question regarding PTH...

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Dr. Ace

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Hi guys, can someone explain to me why hypoparathyroidism causes tetany please? I was trying to figure it out but wasn't too sure but i came up with this (correct me please if i am wrong)...hypoparathyroidism has less reabsorption from bone tissues because there is too much serum Ca (or other way around? 😕 )... which means that since there is too much Ca strolling along blood, then there is a negative feedback causing the parathyroid to not to release PTH, right? SO tetany is caused cuz ??? serum (blood) begins to have less Ca?? Im really confused here. 🙁 ..please help me out. thanx.
 
Decrease in PTH --> decrease in serum Ca --> tetany
 
thanx axis! so tetany is caused cuz there is no Ca? I thought there would be more contractions if there were more Ca? more Ca can cause the release of ACh vesicles in the neuromuscular junction causing ACh to bind to post-synaptic neurons and therefore causing sarcoplasimc reticulum to release Ca to bind to troponin C to move tropomyosin and allow myosin to act on actin causng contractions until there is no more ATP and Ca. so this has nothing to do with the decrease in Ca from hyperparathyroid? could u explain why less Ca causes tetany please? thanx in advance.
 
Parathyroid hormone. In hypoparathyroidism, serum calcium is abnormally low because Ca reserves cannot be released from the bone. When you don't have enough circulating calcium, your muscles become hypersensitive to any remaining calcium that hits a Ca receptor, causing a twitch. For some reason, I'm having a brain fart and that's as far as I can remember. Sorry I couldn't tie off the ending here.
 
Tetany is an involuntary and forcibly contracted muscle that does not relax and occurs when the concentration of calcium ions (Ca++) is low in bone only.The muscles become hypersensitive to any remaining calcium. Calcium ion conc is present in sarcoplasm reticulum causes contractions and the nervous system becomes increasingly excitable, and nerves discharge spontaneously, sending impulses to skeletal muscles and causing spasmodic contractions.firing rate of the motor neurons is increased. So i guess low calcium in bone (reservior for calcium) leads to hypoparathyroidism and muscle depends on calcium present only in sarcoplasm .get exicited and causes tetany ...i think so...

Hypoparathyroidism is the state of decreased secretion or decreased activity of parathyroid hormone (PTH). This lack of PTH leads to decreased blood levels of calcium (hypocalcemia) and increased levels of blood phosphorus (hyperphosphatemia). The symptoms of hypoparathyroidism result from the low levels of calcium in the blood, not a lack of PTH and can range from quite mild (tingling in the hands, fingers, and around the mouth) to more severe forms of muscle cramps leading all the way to tetany (severe muscle cramping of the entire body).

Muscle contractions occurs as long as ATP is available and calcium is present on thin filament.The calcium ions leave the troponin molecule in order to maintain the calcium ion concentration in the sarcoplasm. The active pumping of calcium ions into the sarcoplasmic reticulum creates a deficiency in the fluid around the myofibrils. This causes the removal of calcium ions from the troponin. Thus the tropomyosin-troponin complex again covers the binding sites on the actin fiaments and contraction ceases.
 
Tetany is an involuntary and forcibly contracted muscle that does not relax and occurs when the concentration of calcium ions (Ca++) is low in bone only.The muscles become hypersensitive to any remaining calcium. Calcium ion conc is present in sarcoplasm reticulum causes contractions and the nervous system becomes increasingly excitable, and nerves discharge spontaneously, sending impulses to skeletal muscles and causing spasmodic contractions.firing rate of the motor neurons is increased. So i guess low calcium in bone (reservior for calcium) leads to hypoparathyroidism and muscle depends on calcium present only in sarcoplasm .get exicited and causes tetany ...i think so...

Hypoparathyroidism is the state of decreased secretion or decreased activity of parathyroid hormone (PTH). This lack of PTH leads to decreased blood levels of calcium (hypocalcemia) and increased levels of blood phosphorus (hyperphosphatemia). The symptoms of hypoparathyroidism result from the low levels of calcium in the blood, not a lack of PTH and can range from quite mild (tingling in the hands, fingers, and around the mouth) to more severe forms of muscle cramps leading all the way to tetany (severe muscle cramping of the entire body).

Muscle contractions occurs as long as ATP is available and calcium is present on thin filament.The calcium ions leave the troponin molecule in order to maintain the calcium ion concentration in the sarcoplasm. The active pumping of calcium ions into the sarcoplasmic reticulum creates a deficiency in the fluid around the myofibrils. This causes the removal of calcium ions from the troponin. Thus the tropomyosin-troponin complex again covers the binding sites on the actin fiaments and contraction ceases.

thanx for the explanation!! 👍

merry christmas to all!!
 
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