Paresthesias: typically tingling or pins-and-needles sensation in extremities and/or in the perioral area
Spasms (e.g., carpopedal spasm, bronchospasm or laryngospasm), and cramps (possible in any muscle)
Stiffness, myalgia
Maneuvers to elicit latent tetany on physical exam
Chvostek sign: short contractions (twitching) of the facial muscles elicited by tapping the facial nerve below and in front of the ear (∼ 2 cm ventral to the ear lobe)
Trousseau sign: ipsilateral carpopedal spasm occurring several minutes after inflation of a blood pressure cuff to pressures above the systolic blood pressure
