What Caused This?

This is an easy one:

We had a woman with this recently. What surgery did she just have? Answers tomorrow.

11 comments to What Caused This?

  • What’s happening here? No sound just a weird hand. Is her hand going wonky while someone is taking her blood pressure?

    I have no idea what I’m talking about so I’m going to guess anyway :)

    Um brain surgery and now the pathways are trying to readjust after the trauma so measuring her blood pressure is causing her hand to dance.

    Is that even close to good BS?

  • flying kumquat

    Carpopedal spasm from hypocalcemia secondary to parathyroidectomy is my guess.

  • Yvonne ED RN

    I will second the answer from Kumquat.

  • anon

    Agreed with above.

    Eliciting this by raising a BP cuff above the patient’s systolic pressure is known as Trousseau’s Sign, correct?

  • thyroidectomy[total/neartotal]??

  • Old Wife

    This is my first time posting here and my guess is Dupuytren’s Contracture Surgery.

  • what brocasarea or flying kumquat said. What’s with the guy with the white coat and funky sneakers just hanging out? an erp? Looks like it was filmed on a cell phone.

  • MG

    I third flying kumquat’s guess! Only question is why isn’t the forearm implant functioning? In that case, maybe it was in fact a thyroidectomy with inadvertent parathyroidectomy. Oops!

  • MedOhio

    I’m with Dupuytren’s. My grandfather had similar scarring, and sent us photos of his surgery with a title of “My Hand Job”.

  • ERP

    OK, it is a Trousseau’s Sign – or carpopedal spasm caused by hypocalaemia when you blow up the BP cuff. Why did she have it? She was S/P thryoidectomy (where usually some of the parathyroids are taken along with it) who ran out of her calcium supplents. Her Ca+2 level was 5.1 and she had an abnormal EKG. Congrats to those that got it right!

  • Cal

    Thyroidectomy. Been there, done that, felt absolutely crap! Hypocalcemia is not fun.

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