Trousseau Sign: Causes & Reasons

Possible Causes for Trousseau Sign

[…] of hypocalcemia, and Trousseau sign). [us.bestpractice.bmj.com]

On primary assessment, stridor and a positive Trousseau sign were noted. Laboratory examination showed hypocalcemia. [ncbi.nlm.nih.gov]

We report the case of a 50-year-old woman with anorexigen-induced pulmonary arterial hypertension treated with epoprostenol, who presented with Trousseau's sign, leading to [ncbi.nlm.nih.gov]

Hypoparathyroidism

[…] pressure Tricep spasm = Trousseau sign Studies Diagnostic testing studies ↓ calcium remember to correct with albumin ↑ phosphate ↓ or undetectable PTH level ECG prolonged [step2.medbullets.com]

Diagnostics Physical examination Chvostek sign Trousseau sign Laboratory tests Hypocalcemia with low or inappropriately normal PTH Hyperphosphatemia Normal 25-hydroxyvitamin [amboss.com]

Chvostek's sign (watch video) : Tap of facial nerve elicits cheek twitch Trousseau's sign (watch video) : BP cuff inflation elicits carpal spasm Diagnosis is made by triad [smartypance.com]

Bartter Syndrome

In addition, some affected patients may have neuromuscular irritability as manifested by a positive Chvostek +/or Trousseau sign or frank tetany due to alkalosis and hypomagnesemia [madeasy.de]

Thrombophlebitis Migrans

Trousseau sign of malignancy Differential diagnosis thrombophlebitis migrans The Trousseau sign of malignancy or Trousseau's syndrome is a medical sign involving episodes [en.wikipedia.org]

sign", according to Amand Trousseau, who described the condition in connection with the diagnosed gastric cancer. [wikilectures.eu]

Proceed as follows: Tell the examiner that you would like to investigate for the underlying malignancy, usually carcinoma of the pancreas or stomach (Trousseau’s sign; Fig [clinicalgate.com]

Secondary Hypoparathyroidism

On admission, a positive Trousseau sign, papilledema, and long QTc on electrocardiography were detected. [ruralneuropractice.com]

hypocalcemia → hyperexcitable nerves → tapping the facial nerve on the cheek → contraction of facial muscles Trousseau sign : inflate BP cuff → allow for occlusion of brachial [amboss.com]

Chvostek and Trousseau signs were negative. There were no personal or family history of similar condition. [casesjournal.biomedcentral.com]

Autoimmune Hypoparathyroidism

She had normal weight and height, no dysmorphism; she had laryngospasm and Trousseau’s sign. [abstracts.eurospe.org]

Chvostek and Trousseau signs are easily elicited at the bedside to identify latent tetany. [merckmanuals.com]

Chvostek sign was absent. Trousseau's sign was positive within 30 seconds of inflation of blood pressure cuff. [ijem.in]

Hypomagnesemia

Confusion Delirium Tremors Seizures Tachyarrhythmias (particularly VT and VF) Tetany Chvostek sign Trousseau sign ECG changes Widening QRS complexes Peaking T-waves (which [derangedphysiology.com]

Trousseau's sign may be observed by inflating a blood pressure cuff on the upper arm above systolic pressure for 2 to 3 minutes. [epilepsy.com]

[…] and Chvostek signs. [derangedphysiology.com]

Pseudohypoparathyroidism Type 2

[…] contraction of facial muscles with percussion of the facial nerve C ontraction of C heek = C hvostek Trousseau sign carpal spasm with occlusion of brachial artery with a [medbullets.com]

Chvostek’s and Trousseau’s sign were positive. [indianpediatrics.net]

Chovestek and Trousseau signs were positive. Other findings of physical examination were normal. [turkjem.org]

Primary Hypomagnesemia with Secondary Hypocalcemia

Clinical manifestations are anorexia, nausea, vomiting, lethargy, weakness, personality change, tetany (eg, positive Trousseau or Chvostek sign or spontaneous carpopedal [merckmanuals.com]

Chvostek and Trousseau's sign were negative. [neurologyindia.com]

signs. [jci.org]

Hungry Bones Syndrome

The physical examination for hypocalcemia includes the Chvostek and Trousseau signs. [symptoma.com]

’s sign- facial (t hink: CH-->Cheek), Trousseau’s sign, (CHECK OUT VIDEO HERE ) arrhythmia, prolonged QT 1Its a good time to think about what PTH does to: Bone, gut, kidneys [westerngimvh.blogspot.com]

Clinical signs of latent tetany may include the Trousseau sign, in which a carpopedal spasm occurs when an inflated blood pressure cuff is left on the arm for several minutes [consultant360.com]

