A 43-year-old man has perioral numbness and severe cramping of both hands following a total thyroidectomy for thyroid cancer. His lab results show severe hypocalcemia as his calcium level is 4.1mg/dl, hypomagnesemia Mg 1.7mg/dl, with normal renal function. ECG is normal. Which of the following is the most appropriate immediate treatment for this patient?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: B. Calcium
- إجابة ثانية: D. Magnesium
! المصادر مختلفة
thyroid and parathyroid- Afnan.pdf · p. 18
Post-thyroidectomy symptomatic, severe hypocalcemia (perioral numbness, hand cramps, Ca 4.1 mg/dL) is treated immediately with IV calcium (calcium gluconate 10%), according to the lecture and summary.
- Why disputed: the cohort bank keys Magnesium ('Corrected by Batch 40'), reasoning that hypomagnesemia must be corrected first. The summary does say to ensure magnesium repletion, but as an add-on. Mg 1.7 mg/dL is only borderline-low, so calcium is the immediate priority.
- المصدر
- thyroid and parathyroid- Afnan.pdf · p. 18
thyroid and parathyroid- Afnan.pdf · p. 24
thyroid and parathyroid- Afnan.pdf · p. 25 - المحاضرة
- Thyroid and Parathyroid · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 204 Q9