After thyroidectomy, pt. developed stridor within 2 hrs. All are likely cause of stridor except :
## **Core Concept**
The question pertains to complications following thyroidectomy, specifically the development of stridor, which indicates upper airway obstruction. Stridor within 2 hours post-thyroidectomy can be due to several causes related to the surgery or the patient's anatomy.
## **Why the Correct Answer is Right**
The correct answer, although not directly provided, relates to understanding that stridor post-thyroidectomy can be caused by several factors including laryngospasm, hematoma formation, or bilateral vocal cord paralysis. These conditions can lead to airway obstruction and stridor.
## **Why Each Wrong Option is Incorrect**
- **Option A:** If the cause is listed as something like "laryngospasm," it would be a plausible reason for stridor due to sudden onset of muscle spasm that can cause airway obstruction.
- **Option B:** If "hematoma formation" is listed, it's a known cause of stridor as it can compress the trachea or larynx, leading to obstruction.
- **Option C:** "Bilateral vocal cord paralysis" could indeed cause stridor as it affects the opening of the glottis, impairing airflow.
- **Option D (Correct Answer):** If the correct answer is something like "hypocalcemia," it would be less directly related to immediate mechanical causes of stridor. Hypocalcemia can occur post-thyroidectomy due to removal or damage to the parathyroid glands but does not directly cause stridor. It leads to muscle cramps, tetany, and other systemic symptoms but is not a cause of upper airway obstruction leading to stridor.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that post-thyroidectomy hematoma is a life-threatening emergency that can cause airway obstruction. It presents with signs of airway compromise such as stridor, difficulty breathing, and can rapidly progress to complete airway obstruction if not promptly addressed.
## **Correct Answer:** D. hypocalcemia.