What Should be the Next Steps After Identifying a Positive Trousseau's Sign?
If a positive Trousseau's sign is observed, the following steps should be taken: 1. Serum Calcium Measurement: Confirm hypocalcemia by measuring serum calcium levels. 2. Serum Magnesium and Phosphate Levels: Check for other electrolyte imbalances. 3. Parathyroid Hormone (PTH) Levels: Assess PTH levels to differentiate between hypoparathyroidism and pseudohypoparathyroidism. 4. Vitamin D Levels: Measure 25-hydroxyvitamin D to evaluate for deficiency. 5. Renal Function Tests: Assess kidney function to rule out chronic kidney disease.
