Medchrome » Emergency cases http://medchrome.com Online Medical Magazine Tue, 07 Sep 2010 12:40:26 +0000 en hourly 1 http://wordpress.org/?v=3.0.1 Medical Case Review: Tetany http://medchrome.com/medical-cases/emergency-cases/medical-case-review-tetany/ http://medchrome.com/medical-cases/emergency-cases/medical-case-review-tetany/#comments Thu, 24 Dec 2009 16:08:57 +0000 Administrator http://medchrome.com/?p=555 A 23 year female presented to Emergency with sudden stiffness of hand muscles, tingling sensation in the face with difficulty in opening the jaws and weakness of muscles of thighs for about 2-3 hours.

She had no other complains.

No similar History in tha past.

LMP was 3 months back.

On examination:

GC- Patient looked anxious

PILCyClOD- Pallor +

  • Chest -NAD
  • CVS-s1 s2 m0
  • P/A- soft, non tender
  • Tap on facial nreve= tingling  and twitching ( ? Chvostek)
  • Hands:
    Accoucher's hand

    Accoucher's hand

    Knee Jerks: slightly exaggerated.

Our Differentials were:

  • 1. Tetany
  • 2. Conversion Disorder

Lab Reports revealed:

Hb: 8.3%

TC,DC,Urine R/m/e,  all within normal range

Urine pregnancy test- positive

Na+ 132 mEQ/l

Ca++ 6.1 mEQ/l

WHAT COULD BE THE DIAGNOSIS?

Is it likely to see features of tetany at 6.1 meq Ca++?

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