Питання 16 з 90 · Тема: Disorders of water-electrolyte and acid–base balance · Pathological physiology

A 54-year-old woman has a total thyroidectomy for papillary thyroid carcinoma. 11 hours after operation she complains of tingling around her mouth. On physical examination, the Trousseau's Sign and Chvostek's sign are present. Her condition rapidly deteriorates with laryngospasm and focal seizures. The surgeon suggests surgical destruction of parathyroid glands. Which of the following is the most likely cause of this patient's neurologic abnormality?

  1. A Hypophosphatemia
  2. B Hypocalcemia
  3. C Hyponatremia
  4. D Hyperchloremia
  5. E Hyperkalemia

Правильна відповідь: B. Hypocalcemia

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