Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ 252.1 HypoparathyroidismAssociated ICD-9-CM PT diagnoses/treatment diagnoses that may be directly related315.4 Developmental coordination disorder718.45 Contracture of joint, pelvic region, and thigh719.70 Difficulty in walking involving joint site unspecified728.2 Muscular wasting and disuse atrophy not elsewhere classified728.89 Other disorders of muscle, ligament, and fascia729.9 Other and unspecified disorders of soft tissue780.7 Malaise and fatigue781.2 Abnormality of gait782.3 Edema786.0 Dyspnea and respiratory abnormalities786.05 Shortness of breath ++ E20.0 Idiopathic hypoparathyroidismE20.1 PseudohypoparathyroidismE20.8 Other hypoparathyroidismE20.9 Hypoparathyroidism, unspecifiedE89.2 Post-procedural hypoparathyroidismP71.4 Transitory neonatal hypoparathyroidism ++ 4D: Impaired joint mobility, motor function, muscle performance, and range of motion associated with connective tissue dysfunction4E: Impaired joint mobility, motor function, muscle performance, and range of motion associated with localized inflammation6B: Impaired aerobic capacity/endurance associated with deconditioning +++ Description ++ Insufficient hyperparathyroid hormone from four parathyroid glands resulting in low calcium and high phosphorusMuscle crampsLow calcium +++ Essentials of Diagnosis ++ Muscle spasms as severe as tetanyAbdominal crampsLow calciumHigh phosphorus levelsDecreased calcium in urinePositive Chvostek signPositive Trousseau phenomenon +++ General Considerations ++ Can be congenital or acquired2Can have autoimmune bias2Diagnosis for more occult problems may take time and require intensive medical diagnostic testingMay cause pathology in multiple organ systemsGI: liverCardiovascular: heart, peripheral circulation, blood pressureIntegumentaryMay result in secondary problems indicating the need for PT intervention depending on severityAerobic capacity and muscle endurance impairmentSarcopeniaWeakness/impaired muscle performanceMusculoskeletal problemsNeuromuscular problems +++ Demographics ++ Considered rareLifespan +++ Signs and Symptoms ++ Signs and symptoms of hypocalcemia2Hyperphosphatemia2Peripheral paresthesiasParesthesias in lipsMuscle aches/painMuscle cramps in lower extremities (LEs), abdomen, or faceTwitching or spasms in muscles and throatFatigueWeaknessPainful menstruationPatchy hair loss (e.g., eyebrows)Dry, coarse, scaly skinBrittle nailsAnxietyNervousnessHeadachesDepression, mood swingsMemory problemsLoss of consciousness/faintingSeizuresMalformations of teethKidney diseaseArrhythmiasHeart failureVision impairment; cataractsShort statureSlow mental development in childrenCalcium deposits in the brainAbdominal painBreathing difficulties secondary to throat spasmsPainful menstruation +++ Functional Implications ++ Inability or reluctance to leave home secondary to not feeling well or impaired mental statusFatigueInability to focusKidney diseaseShortness of breathMuscle performance deficits, inability to ambulate or perform self-care, and aerobic capacity limitation secondary to inactivityDecreased exercise toleranceSleep disturbancesChanges in lifestyleInappropriate self-medicationAnxiety and irritabilityLimitations in ADLs or IADLsNeuropathy, increased risk for fallsLow mentation, need for special schooling considerations +++ Possible Contributing Causes ++ Inability to afford testing and medications and noncompliance with medication regiments/inability to ... Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free a profile for additional features.