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"