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honeyam5Send an Instant Message to honeyam5  




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Quick Scroll following thyroidectomy young pt on maintanous 05.06.08 (4 months ago) #1
following thyroidectomy young pt on maintanous iv dextrose and saline she develeped tetany and found serum calcium 2.20 mmol/L a blood PH of 7.48 and paco2 of 24 mmhg .most likeli diagnosis is.

1- metabolic alkalosis from dextrose and saline infusion
2-respiratory alkalosis
3-acute deficency of calcitonin
4-postoprative hypoparathyroidism
5-thyroid crisis
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Quick Scroll Re: following thyroidectomy young pt on maintanous 05.06.08 (4 months ago) #2
honeyam5 wrote:
following thyroidectomy young pt on maintanous iv dextrose and saline she develeped tetany and found serum calcium 2.20 mmol/L a blood PH of 7.48 and paco2 of 24 mmhg .most likeli diagnosis is.

1- metabolic alkalosis from dextrose and saline infusion
2-respiratory alkalosis******
3-acute deficency of calcitonin
4-postoprative hypoparathyroidism
5-thyroid crisis
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Quick Scroll 05.06.08 (4 months ago) #3
4.Post-op hypoPTH.
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Quick Scroll 05.06.08 (4 months ago) #4
agree...4)
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Quick Scroll 05.06.08 (4 months ago) #5
I agree after surgery for thyroid gland she developed tetany Calcium ia low. I will go for 4
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Quick Scroll 05.08.08 (4 months ago) #6
4 too
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Quick Scroll 05.13.08 (3 months ago) #7
4
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Quick Scroll 05.13.08 (3 months ago) #8
4 is the answer
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Quick Scroll 05.13.08 (3 months ago) #9
Drs, this patient calcium level is in normal range(2.1-2.5). pH high, PaCO2 very low. Tetany can occur both in hypocalcemia and alkaloses. Thyroidectomy is a bate. We should always look at the QE1 question paranoid.
Respiratory alkalosis is an answer.
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Quick Scroll 05.13.08 (3 months ago) #10
Dr Bloter it does make sense therefore Dr Homeyam please what is the correct ans. thanks.
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