Trousseau sign positive in which poisoning ?
## **Core Concept**
The Trousseau sign, also known as the "obstetrician's hand," is a clinical indication of **latent tetany**, which is often associated with **hypocalcemia**. It involves the inflation of a blood pressure cuff around the arm to a pressure above systolic blood pressure for a few minutes, leading to a characteristic contraction of the hand muscles.
## **Why the Correct Answer is Right**
The Trousseau sign is positive in conditions that lead to **hypocalcemia** (low calcium levels in the blood). Among the given options, **oxalic acid poisoning** leads to the formation of insoluble calcium oxalate when it comes into contact with calcium ions in the blood, thereby reducing the serum calcium levels and potentially causing **hypocalcemia**. This makes option the correct answer because oxalic acid poisoning directly results in decreased calcium levels, which can manifest with a positive Trousseau sign.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because it does not directly relate to a well-known cause of hypocalcemia or a condition commonly associated with a positive Trousseau sign.
- **Option B:** This option is incorrect as there is no commonly recognized association with hypocalcemia or Trousseau sign positivity.
- **Option D:** This option is incorrect because, similar to options A and B, there is no established direct link to hypocalcemia or a positive Trousseau sign.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that the Trousseau sign of latent tetany is a useful bedside test for **hypocalcemia**. Students should remember that **oxalate** can chelate calcium, leading to hypocalcemia and potentially a positive Trousseau sign. This association can be critical in clinical scenarios involving poisoning or metabolic disturbances.
## **Correct Answer: .**