What is the underlying condition, which can explain his thick tongue and cranial computed tomogram abnormalities?
Chronic hypocalcaemia can explain his symptom and sign of a thick tongue, and cranial computed tomography finding of bilateral basal ganglia calcification. His thick tongue was a manifestation of Schultze’s sign of latent tetany: a mechanical stimulation of the tongue is followed by local muscle contraction. 1 2 Clinically Chvostek’s and Trousseau’s signs were positive. The electrocardiogram revealed sinus tachycardia, and a corrected QT interval of 0.56 seconds (normal 0.36–0.43). Serum calcium was 1.03 mmol/l (2.12–2.62), phosphorus 3.48 mmol/l (0.8–1.4), vitamin D 3 concentration 23 pmol/l (36–144), and serum parathyroid hormone concentration 1.2 pmol/l (10–65).
Related Questions
- Even someone with no underlying medical condition can get a very nasty flu illness, with missed days of work and a trip to the doctors office. Why would anyone want that?
- If a Soldier has an underlying medical condition and is being treated by a healthcare provider for that condition, is he/she exempt from AR 600-9?
- Can u explain some classification and stability condition of pressure vessels?