Hereditary Neonatal Hyperparathyroidism

Chvostek and Trousseau signs are easily elicited at the bedside to identify latent tetany. [merckmanuals.com]

or by using the cuff of a sphygmomanometer to temporarily obstruct the blood flow to the arm (a phenomenon known as Trousseau's sign of latent tetany ). [3] A number of [en.wikipedia.org]

Neurologic exam reveals symmetric hyperreflexia and a positive Chovstek sign. Inflation of a sphygmomanometer induces a Trousseau sign. [hawaii.edu]

Acute Hyperventilation

Acute secondary hypocalcemia can result in carpopedal spasm, muscle twitching, a prolonged QT interval, and positive Chvostek and Trousseau signs. [emedicine.medscape.com]

signs, N&V, focal neurologic signs, depressed consciousness, or coma Lab pH > 7.42, HCO 3 - < 22 mEq/L–if compensating, PaCO 2 < 35 mmHg. [medical-dictionary.thefreedictionary.com]

Trousseau's sign (also called 'main d'accoucheur' or carpopedal spasm) is muscle spasm in the hands, with the tips of the fingers and thumb apposed and the fingers straight [patient.info]

Pseudohypoparathyroidism

Her trousseau's sign was positive, serum calcium 5.5 mg/dl, PTH 137 pgm/ml and CT scan of brain shows bilateral and symmetrical calcification. [ncbi.nlm.nih.gov]

Signs can include paresthesias, tetany, cramps, and even seizures. Moreover, the physical exam is notable for findings such as Chvostek sign and Trousseau sign. [symptoma.com]

[…] contraction of facial muscles with percussion of the facial nerve C ontraction of C heek = C hvostek Trousseau sign carpal spasm with occlusion of brachial artery with a [medbullets.com]

Familial Isolated Hypoparathyroidism

or by using the cuff of a sphygmomanometer to temporarily obstruct the blood flow to the arm (a phenomenon known as Trousseau's sign of latent tetany ). [3] A number of [en.wikipedia.org]

Carpopedal spasm was present and other signs of latent tetany such as Chovstek's sign and Trousseau's sign were present. CVS and RS examinations were normal. [jnsbm.org]

Trousseau's sign: occlude the arterial circulation of the forearm using a blood pressure cuff inflated to the systolic blood pressure for three minutes. [patient.info]

Autosomal Dominant Primary Hypomagnesemia with Hypocalciuria

Neurologic exam reveals symmetric hyperreflexia and a positive Chovstek sign. Inflation of a sphygmomanometer induces a Trousseau sign. [hawaii.edu]

 Neuromuscular irritability, including tremor, fasciculations, tetany, Chvostek and Trousseau signs, and convulsions, may be present.  Other manifestations include Apathy [slideshare.net]

In 1960, five patients were reported with symptoms considered to be typical of magnesium depletion, including tetany, positive Chvostek and Trousseau signs, and generalized [vitamindwiki.com]

Thrombophlebitis

Thrombophlebitis migrans may herald the presence of visceral carcinoma - Trousseau's sign. Virchow's triad provides a framework for thinking about thrombosis. [gpnotebook.co.uk]

Thrombophlebitis migrans can be a sign of malignancy – Trousseau sign of malignancy.[8] Diagnosis[edit] The diagnosis for thrombophlebitis is primarily based on the appearance [en.wikipedia.org]

Malignant Neoplasm of the Pancreas

The Trousseau sign of malignancy or Trousseau's syndrome is a medical sign involving episodes of vessel inflammation due to blood clot ( thrombophlebitis ) which are recurrent [en.wikipedia.org]

Clinical signs associated with pancreatic cancer include progressive obstructive jaundice, an abdominal mass or migratory thrombophlebitis [Trousseau’s sign]. [sonoworld.com]

sign: migratory thrombophlebitis in 10% due to tumor or tumor necrosis producing platelet aggregating factors and procoagulants; causes arterial and venous thrombi Coexisting [pathologyoutlines.com]

Vitamin D-Dependent Rickets

Sensitivity and Specificity of Trousseau's and Chvostek's signs In one small study, Trousseau’s sign was positive in 94% of patients with biochemically confirmed hypocalcemia [endocrinologyadvisor.com]

[…] of the facial muscles in response to percussion at the top of the cheek) & Trousseau's sign (carpal muscular spasm on pressure over brachial arteries x 3 min with BP pressure [enotes.tripod.com]

Physical findings of hypocalcemia include the Chvostek sign (twitching of muscles controlled by the facial nerve with light tapping of the cheek) and the Trousseau sign (carpopedal [clinicaladvisor.com]

Ectopic Parathormone Syndrome

However, it is less sensitive than Chvostek's sign (tapping on the facial nerve). The Trousseau-von Bonsdorff test is an extension of Trousseau's sign. [patient.info]

Other clinical signs for hypocalcemia are Chvostek’s as well as Trousseau’s sign. [lecturio.com]

