Approach to hypocalcemia Quiz: Ace Your Exams
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A 65-year-old man presents to the clinic due to fatigue, paresthesias in the hands and feet, and intermittent abdominal cramps for the past two months. His past medical history is significant for uncontrolled type 2 diabetes mellitus and hypertension. He hasn’t been seen by primary care in over 2 years and takes no medications. Vitals are significant for blood pressure of 170/90. Physical examination is significant for spasms of the left hand when the blood pressure cuff is inflated above the systolic blood pressure for 3 minutes. Laboratory evaluation is significant for creatinine of 2.6 mg/dL (previously 1.7 mg/dL). Which of the following is most likely to be seen on further blood work analysis?
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