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245 Possible Causes for Altered Mental Status, Hiccup, Vomiting

  • Pneumonia

    Aspiration pneumonia Aspiration pneumonia occurs when you inhale food, drink, vomit or saliva into your lungs.[mayoclinic.org] Consider pneumonia as a differential diagnosis in elderly patients with vague complaints, such as altered mental status.[ems1.com] Vomiting – not just vomiting from a big coughing fit, but vomiting even in between coughing fits. Blue color around the lips and face – from lack of oxygen.[askdrsears.com]

  • Meningitis

    A 22-year-old man, diagnosed with chronic phase CML in 2011 and was in haematological and cytogenetic remission until July 2016, had acute onset headache and vomiting with[ncbi.nlm.nih.gov] The most common symptoms of meningitis are fever, headache, neck stiffness and altered mental status.[symptoma.com] ,et al, 2017 A 46-year-old man with Persistent Hiccups, Cognitive Dysfunction, and Imbalance Neurol 89:e193-e196, Lamb, C.J.[neudle.com]

  • Acute Kidney Failure

    […] and vomiting, abdominal pain pain 6.6 WBCs, protein 30 Increased cortical echogenicity, no hydronephrosis "Synthetic marijuana" 8 New York 33 Nausea and vomiting 3.3 Not[cdc.gov] There may be other causes for altered mental status that might be present. Remember to check blood glucose levels and treat as necessary.[ems1.com] […] or slow sluggish movements Flank pain (between the ribs and hips) Hand tremor Heart murmur High blood pressure Nausea or vomiting, may last for days Nosebleeds Persistent hiccups[nlm.nih.gov]

  • Myocardial Infarction

    A 58 year old lady was admitted to our unit with acute onset epigastric pain and vomiting for 4 h duration.[ncbi.nlm.nih.gov] In addition, some patients may have an altered mental status caused by medications or impaired cerebral perfusion.[emedicine.medscape.com] Hiccups, a benign and self-limited condition, can become persistent or intractable with overlooked underlying etiology.[ncbi.nlm.nih.gov]

  • Hyponatremia

    Laboratory investigations revealed severe hyponatremia possibly triggered by vomiting and diarrhea. 24 hours after correction of hyponatremia she developed diffuse myalgias[ncbi.nlm.nih.gov] Her serum [Na] and altered mental status corrected slowly over the next 48 hours with furosemide, hypertonic saline, and fluid restriction.[ncbi.nlm.nih.gov] The patient presented with the following symptoms: nausea, vomiting, diarrhea, and dark urine after drinking large amounts of fluids that included alcohol and caffeine.[ncbi.nlm.nih.gov]

  • Brain Abscess

    Three months after treatment, the patient complained in the outpatient department of headache, nausea and vomiting.[ncbi.nlm.nih.gov] CASE REPORT A 67-year old gentleman with history of scalp angiosarcoma with wide excision two years prior presented to the hospital for left arm clumsiness, altered mental[ncbi.nlm.nih.gov] In addition, there are few reports of lesions of the basal ganglia causing intractable hiccups. Aspiration and medical therapy resulted in resolution of the hiccups.[ncbi.nlm.nih.gov]

  • Syndrome of Inappropriate Antidiuretic Hormone Secretion

    Four days later she developed vomiting with serum sodium 119 mEq/L.[ncbi.nlm.nih.gov] Physical findings showed euvolemia and an altered mental status with severe agitation and slurred speech.[ncbi.nlm.nih.gov] Case Report A 55-year-old male presented with nausea and hiccups.[casereports.in]

  • Toxic Shock Syndrome

    A 77-year-old man with diabetes and a gastric ulcer was urgently admitted due to prolonged nausea and vomiting.[ncbi.nlm.nih.gov] We report the case of a 45-year-old Japanese woman who on receiving chemotherapy for advanced breast cancer developed an altered mental status and dysarthria soon after fever[ncbi.nlm.nih.gov] […] upper abdominal pain difficulty concentrating nausea vomiting confusion sleepiness Signs of kidney failure may include: fatigue weakness nausea and vomiting muscle cramps hiccups[healthline.com]

  • Epidural Hematoma

    Sub-acute/chronic epidural hematoma (EDH) may present with nagging symptoms of headache, nausea, vomiting, lethargy, etc.[ncbi.nlm.nih.gov] The group failing observation was more likely to present with altered mental status (RR 18.8; 95% CI 8.7-49.6), has larger median bleed thickness (observed 5.6mm versus failed[ncbi.nlm.nih.gov] Sorry, I had a little brain hiccup about the nomenclature.) The dura is a sheath of connective tissue immediately below the skull that encloses the brain.[scienceblogs.com]

  • Conversion Disorder

    Other motor disturbances that are at times associated with conversion disorder are loss of speech (aphonia), coughing, nausea, vomiting, or hiccuping.[britannica.com] Visceral Symptoms : Examples are trouble swallowing, frequent belching, spells of coughing or vomiting, all carried to an uncommon extreme.[psychnet-uk.com] Other motor disturbances that are at times associated with conversion disorder are loss of speech (aphonia), coughing, nausea, vomiting, or hiccuping.[britannica.com]

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