Neurologic exam reveals symmetric hyperreflexia and a positive Chovstek sign. Inflation of a sphygmomanometer induces a Trousseau sign. [hawaii.edu]

Electrolyte Imbalance

Hyperkalemia Paresthesias, limb numbness, muscle tremors, tetany, cramps, convulsions, cardiac disrythmias, decreased cardiac output, positive Trousseau's and Chvostek signs [memorize.com]

 Positive Trousseau’s sign.  Positive Chvostek’s sign.  Resp. – Resp. failure d/t muscle tetany.  CV – Dec. HR., dec. [slideshare.net]

If a calcium imbalance is suspected, the physician will also check for Chvostek's sign, a reflex test that triggers an involuntary facial twitch, and Trousseau's sign, a muscle [medical-dictionary.thefreedictionary.com]

Pseudohypoparathyroidism Type 1B

He had positive Chvostek and Trousseau signs. [abstracts.eurospe.org]

[…] contraction of facial muscles with percussion of the facial nerve C ontraction of C heek = C hvostek Trousseau sign carpal spasm with occlusion of brachial artery with a [medbullets.com]

Chvostek’s and Trousseau’s sign were positive. [indianpediatrics.net]

Autosomal Dominant Hypocalcemia Type 1 with Bartter Syndrome

General physical examination revealed positive Chvostek and Trousseau signs [Figure 1]. She was oriented to time, place, and person with no focal neurological deficit. [ijpm.info]

The two common clinical signs of hypocalcemia are : Image : “A hand being held similarly to Trousseau’s sign,” by Huckfinne. [lecturio.com]

Neonatal Hemochromatosis

Signs of hypocalcemia: Chvostek’s and Trousseau’s signs. Hosp Physician. 2000;36(3):43–5. [Google Scholar] 25. Schaaf M, Payne CA. [ncbi.nlm.nih.gov]

Vitamin D-Dependent Rickets Type 1B

tap anterior to earlobe and below cheek bone --> mm. contraction on that side Trousseau sign: inflate BP cuff >SBP and leave it for 2 min --> carpal mm. spasm on that side [brainscape.com]

Calcium Glubionate

Relatively early signs of hypocalcemia are a positive trousseau's sign and a positive chvostek's sign. [medical-dictionary.thefreedictionary.com]

• Assess Chvostek’s and Trousseau’s signs periodically to check for tetany. [glowm.com]

’s sign). [medical-dictionary.thefreedictionary.com]

Neonatal Severe Hyperparathyroidism

A past history of tetany was elicited and carpopedal spasm and a positive Trousseau's sign were observed. [nejm.org]

This is manifested by carpopedal spasm, laryngismus stridulus and obstetrician hand and latent tetany, which involves Trousseau’s sign (spasm of hand and forearm muscles) [howmed.net]

Trousseau's sign: occlude the arterial circulation of the forearm using a blood pressure cuff inflated to the systolic blood pressure for three minutes. [patient.info]

Paraneoplastic Syndrome

sign, nonbacterial thrombotic endocarditis, and anemia. [en.wikipedia.org]

[…] results in grey to black-blueish skin tones).[7] Hematological[edit] The following diseases manifest by means of hematological dysfunction: granulocytosis, polycythemia, Trousseau [en.wikipedia.org]

sign Pancreatic carcinoma[11] Bronchogenic carcinoma[11] Mucins that activate clotting,[11] others Nonbacterial thrombotic endocarditis Advanced cancers[11] Hypercoagulability [en.wikipedia.org]

Gitelman Syndrome

Examination of the patient's limbs revealed a positive trousseau sign and carpopedal spasms. [bioscmed.com]

Chvostek's sign and Trousseau's sign were positive. Neurologically, she was fully oriented. She had Grade 3 power in all the four limbs with intact sensation. [sjkdt.org]

Physical examination revealed a positive Trousseau sign, hypotonia and areflexia.Suspecting hypocalcaemia, she was given intravenous 10% calcium gluconate (10 mL administered [ncbi.nlm.nih.gov]

Proximal Myopathy with Extrapyramidal Signs

Symptoms and signs of hypocalcemia  Neuromuscular irritability  Paresthesias  Laryngospasm / Bronchospasm  Tetany  Seizures  Chvostek sign  Trousseau sign  Prolonged [slideshare.net]

Trousseau sign: (very uncomfortable and painful)  A blood pressure cuff is inflated to a pressure above the patients systolic  Pressure is continued for several  Carpopedal [slideshare.net]

Woronets Trait

Trousseau's sign In hypocalcemia and latent tetany, carpal spasm induced by occluding the brachial artery for 3 min with an inflated BP cuff. [wikem.org]

Trousseau's spot Also known as tache cerebrale, the red streak seen on scratching the skin in acute meningitis. [wikem.org]