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- Chvostek sign ( Clin case reports)Publication . Rodrigues, Roberto; Teles, LuísCareful anamnesis can act as gasometry in services with few resources. In this clini- cal case, a detailed clinical history made it possible to suspect the presence of acute hypocalcemia, a biochemical anomaly after confirmed in gasometry. Acute hypoc- alcemia can be life threatening, necessitating urgent treatment. Sometimes it can be managed with oral ambulatory treatment.