Original Article

CME Article: Vessel Sealant Devices in Thyroidectomies: An ACS-NSQIP Study

Objectives: Thyroidectomies involve meticulous dissection of a highly vascularized organ and complications may develop, such as hematoma, hypocalcemia, and even hypoparathyroidism. Because some of these complications may be fatal, we sought to identify the differences in postthyroidectomy outcomes when the use of a vessel sealant device (VSD) such, as LigaSure…

Posted in: DVT 4 hematoma 3 hypocalcemia 5 thyroidectomy 3

Review

Calcium Abnormalities in Hospitalized Patients

Depending upon the method of measurement, hypocalcemia occurs in 15% to 88% and hypercalcemia occurs in 15% of hospitalized patients. Ionized calcium should be measured in place of total serum calcium to avoid errors related to hypoalbuminemia, which is seen commonly in acutely ill patients. Symptomatic hypocalcemia requires prompt intravenous…

Posted in: calcium 3 hypercalcemia 10 hypocalcemia 5

Review

Vitamin D Deficiency in Patients with Congestive Heart Failure: Mechanisms, Manifestations, and Management

Recent research suggests that vitamin D may play a role in cardiovascular (CV) health. Although its exact role is still debated and is a matter of controversy, vitamin D deficiency has been linked to increased prevalence of CV risk factors and events. Factors that predispose persons with congestive heart failure…

Posted in: Congestive Heart Failure 12 hypocalcemia 5 secondary hyperparathyroidism 3 vitamin D 17

Case Report

Refractory Diffuse Bony Pain 20 Years After Jejunoileal Bypass

Osteomalacia can be a late but unrecognized complication following jejunoileal bypass. We describe a 53-year-old man who underwent jejunoileal bypass for morbid obesity twenty years earlier who suffered from progressive diffuse bony pain refractory to nonsteroidal anti-inflammatory drugs. He was initially diagnosed with a malignancy with bone metastasis. However, pertinent…

Posted in: hypocalcemia 5 hypophosphatemia 2 osteomalacia 3 vitamin D 17

Case Report

Metastatic Breast Carcinoma Presenting with Profound Hypocalcemia

Hypocalcemia is a rare complication of malignancy. We present the case of a 30-year-old lady presenting with a grand mal seizure due to profound hypocalcemia. She was subsequently found to be hypoparathyroid and was diagnosed with metastatic breast carcinoma. Treatment with goserelin and exemestane produced a significant reduction in her…

Posted in: breast 7 carcinoma 5 hypocalcemia 5 metastatic 3
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