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Surgery General 567d6002

A patient undergoes thyroid surgery, following which he develops perioral tingling. Blood Ca is 8.9 meq; Next step is:

A
Vit D Orally
B
Oral Ca and vitD
C
Intravenous calcium gluconate and serial monitoring
D
Wait for Ca to decrease to < 7.0 before taking fuher action
High-Yield Explanation
This patient presents with symptoms of hypocalcemia which is a complication of thyroid surgery due to accidental removal of parathyroid glands. So intravenous administration of calcium gluconate and serial monitoring should be done. Ref: Harrison's Internal Medicine, 18th Edition, Page 362.

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