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😲 Tap… and the face twitches! This is called Chvostek sign 👇 🧠 Percussion over the facial nerve ➝ causes ipsilateral facial muscle contraction ⚠️ It’s a classic clinical sign of hypocalcemia (low calcium) 🤯 BUT here’s the twist: ➡️ 10–20% of normal people can also show this sign even with normal serum calcium! So remember: 📌 Positive Chvostek ≠ always hypocalcemia Medicine loves exceptions 😏 #ChvostekSign #Hypocalcemia #ClinicalSigns #MedicalExam #MedStudent #USMLE #PLAB #MBBS #NursingTok
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Dr. Neuro on Instagram: "Chvostek sign 🔔 What it is: Chvostek sign is a clinical sign of neuromuscular excitability, most commonly seen in hypocalcemia. How to elicit: Gently tap the facial nerve just anterior to the ear, at the angle of the jaw. Use your finger or a reflex hammer. Positive sign: Twitching of facial muscles on the same side: Corner of mouth Nose Eyelids Why it happens (pathophysiology): Low serum calcium → increased neuronal membrane excitability This makes the facial nerve hyp
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