Q:

Do we routinely need to monitor all patients postradioiodine ablation for hypocalcemia?

0

A 41-year-old female with a history of Graves’ disease is admitted to our hospital for further evaluation and treatment of hypocalcemia. She gives a history of receiving radioactive iodine supplementation for the treatment of her Graves’ disease about 6 years back, when she received dose of 10 millicurie and after 3 months of the ablation patient became hypothyroid and was started on levothyroxine supplementation in a dose of 125 mg per day and henceforth she has been maintaining a normal calcium level. She has no family history of bone and mineral metabolism disorders. She was diagnosed as severe hypocalcemia 1 week back (serum corrected calcium level, 6.7 mg/dL) and referred to our hospital. On admission, her blood pressure is 100/76 mm Hg, and her pulse rate is 68 beats/minute with regular rhythm. Her thyroid gland is barely palpable. Her heart and breathing sounds are clear. Trousseau and Chvostek signs are positive. Chest X-ray is normal. Electrocardiogram shows a prolonged QTc interval (0.49 msec).

Do we routinely need to monitor all patients postradioiodine ablation for hypocalcemia?

All Answers

need an explanation for this answer? contact us directly to get an explanation for this answer

No, hypocalcemia after radioiodine ablation is rare and no recommen-dation exists for routine screening for hypocalcemia postradioiodine ablation.

need an explanation for this answer? contact us directly to get an explanation for this answer

total answers (1)

Similar questions


need a help?


find thousands of online teachers now