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265 Possible Causes for Absent Ankle Reflex, Hypotension

  • Hyperkalemia

    An 85 year-old woman on a drug regimen of sotalol, valsartan, spironolactone, and trimethoprim-sulfamethoxazole presented to the emergency department with hypotension and[ncbi.nlm.nih.gov] Amal Mattu’s ECG Case of the Week – January 21, 2019 HPI: A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered[ecgweekly.com] […] hyperkalemia or a patient with renal failure with suspected hyperkalemia should have intravenous access established and should be placed on a cardiac monitor [2] In the presence of hypotension[emedicine.medscape.com]

  • Diabetic Autonomic Neuropathy

    Abstract Postural hypotension is uncommon in diabetes but can occur secondary to autonomic neuropathy.[ncbi.nlm.nih.gov] Abstract Postural hypotension results from sympathetic failure to cause superior peripheral vasoconstriction.[ncbi.nlm.nih.gov] The management of the patient's blood pressure problems (supine hypertension) and symptomatic postural hypotension is discussed.[ncbi.nlm.nih.gov]

  • Guillain-Barré Syndrome

    F waves implicates nerve root involvement delayed/absent H reflex correlates with decreased/absent ankle reflex MRI cauda equina gandolinium enhancement in acute cases DIfferential[step2.medbullets.com] He subsequently developed severe bradycardia and refractory hypotension, which initially responded to dopamine infusion.[ncbi.nlm.nih.gov] Shortly after uncomplicated intubation she developed hypotension and a profound tachycardia.[ncbi.nlm.nih.gov]

  • Hypokalemia

    Intravenous fluid boluses of normal saline (10.5 L in about 24 h) and vasopressors were started with rapid correction of hypotension.[ncbi.nlm.nih.gov] […] rhythyms Constipation Fatigue Muscle Damage Muscle Weakness or spasms Paralysis [2] Nausea and vomiting Polyuria, nocturia or polydipsia Altered mental status Signs of Ileus Hypotension[physio-pedia.com] We conclude that rapid correction of respiratory acidosis, especially in the setting of hypotension, can lead to life-threatening hypokalemia.[ncbi.nlm.nih.gov]

  • Accidental Hypothermia

    […] information 1 Texas Health Harris Methodist Hospital Fort Worth, USA. robdavisrn@sbcglobal.net Abstract A potential cause of such emergent issues as cardiac arrhythmias, hypotension[ncbi.nlm.nih.gov] Accidental hypothermia has a mortality rate of 30-80% and should always be borne in mind with comatose, hypotensive patients.[ncbi.nlm.nih.gov] Rewarming using renal replacement therapy circuit was unsuccessful because of severe hypotension.[ncbi.nlm.nih.gov]

  • Hypermagnesemia

    Hypotension improved with intravenous calcium and peritoneal dialysis.[ncbi.nlm.nih.gov] Before the diagnosis was considered, refractory hypotension, respiratory depression, and coma developed, all of which were eventually reversed through the lowering of the[ncbi.nlm.nih.gov] Symptoms and signs include hyporeflexia, hypotension, respiratory depression, and cardiac arrest.[merckmanuals.com]

  • Anemia

    On presentation, 50% of patients have absent ankle reflexes with relative hyperreflexia at the knees. Plantars are initially flexor and later extensor.[web.archive.org] HBO was discontinued in the survivors when they no longer suffered from hypoxic sprue, postural hypotension, and usually when the Hct was 22% or greater and the Hb was 7 g[archive.rubicon-foundation.org] Hypovolemia leads to hypotension, which is detected by stretch receptors in the carotid bulb, aortic arch, heart, and lungs.[web.archive.org]

  • Peripheral Neuropathy

    Most people with PN have reduced or absent ankle reflexes (involuntary responses to a stimulus).[thebody.com] […] of control of bladder, impotence, abdominal pain, fecal incontinence and altered bowel movements, CVS involvement such as altered heart rate (tachycardia/bradycardia) and hypotension[symptoma.com] Classically, ankle jerk reflex is absent in peripheral neuropathy.[en.wikipedia.org]

  • Diabetic Polyneuropathy

    The ankle tendon reflex was absent in almost half of our patients (40.4 %).[em-consulte.com] KEYWORDS: Autonomic dysfunction; blood flow; blood pressure regulation; orthostatic hypotension[ncbi.nlm.nih.gov] Abnormal responders showed significantly higher mTCNS and lower monofilament results as well as higher prevalence of orthostatic hypotension, retinopathy or nephropathy than[ncbi.nlm.nih.gov]

  • Chronic Alcoholism

    Attention has been drawn to recent literature in which the importance of vascular insufficiency, hypotension and disturbance of fluid and electrolyte balance in the occurrence[ncbi.nlm.nih.gov] The first had been admitted with confusion and weight loss, the second with hypotension and sepsis, and the third with confusion and hypoglycaemia-induced seizures.[ncbi.nlm.nih.gov] […] inexorably progressive lesion was the result of prompt reversal of etiologic factors which result in central pontine myelinolysis-like, fluid and electrolyte imbalance, hypotension[ncbi.nlm.nih.gov]

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