Hypocalcemia Diagnosis in the Surgical Environment.

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Published: Dec 7, 2023
DOI: https://doi.org/10.47191/ijmscrs/v3-i12-07
Keywords:
Hypocalcemia, calcium levels, diagnostic tools, complications, prognosis, ECG, genetic testing, factitious hypocalcemia, pH-calcium relationship, management.

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Francisco Alvarez Trejo
Universidad Latina de México, Facultad de medicina Dr. Rafael Lemus Muñoz Ledo
Alma Vieyra Ruiz
Universidad Vasco de Quiroga, Morelia Michoacán
María José Herrera Saldaña
Hospital General de Occidente
Ulises Solis Bermúdez
Hospital Ángeles Morelia
José de Jesús Ortega Gaona
Universidad Vasco de Quiroga, Morelia Michoacán
Omar González Rico
Clínica hospitalaria ISSSTE, Celaya
Laura Victoria Angelats Manosalva
Hospital General de Occidente
Jose Luis Ortiz Fernández
Universidad Juárez del Estado de Durango

Abstract

Hypocalcemia, characterized by a total serum calcium level below 8.5 mg/dL (corrected for albumin) or an ionized serum calcium level below 4.65 mg/dL, presents a spectrum of clinical manifestations ranging from asymptomatic to life-threatening. Common after neck procedures, early detection and appropriate management are essential. Diagnostic tools include assessing calcium levels, correcting for albumin, and determining the underlying cause through tests like intact parathyroid hormone, serum phosphorus, magnesium, and creatinine. Treatment involves calcium replacement and addressing the root cause, with potential complications such as neuromuscular excitability and cardiac arrhythmias. Prognosis varies based on severity and underlying factors, emphasizing the importance of avoiding diagnostic pitfalls and overtreatment in chronic cases. ECG and genetic testing contribute to accurate diagnosis, aiding in differentiating causes like autosomal dominant hypocalcemia. Recognizing factitious hypocalcemia related to hypoalbuminemia or binding protein alterations is crucial. Understanding the pH-calcium relationship guides clinical evaluation. Holistic management requires a collaborative approach, emphasizing patient engagement and follow-up care.

Article Details

How to Cite
Francisco Alvarez Trejo, Alma Vieyra Ruiz, María José Herrera Saldaña, Ulises Solis Bermúdez, José de Jesús Ortega Gaona, Omar González Rico, Laura Victoria Angelats Manosalva, & Jose Luis Ortiz Fernández. (2023). Hypocalcemia Diagnosis in the Surgical Environment. International Journal of Medical Science and Clinical Research Studies, 3(12), 2962–2964. https://doi.org/10.47191/ijmscrs/v3-i12-07
Issue
Vol. 3 No. 12 (2023): Volume 03 Issue 12 December 2023
Section
Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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