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25 Possible Causes for Altered Mental Status, Bicytopenia

  • Sepsis

    DIAGNOSIS: The present patient met 5 of the HLH criteria: fever, splenomegaly, bicytopenia, hypertriglyceridemia and/or hypofibrinogenemia, and hyperferritinemia.[ncbi.nlm.nih.gov] We report the case of a woman who presented with altered mental status after receiving normal saline through an intravenous catheter placed by a medically untrained individual[ncbi.nlm.nih.gov] The major diagnostic criteria for sepsis are altered mental status, increased respiratory rate, and low blood pressure.[medicinenet.com]

  • Disseminated Intravascular Coagulation

    mental status, stroke Purpura fulminans: DIC with extensive skin necrosis Waterhouse Friderichsen syndrome : adrenal infarcts adrenal insufficiency The clinical features[amboss.com] Following a prolonged extrication, the patient was intubated in the field secondary to altered mental status (GCS 6).[emdocs.net] […] dysfunction : jaundice ARDS : dyspnea, rales Pulmonary thromboembolism : dyspnea, chest pain, hemoptysis Deep vein thrombosis : lower limb edema Neurological dysfunction: altered[amboss.com]

  • Paraneoplastic Syndrome

    More on polymyalgia rheumatica (PMR) as a paraneoplastic rheumatic syndrome in the elderly (bicytopenia and PMR preceding acute myeloid leukemia).[medical.nikkeibp.co.jp] mental status to coma.[doi.org] […] rapidly progressive hypercalcemia can be associated with significant volume depletion and acute renal insufficiency, as well as dramatic neurocognitive symptoms ranging from altered[doi.org]

  • Brucellosis

    In this paper, we present a case of brucellosis with acute hepatitis and bicytopenia without anaemia.[ncbi.nlm.nih.gov] The diagnostic criteria include fever, hepatosplenomegaly, bicytopenia, high serum ferritin level, decreased natural killer cell activity, elevated soluble CD25 level, high[ncbi.nlm.nih.gov] Finally, a case of brucellosis with acute hepatitis and bicytopenia was treated with a successful outcome.[ncbi.nlm.nih.gov]

  • Vitamin B12 Deficiency

    Laboratory data revealed bicytopenia with macrocytic anemia and methylmalonic acid in the urine, consistent with vitamin B12 deficient anemia.[ncbi.nlm.nih.gov] mental status); when you are being treated for vitamin B12 or folate deficiency A blood sample drawn from a vein in your arm Fasting for 6-8 hours before sample collection[labtestsonline.org] […] hypersegmented) neutrophils ; when you have symptoms of anemia (weakness, tiredness, pale skin) and/or of neuropathy (tingling or itching sensations, eye twitching, memory loss, altered[labtestsonline.org]

  • Pseudogout

    Minor adverse events (AE) did not differ in frequency between the groups, but the only serious AE occurred on MTX (bicytopenia).[ncbi.nlm.nih.gov] Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found.[emedicine.medscape.com] One serious AE was observed on a patient on methotrexate: an acute bicytopenia, which imposed hospitalization, fortunately without permanent damage.[ncbi.nlm.nih.gov]

  • Mantle Cell Lymphoma

    Further investigation revealed bicytopenia with splenomegaly and elevated serum creatinine.[ncbi.nlm.nih.gov] Staging CT examination was performed with intravenous contrast, and patient developed altered mental status, respiratory failure and acute kidney injury requiring intensive[ncbi.nlm.nih.gov] A 64-year-old male initially presented with fatigue, splenomegaly, and bicytopenia. The bone marrow biopsy specimen revealed extensive infiltration with MCL.[ncbi.nlm.nih.gov]

  • Follicular Lymphoma

    In addition, the presence of an autoimmune bicytopenia and a Klinefelter syndrome complicated the clinical context of the patient.[ncbi.nlm.nih.gov] Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found.[emedicine.medscape.com]

  • Autoimmune Hemolytic Anemia

    Autoimmune bicytopenia in pulmonary tuberculosis. Report of a pediatric case. Respir Med CME 2008;1:281-3. 9. Safe IP, O'brien C, Ferreira FR, Souza ML, Ramasawmy R.[jahjournal.org] Because of his severe anemia, on admission to the hospital he was found to have altered mental status, metabolic acidosis, abnormal liver function tests, and a severe coagulopathy[ncbi.nlm.nih.gov] The patient presented with nausea, vomiting, diarrhea and altered mental status.[ncbi.nlm.nih.gov]

  • Acute Leukemia

    A 43-year-old female presented with leukocytosis and bicytopenia.[ncbi.nlm.nih.gov] In advanced cases, patients may even present with altered mental status and renal failure (due to hyperuricemia).[symptoma.com] Initial CBC showed bicytopenia, elevated blood urea, creatinine, and serum uric acid, while abdominal ultrasonography revealed bilateral renal enlargement.[ncbi.nlm.nih.gov]

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