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145 Possible Causes for Absent Ankle Reflex, Myalgia, Nausea

  • 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] The most common adverse effects of pazopanib include diarrhea, fatigue, and nausea, but neuropathic complication has not been documented.[ncbi.nlm.nih.gov] Suspected Zika virus disease was defined as a history of rash and 2 other Zika-related symptoms (fever, arthralgia, myalgia, or conjunctivitis).[ncbi.nlm.nih.gov]

  • Hypokalemic Periodic Paralysis

    […] of life (60% of cases have onset aged 16 years) with susceptible individuals experiencing sudden onset of perioral numbness; weakness; centrifugal paralysis, often with nausea[mdedge.com] Case 2 was a retroviral disease patient on treatment presented with myalgia and muscle weakness. On the evaluation, she had typical findings of proximal RTA.[mjdrdypu.org] Case A 27-year-old Asian male came into the emergency room with significant weakness in his arms and legs following an episode of nausea and vomiting.[academic.oup.com]

  • Poliomyelitis

    The most common include For abortive poliomyelitis fever (up to 103º F) decreased appetite nausea and/or vomiting sore throat not feeling well constipation abdominal pain[childrenshospital.org] In paralytic poliomyelitis, muscle weakness is preceded by intense myalgias of the involved limbs and axial skeleton.[medlink.com] […] infectious process, and with the MRI findings were characteristic of poliomyelitis. 3, 5, 7 - 12 The prodrome of paralytic poliomyelitis consists of malaise, headache, fever, myalgias[doi.org]

  • Peripheral Neuropathy

    Most people with PN have reduced or absent ankle reflexes (involuntary responses to a stimulus).[thebody.com] Common side effects of tramadol include: nausea dizziness constipation sweating dry mouth confusion headache vomiting[hse.ie] Motor neuropathy presents as muscle cramps and twitching, tremors, difficulty in motion, sluggish movements and myalgia.[symptoma.com]

  • Hypokalemia

    A 54-year-old woman presented with a history of nausea, vomiting, diarrhea, and recurrent episodes of severe hypokalemia requiring hospitalization.[ncbi.nlm.nih.gov] A 22-years-old female nurse with a body mass index 18 suffered from myalgias, vomiting and diarrhea.[ncbi.nlm.nih.gov] ., rhabdomyolysis) exercise hyperosmolarity succinylcholine TMP-SMX ACE inhibitors Presentation muscle and cardiac dysfunction muscular symptoms myalgias muscle paralysis[step2.medbullets.com]

  • Familial Periodic Paralysis

    […] of life (60% of cases have onset aged 16 years) with susceptible individuals experiencing sudden onset of perioral numbness; weakness; centrifugal paralysis, often with nausea[mdedge.com] Atypical periodic paralysis and myalgia: A novel RYR1 phenotype. Neurology. 2018 Jan 30; 90(5):e412-e418.[invitae.com] My potassium has been as low as 2.1 during an attack and it causes nausea and vomiting.[globalgenes.org]

  • Plasmodium Falciparum Malaria

    The abdominal reflexes are almost always absent, the plantars often upgoing, and ankle and patellar clonus can sometimes be elicited in hypertonic patients. 54 SEIZURES The[jnnp.bmj.com] Typical malaria symptoms include fever, chills, fatigue, headache, nausea, and vomiting. In severe cases, it can cause jaundice, seizures, coma, or death.[ncbi.nlm.nih.gov] This explains why PFM is associated with symptoms as different as fever, headaches, myalgia, abdominal pain, vomiting and diarrhea.[symptoma.com]

  • Alcoholic Neuropathy

    Warning signs of this advanced stage of nerve damage progression include: Disruptions in your ability to control your bladder (while trying to release or retain urine) Nausea[promises.com] Additional clinical features included painful paresthesia, myalgia, and glove and stocking–type sensory loss.[jamanetwork.com] […] exercise Impotence (in men) Problems urinating Incontinence (leaking urine) Feeling of incomplete bladder emptying Difficulty beginning to urinate Constipation Diarrhea Nausea[ragingalcoholic.com]

  • Electrolytes Abnormal

    Abnormal Electrolytes (Case 15) Case: A 76-year-old woman with a history of hypertension and coronary artery disease presents to the ED with complaints of weakness, nausea[clinicalgate.com] Depleted phosphate stores due to prolonged starvation, hypocalcemia, and hypokalemia can lead to impaired muscle contractility and subsequently weakness, myalgia, and tetany[nutritionj.biomedcentral.com] Cardiovascular Impaired contractility Cardiomyopathy Hypotension Haematological Haemolysis impaired leukocyte / platelet function Neuromuscular Myalgia / arthralgia Skeletal[medbc.com]

  • Arsenic-Induced Polyneuropathy

    Proximal lower limb muscles were affected in 40% patients, rare upper limb involvement and ankle reflexes were absent in all with evidence of axonal degeneration and reinnervation[annalsofian.org] Additional symptoms may include nausea, vomiting, and diarrhea.[rarediseases.org] Chronic exposure is associated with mucosal irritation, desquamating rash, myalgias, peripheral neuropathy, and white transverse (Mees) lines in the fingernails.[xmri.com]

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