A 52-year-old female who has previously undergone thyroidectomy presents with irritability and distal extremity tingling. Physical examination reveals a positive Chvostek’s sign and Trousseu’s phenomenon. Bloodwork reveals decreased serum calcium and magnesium. Based on this information, what is the most appropriate initial diagnosis?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 52-year-old female who has previously undergone thyroidectomy presents with irritability and distal extremity tingling. Physical examination reveals a positive Chvostek’s sign and Trousseu’s phenomenon. Bloodwork reveals decreased serum calcium and magnesium. Based on this information, what is the most appropriate initial diagnosis?