194 results
Chvostek's Sign - Physical Exam - Hypocalcemia

Chvostek's sign is described as the twitching of facial muscles
Chvostek's Sign ... Hypocalcemia Chvostek's ... Chvostek's sign ... #Chvosteks #Signs
Differential Diagnosis of Hypo and Hypermagnesemia #Diagnosis #EM #IM #Differential #Hypormagnesemia #Hypermagnesemia #Ddxof
Diagnosis of Hypo and Hypermagnesemia ... #Differential #Hypormagnesemia ... #Hypermagnesemia
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Hypomagnesemia ( ... Hypokalemia • Renal potassium ... calcitriol #Hypomagnesemia
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... patient also has hypomagnesemia ... before repleting potassium ... SatyaPatelMD #Potassium
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Concomitant severe hy pomagnesemia ... safely, whereas potassium ... Consider target potassium ... Enteral potassium ... Intravenous potassium
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - ... Renal Causes of Hypomagnesemia ... Isolated recessive hypomagnesemia ... , Familial hypomagnesemia ... Mitochondrial hypomagnesemia
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Polyuria - Hypomagnesemia ... Diagnosis #Low #Potassium
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hypercalcemia, Hypermagnesemia ... Hypocalcemia, Hypomagnesemia
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Causes of Hypomagnesemia ... osmotic diuresis - Potassium ... aldosteronism #Hypomagnesemia
Chvostek Sign - Hypocalcemia on Physical Exam 

#Chvostek #Sign #Hypocalcemia #PhysicalExam #clinical #video #endocrinology
Chvostek Sign - ... Physical Exam #Chvostek