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2,867 Possible Causes for Altered Mental Status, Drop Attacks, Severe Recurrent Orthostatic Hypotension

  • Orthostatic Hypotension

    A 71-year-old man, who was diagnosed with familial amyloidosis type I, was admitted for treatment of severe orthostatic hypotension associated with recurrent syncopal attacks[ncbi.nlm.nih.gov] OH is defined specifically as a 20mmHg drop in systolic, and/or a 10mmHg drop in diastolic BP within 3 min of standing.[clinicaltrials.gov] Have severely altered mental status. Have possible spinal injuries. Have lower extremity or pelvic fractures. Are not mobile enough to get out of bed.[ahrq.gov]

  • Syncope

    However, a syncopal episode associated with normal sinus rhythm may be due to several disorders such as orthostatic hypotension, vasovagal or carotid sinus reflexes, or even[omicsonline.org] It has many causes, and is distinct from vertigo, seizures, coma, falls, psychogenic pseudosyncope, drop attacks, transient ischaemic attacks, and states of altered consciousness[bestpractice.bmj.com] mental status until treated, onset seldom abrupt, sweating, piloerection Usually history of diabetes or insulinoma Fingerstick glucose Response to glucose infusion Psychiatric[merckmanuals.com]

  • Vasovagal Syncope

    It has many causes, and is distinct from vertigo, seizures, coma, falls, psychogenic pseudosyncope, drop attacks, transient ischaemic attacks, and states of altered consciousness[bestpractice.bmj.com] Drop attacks. Dizziness or vertigo without loss of consciousness. Alcohol/drug abuse. Transient ischaemic attacks / stroke. Psychogenic pseudosyncope.[patient.info] , attacks unconsciousness R55 drop NEC R55 syncope R55 vasomotor R55 vasovagal R55 (paroxysmal) (idiopathic) Blackout R55 Collapse R55 general R55 Drop (in) attack NEC R55[icd10data.com]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Cardiac Arrhythmia

    Cardiac arrhythmia is characterized by abnormal heart rate or rhythm. It typically refers to a condition, where in the electrical activity that regulates heartbeat is irregular, slow or fast. In many instances, cardiac arrhythmia may not produce any signs or symptoms. An abnormal heart rhythm gets diagnosed during[…][symptoma.com]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Epilepsy

    Atonic seizures, also known as drop attacks, drop seizures or akinetic epileptic drop attacks, may involve a sudden loss of muscle tone, a head drop or leg weakening.[uchospitals.edu] Lennox-Gestaut syndrome or other epilepsies with drop attacks. Epilepsies where the seizure focus is in an area essential for function.[neurosurgery.ucla.edu] Atonic Seizures These are also known as “drop attacks” or “drop seizures.” The person’s normal resting muscle tension (called “tone”) goes limp.[everydayhealth.com]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Third Degree Atrioventricular Block

    mental status Hypotension Lethargy In patients with concomitant myocardial ischemia or myocardial infarction (MI), corresponding signs such as the following may be evident[emedicine.medscape.com] N/A If patient has altered mental status, hypotension, shortness of breath, or chest pain likely due to AV block, place transcutaneous pacer pads and provide supplemental[clinicaladvisor.com] […] present and may include the following: Tachypnea or respiratory distress Rales Jugular venous distention Patients may have signs of hypoperfusion, including the following: Altered[emedicine.medscape.com]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Idiopathic Generalized Epilepsy

    This case study highlights the need to consider psychological factors when evaluating otherwise unexplained drop attacks.[ncbi.nlm.nih.gov] Patient: This 15-year-old, mentally retarded girl developed drop attacks at the age of 3.25 years, later clonic and clonic-tonic, as well as myoclonic seizures.[thieme-connect.com] Myoclonic atonic seizures: Brief jerks while the patients is standing that may result from lack of muscle tone.[uwhealth.org]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Narcolepsy

    attacks).[americanaddictioncenters.org] In addition to side effects including high abuse potential, tachycardia, and altered mental status, treatments are often ineffective and substantial residual sleepiness frequently[clinicaltrials.gov] Case 2 was an 11-year-old girl presenting with recurrent episodes of myoclonic attacks simultaneously with dropping objects immediately after hearty laughs, in addition to[ncbi.nlm.nih.gov]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Adams-Stokes Syndrome

    Drop attacks. Transient ischaemic attack. Syncope due to hypoperfusion - eg, due to hypovolaemia. Management Reversible causes such as drug toxicity should be addressed.[patient.info] A drop attack with third degree AV block is called a "Stokes Adams" attack, and is often associated with bizarre wide inverted T-waves.[hqmeded-ecg.blogspot.com] attacks Epilepsy (if convulsions occur) Orthostatic hypotension Syncope due to hypoperfusion - eg, due to hypovolaemia Transient ischaemic attack Vasovagal fainting The aim[homeopathyworldcommunity.ning.com]

    Missing: Severe Recurrent Orthostatic Hypotension
  • Narcolepsy-Cataplexy Syndrome

    Cataplexy - may mimic drop attacks, syncope, seizures/epilepsy, transient ischaemic attack, periodic paralysis (channelopathies), psychiatric disorder, or cataplectic-like[patient.info] This is a simple test that differentiates cataplexy from other drop-attacks.[scholarpedia.org] In other typical cataplectic attacks the head may drop or the jaw may become slack.[evelinalondon.nhs.uk]

    Missing: Severe Recurrent Orthostatic Hypotension