A 65-year-old Hispanic woman comes to your clinic with complaints of irritability and depression for the past several months. She also notes an intermittent sensation of numbness around her mouth. She has a history of anxiety disorder and chronic renal insufficiency secondary to poorly controlled hypertension. Past surgeries include an appendectomy and thyroidectomy 1 year ago secondary to a large goiter. On physical examination the patient appears anxious. Vital signs are within normal limits, with the exception of a BP of 190/79 mm Hg.
As you recheck her BP, you note carpal spasm. This patient’s problem is most likely caused by:
A. Malignancy
B. Hypoparathyroidism
C. Renal failure
D. Pseudohypoparathyroidism
E. Vitamin D deficiency
As you recheck her BP, you note carpal spasm. This patient’s problem is most likely caused by:
A. Malignancy
B. Hypoparathyroidism
C. Renal failure
D. Pseudohypoparathyroidism
E. Vitamin D deficiency