Internal Medicine

0521779407-09 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:13

Hypertriglyceridemia Hypocalcemia 777

■Uncontrolled patients every 3 months

➣Obtain lipid panel, ALT, AST

complications and prognosis

■Pancreatitis when triglycerides≥1,000 mg/dl

■Coronary artery disease

■Peripheral vascular disease

■Cerebrovascular disease

Hypocalcemia......................................

DOLORES SHOBACK, MD

history & physical

History

■Previous thyroid, parathyroid, or neck surgery

■Other autoimmune disorders: adrenal insufficiency, mucocuta-

neous candidiasis

■Chronic renal failure

■Diarrhea, steatorrhea

■Previous bowel surgery

■Muscle cramps, tetany, weakness

■Numbness, circumoral tingling

■Shortness of breath

■Laryngospasm

■Wheezing

■Seizures

■Rickets

■Bone pain

■Delayed growth, mental retardation, short neck, shortened digits

■Lack of sunlight

■Low dietary Ca and vitamin D

Signs & Symptoms

■Neck scar,+Chvostek’s,+Trousseau’s signs

■Carpal-pedal spasm

■Tetany

■Dyspnea, stridor, wheezing

■Seizures

■Bone pain

■Muscle weakness

■Cataracts