Pediatric Hypocalcemia Clinical Presentation

Updated: Dec 05, 2016
  • Author: Yogangi Malhotra, MD; Chief Editor: Sasigarn A Bowden, MD  more...
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In patients with hypocalcemia, the history varies depending on age. In newborns, patient history can include the following:

  • Possibly no symptoms exhibited
  • Lethargy
  • Poor feeding
  • Vomiting
  • Abdominal distension
  • Prematurity
  • Difficult birth/low Apgar score
  • Maternal diabetes/hyperparathyroidism
  • Jitteriness
  • Seizure
  • Apnea

History in children can be as follows:

  • Seizures
  • Twitching
  • Cramping
  • Laryngospasm, a rare initial manifestation

Physical Examination

Children’s symptoms include the following:

  • Lethargy
  • Cyanosis
  • Tremulousness
  • Seizures
  • Apnea
  • Tetany and signs of nerve irritability, such as the Chvostek sign, carpopedal spasm, the Trousseau sign, and stridor
  • Abdominal distension
  • Cardiac murmur
  • Features of a "syndrome"