Please enable JavaScript.
Coggle requires JavaScript to display documents.
Hypocalcaemia (Symptoms (3 Tetany (Positive Chovstek's Sign (Facial…
Hypocalcaemia
Adjusted due to Albumin levels
40% bound
Acidaemia = Reduced Binding
Alkalaemia = Increased Binding
Ionised = NON Bound (Useful)
#
#
Causes
Drugs
Cisplatin
Anticonvulsants
Phenytoin
(prolonged use)
HypoPhosphataemia
Vitamin D Deficiency
Rickets
Osteomalacia
Renders PTH ineffective
Renal Failure
Liver Disease (Reduced Synth Function)
Malabsorption States
HyperPhosphataemia
Chronic Renal Failure
HypoParathyroidism
Idiopathic
Autoimmune
Surgical Removal
Congenital
DiGeorge Syndrome
Late onset HypoP
Radiation
Binds Calcium
Hypomagnesaemia
Kidney/GI loss
Low/Normal PTH + HypoCa
Cisplatin
#
Hypoalbuminaemia
most common cause but FALSE
Cirrhosis
Burns
Chronic Illness
2.10-2.65 mmol/L Corrected
Symptoms
3
Tetany
Positive Chovstek's Sign
Facial Nerve Tap
Fatigue
Bone Pain
Nausea
1
Confusion
2
Arrythmias
4
Stridor
Treatment
Oral replenishment
Vit D supplements
Thiazide Diuretics -> HyperCa