Medical Surgical Parathyroid #5

Question

Which symptoms are most associated with hypoparathyroidism? Select all that apply.

Answers

  1. Constipation
    • Rationale:

      This answer is not correct because constipation is associated with hypercalcemia associated with hyperparathyroidism. Symptoms most associated with hypoparathyroidism are laryngeal spasms, hypocalcemia, positive Trousseau and Chvostek signs, tetany, fatigue, muscle cramps, paresthesia or burning in the toes, fingertips, or lips, hair loss, dry skin and nails, and depression, or anxiousness.

  2. Laryngeal spasms
    • Rationale:

      This answer is correct because laryngeal spasms are a risk associated with hypoparathyroidism due to hypocalcemia that occurs. Other symptoms associated with hypoparathyroidism are hypocalcemia, positive Trousseau and Chvostek signs, tetany, fatigue, muscle cramps, paresthesia or burning in the toes, fingertips, or lips, hair loss, dry skin and nails, and depression, or anxiousness.

  3. Hypercalcemia
    • Rationale:

      This answer is not correct because hypocalcemia (not hypercalcemia) occurs with hypoparathyroidism. Tetany and positive Trousseau and Chvostek signs are symptoms associated with hypocalcemia.

  4. Positive Kernig sign
    • Rationale:

      This answer is not correct because a positive Kernig sign is an assessment for meningitis. A positive Trousseau and Chvostek are symptoms of hypoparathyroidism since hypocalcemia occurs.

  5. Positive Trousseau sign
    • Rationale:

      This answer is correct because a positive Trousseau and Chvostek are symptoms of hypoparathyroidism since hypocalcemia occurs. Symptoms most associated with hypoparathyroidism are laryngeal spasms, hypocalcemia, positive Trousseau and Chvostek signs, tetany, fatigue, muscle cramps, paresthesia or burning in the toes, fingertips, or lips, hair loss, dry skin and nails, and depression, or anxiousness.

Overview

Hypoparathyroidism is a condition where the body doesn’t produce enough parathyroid hormone (PTH). Symptoms most associated with hypoparathyroidism are laryngeal spasm, hypocalcemia, positive Trousseau and Chvostek signs.

Explanation

Learning Outcomes

Hypoparathyroidism is a condition where the body doesn’t produce enough parathyroid hormone (PTH). PTH is instrumental in regulating and balancing phosphorus and calcium. Primary hypoparathyroidism is rare but secondary hypoparathyroidism is most commonly associated with thyroidectomy. This occurs due to the fact that the parathyroids are attached to the thyroid. Symptoms of hypoparathyroidism are the same as hypocalcemia. Symptoms most associated with hypoparathyroidism are laryngeal spasm, hypocalcemia, positive Trousseau and Chvostek signs, tetany, fatigue, muscle cramps, paresthesia or burning in the toes, fingertips, or lips, hair loss, dry skin and nails, and depression, or anxiousness.

Test Taking Tip

Calcium “calms”. If a person does not have enough calcium or “calm”, then spasms or tetany can occur.

Video Rationale