Hypoparathyroidism Flashcards
what are some causes of hypoparathyroidism
removal of thyroid/parathyroid glands
autoimmune polyendocrine syndrome
Di Georges Syndrome
autosomal dominant hypoparathyroidism
pesudohypoparathyroidism
what electrolyte imbalances can be seen in hypoparathyroidism
hypocalcaemia
hyperphosphatemia
what are two signs of hypoparathyroidism
Chvosteks sign
- light palpation of fascial nerve causes fasciculations
Trousseaus sign
- BP cuff causes flexion of wrist and MCPJ due to ischamia and pressure on the nerve
how can hypoparathyroidism present
symptoms of hypocalcaemia
tetany
paraesthesia - hands, feet and mouth
calcification of the lenses (+ basal ganglia)
as neurones are more excitable and there is spontaneous firing of neurones
what is the management of hypoparathyroidism
immediate Ca and vitamin D supplementation
long term may require recombinant human PTH
