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27 Possible Causes for Altered Mental Status, Dehydration, Starvation Ketosis

  • Diabetic Ketotic Coma

    - /- hyperventilation due to cerebral dehydration - /- focal neurological signs due to dehydration or thrombosis Investigation - marked hyperglycaemia.[aic.cuhk.edu.hk] Therefore, a patient with starvation ketosis rarely presents with a serum bicarbonate concentration less than 18 mEq/L.[clinicaladvisor.com] Both disorders are associated with absolute or relative insulin deficiency, volume depletion, and altered mental status.[accessmedicine.mhmedical.com]

  • Alcoholic Ketoacidosis

    Dehydration All patients with severe AKA are dehydrated.[emedicine.com] A history of ethanol consumption combined with vomiting, anion gap metabolic acidosis, and altered mental status is consistent with a broad differential diagnosis, which requires[ncbi.nlm.nih.gov] Marchiafava-Bignami disease, a rare alcohol-related disorder, characterized by altered mental status, seizure, and multifocal central nervous system signs, which results from[ncbi.nlm.nih.gov]

  • Acidosis

    Treatment You can relieve dehydration-related acidosis by treating the underlying cause of dehydration, Medline Plus reports.[livestrong.com] , alcohol and DKA) Download PDF of GOLDMARK mnemonic Osmolar Gap common differential diagnosis Ketoacids (DKA, AKA, starvation ketosis) Alcohols Sepsis Ischemia Sodium bicarbonate[emergencymedicinecases.com] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[calpoison.org]

  • Diabetic Ketoacidosis

    She had moderated to severe dehydration but no hypotension.[ncbi.nlm.nih.gov] It is possible that starvation ketosis contributed to the development of the high anion gap metabolic acidosis in our patient.[nature.com] We present the case of a 38 year old woman, who presented with altered mental status and biochemical alterations suggestive of diabetic ketoacidosis who was found to have[ncbi.nlm.nih.gov]

  • Salicylate Poisoning

    Hyperventilation (P less than .01), dehydration (P less than .001), and severe central nervous system manifestations (P less than .001) occurred more frequently in the chronic[ncbi.nlm.nih.gov] Ketoacidosis may also occur in children who are ill and fasted (ie starvation ketosis).[anaesthesiamcq.com] Take-Home Points Elderly patients with altered mental status require a thorough medical evaluation for high-risk clinical conditions.[jucm.com]

  • Anorexia Nervosa

    […] diagnosis and treatment stages due to the fact that early onset of the disease is rare. a boy aged eight years and four months presented with bradicardia, malnutrition and dehydration[ncbi.nlm.nih.gov] ) further magnifies the impact of the malnutrition on the brain, owing to it being in a starvation-illness mode.[emedicine.medscape.com] mental status or other signs of severe malnutrition, and (4) orthostatic differential greater than 30/min Temperature less than 36 C Pulse below 45 beats per minute Psychosis[emedicine.medscape.com]

  • Lactic Acidosis

    During his physical examination, the patient appeared dehydrated and had tachypnea and a reduced level of consciousness.[ncbi.nlm.nih.gov] This case series highlights the parallel occurrence of MALA and euglycemic ketoacidosis, the latter exceeding ketosis due to starvation, suggesting a metformin-triggered inhibition[ncbi.nlm.nih.gov] CASE REPORT: The neurologic symptoms include altered mental status, slurred speech, and ataxia.[ncbi.nlm.nih.gov]

  • Diabetes Mellitus

    The female infant, born to consanguineous parents (first cousins), weighing 2,300 grams at birth, presented with extreme dehydration and pale skin.[ncbi.nlm.nih.gov] In addition, although alcoholic ketoacidosis can result in profound acidosis, the serum bicarbonate concentration in starvation ketosis is usually not 4 ).[web.archive.org] Treatment for patients with altered mental status Regardless of the underlying cause, safety is paramount. Restrain the combative patient prior to initial treatment.[ems1.com]

  • Diabetes Insipidus

    The patients of diabetes insipidus present to the hospital with the complaint of polyuria and/or dehydration.[symptoma.com] ketosis.”[pedemmorsels.com] A 63-year-old African-American woman was admitted to the hospital with urosepsis and altered mental status.[ncbi.nlm.nih.gov]

  • Alcohol-induced Hypoglycemia

    Dehydration All patients with severe AKA are dehydrated.[emedicine.medscape.com] Obtaining an accurate medical history in a patient with an altered mental status can be difficult.[cdemcurriculum.com] Ethanol also causes structural abnormalities in the liver mitochondria which leads to ketosis superimposed by starvation, chronic malnutrition [ 13 , 14 ] .[pubs.sciepub.com]

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