Trousseau Sign Hypocalcemia Indicator & Spasm Test | Osmosis
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Trousseau Sign Hypocalcemia Indicator & Spasm Test | Osmosis
The Trousseau sign of latent tetany is one of the clinical signs associated with hypocalcemia, or low calcium levels in the blood. This Learn with Osmosis
Jan 4, 2024
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Medicos Nexus on Instagram: "✋ Trousseau Sign ⚡ 🔹 What is it? 👉 A clinical sign of latent hypocalcemia 🧪 👉 Indicates ↑ neuromuscular excitability 🩺 How to elicit ✔ BP cuff 🩸 on upper arm ✔ Inflate 20–30 mmHg ↑ SBP ✔ Maintain for 3–5 min ⏱ ➡ Positive sign = Carpopedal spasm ✊ ✋ Hand posture (Main d’accoucheur) 🔸 Wrist flexion ↘ 🔸 MCP flexion 🔸 IP joint extension 🔸 Thumb adduction 👍➡ 🧠 Why does it occur? ⬇ Ionized Ca²⁺ (not total Ca!) ⬆ Na⁺ channel excitability ⚡ 🩸 Ischemia + alkalosi
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