Question of the Week

Question :
Posted On : 11 Jun 2023
a 16 months old child present with tetany with carpopedal spasm.he had similar episode 2 months back,his s.calcium is 9mg percent salk phosphatase is 572.waht could be the cause,her weight is 7 kg.
5
Expert Answer :
Check the magnesium , electrolytes and also the vitamin D levels and do ionic calcium. Also what is phosphorus_? Serum calcium may still be normal and ionic calcium may be low.
Answer Discussion :
D
DrZohdi Alhanouty
Profile
It’s worth to do serum magnesium,Na,K and ABGs.
F
Faten Khedr
Profile
hypomagnesemia
M
mohamed mustafa
Profile
Decreased ionised calcium due to malnutrtion
G
Gladys Yonah
Profile
congenital hypothyroidism, malnutrition
B
BIBHU PRASAD NAYAK
Profile
sr calcium 9 is not low enough to cause tetany. alp is little high . so there can b low ionised calcium. low wt 7 kg there is ftt. I think there is persistent met alkalosis . what is sod, pot level. may b Bartter




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