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79 Possible Causes for Absent Ankle Reflex, Nausea, Respiratory Muscle Paralysis

  • 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[] The most common adverse effects of pazopanib include diarrhea, fatigue, and nausea, but neuropathic complication has not been documented.[] Respiratory muscle paralysis. Differential diagnosis Other causes of acute paralysis include: Brain : stroke, brainstem compression, encephalitis.[]

  • Hypokalemia

    A 54-year-old woman presented with a history of nausea, vomiting, diarrhea, and recurrent episodes of severe hypokalemia requiring hospitalization.[] Hypokalaemia Defined as potassium Signs and symptoms Generalised muscle weakness Respiratory depression Ascending paralysis Ileus, constipation Palpitations, Arrhythmia,[] Ondansetron is widely used in general practice for nausea and vomiting due to any cause.[]

  • 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[] A 44-year-old woman with long-standing common variable immunodeficiency who was receiving intravenous immune globulin suddenly had paralysis of all four limbs and the respiratory[] 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[]

  • Hyperkalemia

    The patient presented with continuous tachycardia, palpitations, chest tightness, progressive nausea, irritability, progressive myasthenia gravis.[] The most serious manifestations include muscle weakness or paralysis, respiratory failure, cardiac conduction abnormalities, and cardiac arrhythmias.[] It can cause: Muscle fatigue Weakness Paralysis Abnormal heart rhythms (arrhythmias) Nausea Jan. 11, 2018 References What is hyperkalemia? National Kidney Foundation. .[]

  • 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[] Permanent myopathic weakness may occur in patients with recurring periodic paralysis episodes. Cardiac and respiratory muscles are usually unimpaired.[] My potassium has been as low as 2.1 during an attack and it causes nausea and vomiting.[]

  • 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[] muscle paralysis.[] 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.[]

  • Botulism

    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[] Takotsubo syndrome results in acute cardiac insufficiency, another fatal complication of botulism in addition to respiratory muscle paralysis, particularly in patients with[]

  • Hypermagnesemia

    Signs include weakness, paralysis, drowsiness, confusion, bradycardia, hypotension, nausea, and vomiting.[] Although the clinical findings of muscle weakness, flaccid paralysis, respiratory muscle paralysis or cardiac arrest due to hypermagnesemia are well described in the literature[] Hypermagnesemia-induced lethargy, decreased reflexes, muscle weakness, flaccid paralysis, respiratory muscle paralysis, and cardiac arrest are well-described; however, intestinal[]

  • 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[] When present, symptoms include muscle weakness, ascending paralysis, respiratory failure, and cardiac arrhythmias.[] The most common adverse reactions to oral potassium salts are nausea, vomiting, abdominal discomfort, and diarrhea.[]

  • Tick Paralysis

    Muscle stretch reflexes were absent in the ankles and reduced (1 ) elsewhere. Plantar responses were flexor.[] Other symptoms of tick-borne illness include flulike symptoms — muscle aches, nausea, joint pains, fatigue.[] Respiratory difficulties and death due to respiratory muscle paralysis can rarely occur if the tick is not removed rapidly.[]

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