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28 Possible Causes for Absent Ankle Reflex, Nausea, Patient Appears Acutely Ill

  • Guillain-Barré Syndrome

    In cases where muscle weakness persists after the acute phase of the illness, patients may require rehabilitation services to strengthen their muscles and restore movement[] 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[] The most common adverse effects of pazopanib include diarrhea, fatigue, and nausea, but neuropathic complication has not been documented.[]

  • 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[] 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.[] Also did have a reaction to IV Benadryl - I couldn't breathe needed oxygen, severe nausea & threw me into an episode of extreme weakness.[]

  • 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[] For nonparalytic poliomyelitis headache, nausea and vomiting may be worse child may feel sick for a couple of days, then appear to improve before getting sick again pain of[] Symptoms Non-specific symptoms which may also occur with other virus infections are seen in the early stages of the illness: nausea, headaches, fever and possibly diarrhoea[]

  • Tabes Dorsalis

    The patellar and ankle reflexes were absent and there was loss of vibratory and position sense in the lower extremity.[] A 28-year-old man was hospitalized with lightning back pain, nausea, and bladder bowel dysfunction.[] […] include loss of pain and vibration sensations (paresthesia), seizures (status epilepticus), visceral crisis characterized by repeated attacks of severe epigastric pain, nausea[]

  • Conversion Disorder

    Reflex testing was symmetrical and normal at the knee, ankle, and elbow. Light touch and proprioceptive sensation was absent on testing of all four extremities.[] Other motor disturbances that are at times associated with conversion disorder are loss of speech (aphonia), coughing, nausea, vomiting, or hiccuping.[] Experts say it is a matter of the brain making the body sick, as it does when stage fright causes nausea or breathing problems.[]

  • 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[] My potassium has been as low as 2.1 during an attack and it causes nausea and vomiting.[] Barium poisoning has been reported as a result of accidental contamination of foodstuffs with soluble barium. 25 Onset of symptoms is rapid, with nausea, vomiting, diarrhea[]

  • Malaria

    Other neurological manifestations include increased muscle tone, brisk tendon reflexes, absent abdominal and other superficial reflexes, ankle clonus, extensor plantar responses[] The protean and nonspecific clinical findings occurring in malaria (fever, malaise, headache, myalgias, jaundice and sometimes gastrointestinal symptoms of nausea, vomiting[] 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[]

  • Acute Disseminated Encephalomyelitis

    Classically, ankle jerk reflex is absent in peripheral neuropathy.[] […] follows viral infection, or less often, vaccinations for measles, mumps, or rubella (MMR). [2] Symptoms usually appear rapidly, beginning with fever, fatigue, headache, nausea[] : a neurological condition that is marked by inflammation of the brain and spinal cord, is of sudden onset with variable symptoms (such as fever, headache, nausea, lethargy[]

  • Accidental Hypothermia

    In the patient with mild to moderate hypothermia, the patient may complain of nausea, dizziness, fatigue, or hunger.[] If the nausea reflex is preserved and there is no risk of bronchoaspiration, hot beverages with sugar can be administered.[]

  • Botulism

    CLINCAL SIGNS AND SYMPTOMS Foodborne botulism Foodborne botulism should be suspected in patients who present with an acute gastrointestinal illness associated with neurologic[] Deep tendon reflexes were weakly evoked at biceps and ankles while pathological reflexes were absent. Blood tests showed unremarkable results.[] Therefore, the classical diagnostic pentad of botulism (dry mouth, nausea, vomiting, dysphagia, diplopia, fixed dilated pupils) may be of limited sensitivity in single cases[]

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