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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tingling In Forearms, Cramps In Hands And Fluctuating BP Levels?

took my wife into hosp er on advice of her primary....neusea, weak, fatigued, forearms tingling and hands/fingers drawing up. Recently lost left kidney from stent occlusion (stant was full length of renal artery aneurism). She has a history of blacking out with extremely high blood pressure which helped us discover her severe osteoporosis. Had nuclear renal survey done to ensure remaining kidney flowing well in Dec. So not an issue. Drs decided to err on side of caution and admit for tests and observation two days ago. extremely high blood pressure for 2-3 days prior in 160s and 170s over 120. In hospital last night she blacked out and collapsed in patient restroom in her room. BP was high just before that incident although still high was descending on their bp meds. bp after her blackout was 58 over 40 and has been low for past 12 hrs but rising. Fam Hist her father and uncle had bp that alternated high for few days and then low. Years ago dr had me log in and fax daily bp readings at her bedside and for days it would be high then suddenly be low for a few more days so she also has a history of erratic bp readings as well as family history of it. She is 57. I m more worried I guess about the tingling in forearms, drawing up/cramping sometimes to the extend she can t move little fingers especially left side and the high bp....she hasn t had those symptoms since the sudden tanking of her bp to very low? Sounds confusing doesn t it. I am a PHD and former career intel spec and have made a career out of deductive reasoning and my PHD was on crisis decision making biological and social intuitive/deliberative crisis decisions. I m trying to connect the dots. Can you help. I think they ve given up on her and basically will just release her with cautionary advice. vr Dr. Jim Gschwind, PHD
Mon, 14 Mar 2016
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Internal Medicine Specialist 's  Response
fingers drawing up may be due to hypocalcemia, tingling may be due to peeipheral neuropathy or may be due to hypocalcemia ( low serum calcium leve!s.fluctuating BP please rule out adrenal causes( pheochromocytoma)
please check urine for catecholamines and metanephrines.
she needs cardiac evaluation also.
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What Causes Tingling In Forearms, Cramps In Hands And Fluctuating BP Levels?

fingers drawing up may be due to hypocalcemia, tingling may be due to peeipheral neuropathy or may be due to hypocalcemia ( low serum calcium leve!s.fluctuating BP please rule out adrenal causes( pheochromocytoma) please check urine for catecholamines and metanephrines. she needs cardiac evaluation also.