Signs and Symptoms

HYPOPARATHYROIDISM
Signs and Symptoms:

Cardiovascular: Decreased contractility of heart muscle
Decreased cardiac output
Prolongation of QT and ST intervals on ECG
Dysrhythmias

Neurologic: Personality changes
Psychiatric manifestations of depression, anxiety, psychosis
Irritability
Memory impairment
Headache, increased intracranial pressure
Seizures
Positive Chvostek’s sign or Trousseau’s phenomenon
Tremor
Paresthesias of lips, hands, feet
Hyperactive deep-tendon reflexes
Disorientation, confusion (in older adult)

Renal: Urinary frequency
Urinary incontinence

Visual: Eye changes, including lenticular opacities, cataracts, papilledema

Gastrointestinal: Abdominal cramps
Fecal incontinence (in older adult)
Malabsorption

Integumentary: Dry, scaly skin
Hair loss on scalp and body
Brittle nails, transverse ridging
Changes in developing teeth, lack of tooth enamel

Musculoskeletal: Fatigue
Weakness
Painful muscle cramps
Skeletal x-ray changes, osteosclerosis
Soft tissue calcification
Difficulty in walking
(Lewis, Dirksen, Heitkemper, Bucher, et al & Camera, 2011)


Paulev-Zubieta. (n.d.). New human physiology. Retrieved from __http://www.zuniv.net/physiology/book/chapter30.html__

Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., & Camera, I. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis: Mosby.

by: Amanda Weber