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Hypoparathyroidism Accidental Surgical Excision Autoimmune DiGeorge…
Hypoparathyroidism
Accidental Surgical Excision
Autoimmune
DiGeorge Syndrome
Hx
Teatny
Hypocalcemia & Hyperphosphatemia
CH
VOSTEK SIGN
tapping o FACIAL NERVE
tap to
CH
ECK
Contraction of FACIAL MUSCLES
TR
OUSSEAU SIGN
OCCLUSION OF BRACHIAL artery with BP CUFF
Cuff the
TR
ICEPS
CARPAL SPASM
Pseudohypoparathyroidism Type 1A
UNRESPONSIVENESS OF KIDNEY to PTH
ALBRIGHT hereditary OSTEODYSTROPHY
Shortened 4th & 5th DIGIT
Short Stature
Obesity
DUE TO DEFECTIVE Gs Protein ALPHA subunit
Must be inherited from MOTHER due to IMPRINTING
END ORGAN RESISTANCE TO PTH
Pseudopseudohypoparathyroidism
When Defective Gs protein AlPHA Subunit inherited from FATHER
Similar features as above