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 developedlaryngeal spasms, a mild tetany, and cramps in the muscles of thehands and arms. The following tests were performed:
Urine calcium 20 mg/dL
Urine phosphorus 0.1 g/day Plasma calcium 7.0 mg/dL Plasmaphosphorus 5.0 mg/dL
Calcium gluconate and vitamin D (calcitriol) were given orallyeach day and the tetany and laryngeal spasms were alleviated.
1. Discuss this patientâ€™ blood values.
2. What endocrine glandâ€™s functions are impaired in thiscase?
3. What endocrine disorder is present in this person?
4. What is the purpose of vitamin D administration with thecalcium?
5. What caused the tetany and laryngeal spasms?
6. Describe how blood calcium is normally maintained at itsphysiological level.
7. Does this patient require hormone replacement for this newcondition?
Discuss what could possibly happen if he were not treated with thishormone.
8. List all essential hormones.

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3.8 Ratings (477 Votes)

1patient blood values Plasma calcium 7mgdl Plasma phosphorus 50 mgdL In blood value the patients plasma calcium level is decreased it should be maintained within a range from 9 to 105 mgdl The low calcium levels due to decreased secretion of parathyroid hormone from the parathyroid glands next to the thyroid This may be occur as a result of damage to parathyroid See Answer

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