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45 Possible Causes for Altered Mental Status, Dyspnea with Sudden Onset, Patient Appears Acutely Ill

  • Acute Respiratory Distress Syndrome

    Definition Acute respiratory distress syndrome (ARDS), is a life-threatening condition which is characterised by the sudden onset of severe dyspnea and hypoxaemia [1].[physio-pedia.com] mental status; white blood cell count 12,000 per mm 3 (12 10 9 per L), 4,000 mm 3 (4 10 9 per L), or 10 percent immature forms; elevated C-reactive protein level; arterial[aafp.org] mental status, unstable dysrhythmia, stridor, intercostal indrawing, cyanosis, tripod positioning, pronounced use of accessory muscles (sternocleidomastoid, scalenes) and[en.wikipedia.org]

  • Pneumococcal Pneumonia

    Infected patients typically have an ill or anxious appearance.[symptoma.com] mental status 39 (9.8) 49 (10) 0.9 Pulse   125/min 62 (15.6) 62 (12.6) 0.2 Respiratory rate   30/min 98 (24.8) 96 (19.5) 0.06 Systolic blood pressure 30 (7.5) 42 (8.5) 0.6[bmcpulmmed.biomedcentral.com] BAL may be used in patients who are unable to cooperate with an induced sputum sample (eg, because of altered mental status).[emedicine.medscape.com]

  • Aspiration Pneumonia

    Additionally, altered mental status on emergency department arrival, white blood cell count, and increased exposure duration were independently associated with the development[ncbi.nlm.nih.gov] It commonly occurs in patients with altered mental status who have an impaired gag or swallowing reflex.[patientslikeme.com] Altered mental status can be caused by medical conditions such as seizures.[en.wikipedia.org]

  • Carbon Monoxide Poisoning

    It then progresses to altered mental status, unsteady gait and ataxia (inability to make coordinated movements.)[medictests.com] Additionally, altered mental status on emergency department arrival, white blood cell count, and increased exposure duration were independently associated with the development[ncbi.nlm.nih.gov] Neurological symptoms include acute stroke-like symptoms, altered mental status, confusion, coma, and syncope.[bestpractice.bmj.com]

  • High Altitude Pulmonary Edema

    Individuals may also develop concurrent HACE due to severe hypoxemia; thus it’s important to monitor for ataxia and altered mental status. 6 In autopsy findings of over 20[emdocs.net] HACE is an extension of AMS characterized by neurologic findings, particularly ataxia, confusion, or altered mental status. HACE may also occur in the presence of HAPE.[wwwnc.cdc.gov] mental status, usually in a person with acute mountain sickness. 6, 7, 12 High-altitude cerebral edema can progress in a matter of hours from mild ataxia to coma and death[aafp.org]

  • Escherichia Coli

    This may be of gradual onset if the process slowly develops, or it can have a sudden onset in the case of acute pulmonary edema.[medicinenet.com] We report a case of 80-year-old female patient presenting with dizziness, fever, and altered mental status, who was finally diagnosed with emphysematous endocarditis caused[ncbi.nlm.nih.gov] Other common symptoms may include easy fatigue, more rapidly developing shortness of breath than normal with usual activity (dyspnea on exertion), rapid breathing (tachypnea[medicinenet.com]

  • Opiate Overdose

    Clinically, heroin-induced lung injury will present with sudden onset of dyspnea, frothy sputum, cyanosis, tachypnea, and rales- features consistent with pulmonary edema.[ncbi.nlm.nih.gov] Symptoms of opioid intoxication can include: Altered mental status, such as confusion, delirium, or decreased awareness or responsiveness Breathing problems (breathing may[medlineplus.gov] The empiric use of naloxone in patients with altered mental status: a reappraisal. Ann Emerg Med. 1991; 20 :246–52. [ PubMed ] 35. Clark RF, Wei EM, Anderson PO.[ncbi.nlm.nih.gov]

  • Bacterial Endocarditis

    Dwarakanath et al. [11] reported a patient with multi-chambered FE presenting with sudden onset of angina with elevated troponins.[doi.org] The patient appeared acutely ill. The temperature was 38ºC, the pulse was 116, and the respiration was 24. The blood pressure was 120/70 mm Hg.[scielo.br] 38 yo female presents with altered mental status. The patient was found down at home, and no further history is known. EMS intubated on scene.[ultrasoundoftheweek.com]

  • Bacterial Pneumonia

    Sudden onset of symptoms and rapid illness progression are associated with bacterial pneumonias.[emedicine.medscape.com] mental status due to intoxication or stroke.[symptoma.com] Patients with CAP typically present with fever, cough, and shortness of breath; however, in the geriatric population,the clinical presentation can just be altered mental status[clinicaladvisor.com]

  • Infective Endocarditis

    Dwarakanath et al. [11] reported a patient with multi-chambered FE presenting with sudden onset of angina with elevated troponins.[doi.org] 38 yo female presents with altered mental status. The patient was found down at home, and no further history is known. EMS intubated on scene.[ultrasoundoftheweek.com] Three weeks later, the patient was brought to the emergency department with altered mentals status.[zdoc.site]