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Images in Clinical Medicine
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Volume 360:e24 April 30, 2009 Number 18
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Chvostek's Sign and Carpopedal Spasm

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A 35-year-old man presented with a 2-day history of cramps and paresthesias in the arms, predominantly involving the fingers. This presentation was preceded by a bout of viral gastroenteritis 1 week earlier. The patient reported receiving no medications and specifically reported not using thiazide diuretics. He had a blood pressure of 100/60 mm Hg, a respiratory rate of 24 breaths per minute, and carpopedal spasm, which was reproducible by inflating a blood-pressure cuff placed on the patient's arm. Chvostek's sign, the twitching of the circumoral muscles with tapping lightly over the facial nerve, was also present (Video 1). . . . [Full Text of this Article]

 



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