<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282024000300243</article-id>
<article-id pub-id-type="doi">10.29315/gm.v1i1.778</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Hipocalcemia Sintomática Tardia: Um Relato de Caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Late Symptomatic Hypocalcemia: A Case Report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[Sofia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tavares]]></surname>
<given-names><![CDATA[Jéssica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,USF Cuidar  ]]></institution>
<addr-line><![CDATA[Seixal ]]></addr-line>
<country>Not Normalized</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,USF Entre Margens  ]]></institution>
<addr-line><![CDATA[Aveiro ]]></addr-line>
<country>Not Normalized</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>3</numero>
<fpage>243</fpage>
<lpage>247</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282024000300243&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282024000300243&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282024000300243&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo O hipoparatiroidismo secundário é uma possível consequência pós-tiroidectomia total. Daqui decorre o risco de hipocalcemia e consequente sintomatologia associada que flutua desde casos ligeiros como parestesias e cãibras, até casos graves, como laringoespasmo ou arritmias. Habitualmente a sintomatologia surge no período pós-operatório, sendo infrequente a sua manifestação tardia. Apresenta-se um caso de uma utente de 86 anos, com antecedentes de disfunção tiroideia e um quadro de hipocalcemia tardia, cujas manifestações motoras desencadearam investigação etiológica e posterior articulação com os Cuidados de Saúde Secundários. Perante um doente com suspeita de hipocalcemia é importante a realização do exame físico completo, juntamente com estudo analítico e consequente reposição iónica. Em situações agudas deve ocorrer avaliação em urgência hospitalar. Pela longitudinalidade de cuidados, cabe assim ao médico de família a suspeição clínica e capacidade de gestão de apresentações tardias de casos pouco comuns.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Secondary hypoparathyroidism is a possible consequence after total thyroidectomy. This leads to the risk of hypocalcemia and the consequent associated symptoms that fluctuate from mild cases such as paresthesias and cramps, to severe cases such as laryngospasm or arrhythmias. Usually, the symptoms appear in the post-operative period, and its late manifestation is not frequent. We present a case of an 86-year-old patient with a history of thyroid dysfunction, with a presentation of late hypocalcemia, whose motor manifestations triggered etiological investigation and subsequent articulation with secondary health care. When faced with a patient with suspected hypocalcemia, it is important to perform a complete physical examination, along with an analytical study and subsequent ion replacement. In acute situations, the patient should be evaluated in a hospital emergency room. Due to the longitudinally of care, the family physician is responsible for clinical suspicion and management of late presentations of uncommon clinical cases.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Hipocalcemia]]></kwd>
<kwd lng="pt"><![CDATA[Tiroidectomia/efeitos adversos]]></kwd>
<kwd lng="en"><![CDATA[Hypocalcemia]]></kwd>
<kwd lng="en"><![CDATA[Thyroidectomy/adverse effects]]></kwd>
</kwd-group>
</article-meta>
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