hours later pateint developed laryngeal spasmsTetany and cramps in muscles of hands and arms It suggest even the Parathyroid glands is also removed So the pateint is suffering from Hypoparathyroidism As    See Answer
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