Key Points Etiologies Acute pancreatitis Hypoparathyroidism Pseudo-hypoparathyroidism Vitamin D deficiency Hyperphosphataemia Hypomagnesaemia Diuretics Critical illness (e.g., sepsis, massive transfusion) Signs and Symptoms Neuromuscular excitability Carpopedal spasm Tetany Chvostek sign (facial…
A 7-year-old boy visiting from London is brought into the emergency department for palpitations and lightheadedness. He has a history of prior long bone fractures, walks with crutches, and appears…
A 53-year-old woman presents to the emergency department with shortness of breath. The following ECG is obtained:
An 89-year-old woman is brought into the emergency department with generalized weakness and dizziness. She is noted to be bradycardic at triage. The following ECG is obtained with no prior…
A 48-year-old male is brought in after being found unresponsive on the street. History is otherwise limited. The patient is afebrile and mildly bradycardic with a normal blood pressure. The…
A 40-year-old man presents with palpitations and malaise. Vital signs are within normal limits with a normal temperature. The following ECG is obtained:
A 54-year-old woman presents to the emergency department with generalized weakness and nausea. She is tachycardic but otherwise has normal vital signs. The following ECG was obtained:
A 70-year-old woman presents to the ED with upper abdominal pain and vague paresthesias. The following ECG is obtained:
A 54-year-old woman presents to the ED with lightheadedness, palpitations, muscle cramps, and upper extremity paresthesias. The following ECG is obtained: