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Ever heard of negative "swastik" sign? - mls

Posted: May 26, 2010

Patient had a thyroidectomy today. Endocrinologist dictates on exam, "Anterior neck dressing is intact. There is no evidence of bleeding. Negative s/l "swastik" sign.

Chvostek sign ? sm - Txczech

[ In Reply To ..]
Chvostek sign

facial irritability in tetany, unilateral spasm of the orbicularis oculi or oris muscle being excited by a slight tap over the facial nerve just anterior to the external auditory meatus. Syn: Weiss sign.

Swastick...sm - Lilly

[ In Reply To ..]
Maybe the doctor is referring to:

The Chvostek sign (also Weiss sign) is one of the signs of tetany seen in hypocalcemia. It refers to an abnormal reaction to the stimulation of the facial nerve. When the facial nerve is tapped at the angle of the jaw (i.e. masseter muscle), the facial muscles on the same side of the face will contract momentarily (typically a twitch of the nose or lips) because of hypocalcaemia (ie from hypoparathyroidism, pseudohypoparathyroidism, hypovitaminosis D) with resultant hyperexcitability of nerves.

Thank you both! - mls

[ In Reply To ..]
My mind drew a complete blank on that one. Thank you so much for helping me with that and the info you provided! Thanks so much guys!

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