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128 Possible Causes for Carpopedal Spasm, Hypokalemia

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  • Metabolic Alkalosis

    spasm (Trousseau sign) depressed respirations (b/c of compensation trying to hold CO2) paralytic ileus (gut shuts down to hold HCO3) ABGs (increased pH and HCO3) decreased[] Hypokalemia seen with heat stress is secondary to sweat as well as renal potassium wasting.[] spasm Type 1 Excludes hysterical tetany ( F44.5 ) neonatal tetany ( P71.3 ) parathyroid tetany ( E20.9 ) post-thyroidectomy tetany ( E89.2 ) alkalosis E87.3 ICD-10-CM Codes[]

  • Bartter's Disease

    Other symptoms Other symptoms, which appear during late childhood, include fatigue, muscle weakness, cramps, and recurrent carpopedal spasms.  Developmental delay and minimal[] Moderate hypokalemia can be nevertheless asymptomatic. Pathophysiology of hypokalemia helps to identify the course of treatment.[] Laboratory testing is significant for hypokalemia, hypochloremia, and metabolic alkalosis.[]

  • Conn Syndrome

    […] a cause of primary hyperaldosteronism and is the result of an aldosterone producing adenoma (APA) aldosterone secretion,supressed renin activity, hypernatremia, HTN hypokalemia[] Conn syndrome is characterized by surreptitious secretion of aldosterone in which patients are found to have hypertension, hypokalemia, and metabolic alkalosis.[] The severity of hypokalemia is related to dietary sodium intake and our patient had severe hypokalemia despite a low sodium diet.[]

  • Renal Tubular Acidosis

    The carpopedal spasm was due to hypocalcemia which was precipitated by the alkali replacement.[] Subsequently, type 1 RTA due to Sjögren's syndrome was unveiled by sustained hypokalemia (3.3 to 3.4 mEq/L), persistent alkaline urine pH ( 6.0) despite metabolic acidosis[] Among them, 60 had hypokalemia (63.12%), 29 had complete dRTA and 66 had incomplete dRTA.[]

  • Hypoparathyroidism

    Our case presented with uncontrolled seizures, severe hypokalemia, renal failure, and hypoparathyroidism.[] Trousseau's sign (watch video) is carpopedal spasm caused by inflating the blood-pressure cuff to a level above systolic pressure for 3 minutes.[] Hypocalcemia, hypomagnesemia/Mg depletion, and hypokalemia all can present with tetany and muscle symptomatology.[]

  • Hypomagnesemia

    Hypokalemia events were related to malnutrition (odds ratio, 2.79; 95% confidence interval, 1.09-7.14; P .045).[] A 39-year-old woman was presented to the emergency department complaining of severe watery diarrhea and carpopedal spasm after ingesting a handful of magnesium hydroxide tablets[] Clinical description Clinical manifestations include weakness, fatigue, increased neuromuscular excitability (muscle fasciculation, cramps, tremor carpopedal spasms, numbness[]

  • Hypocalcemia

    The patient improved with cessation of drugs and appropriate management of hypocalcemia and hypokalemia with calcium, vitamin D, magnesium, and potassium replacement.[] Manifestations include hyperactive deep tendon reflexes, Chvostek's sign, muscle and abdominal cramps, and carpopedal spasm.[] ‘Other conditions that may prolong QT intervals are clinical hypocalcemia, hypokalemia, ischemia, or infarction.’[]

  • Gitelman Syndrome

    In these children, a tendency towards hypokalemia was first noted during the third week of life.[] In this case we describe a young patient who following a short history of vomiting and abdominal pain developed carpopedal spasm and distal parasthesia on a background of[] A 17-year-old female presented to us with a history of perioral numbness and carpopedal spasms of one week duration followed by progressive weakness of all the four limbs[]

  • Antenatal Bartter Syndrome

    Antenatal type I Bartter syndrome (ABS) is usually identified by the presence of polyhydramnios, premature delivery, hypokalemia, metabolic alkalosis, hypercalciuria, and[] Patients present with fatigue, muscle weakness, and recurrent episodes of tetany in the form of carpopedal spasm. History of polyhydramnios and prematurity is absent.[] The mothers were treated with Indomethacin, KCl, and serial amniocentesis in order to reduce the amniotic fluid volume and prevent fetal hypokalemia.[]

  • Hypokalemic Periodic Paralysis

    Convincing evidence for a pro-arrhythmogenic factor other than hypokalemia is still lacking.[] A 17-year-old female presented to us with a history of perioral numbness and carpopedal spasms of one week duration followed by progressive weakness of all the four limbs[] […] periodic paralysis related to hypokalemia is seldom reported in thyrotoxicosis, and it usually occurs in Asian males.[]

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