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85 Possible Causes for Altered Mental Status, Hypertension, Variable Hypoglycemia

  • Hypoglycemia

    On hospital day 8 the patient developed hypertensive emergency and was taken to the operating room for exploratory laparotomy.[ncbi.nlm.nih.gov] Glycemic variability portends increased risk for hypoglycemia and should be a focus of further research.[ncbi.nlm.nih.gov] A hyperglycemic patient with an altered mental status may receive a bolus of glucose.[emedicine.com]

  • Hypertensive Encephalopathy

    The definition of hypertension has continuously evolved over the last 50 years. Hypertension is currently defined as a blood pressure greater than 140/90mmHg.[ncbi.nlm.nih.gov] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[medicinenet.com] His altered mental status, however, resolved with control of blood pressure.[ncbi.nlm.nih.gov]

  • Metabolic Encephalopathy

    […] encephalopathy 2016 2017 2018 2019 Non-Billable/Non-Specific Code Type 1 Excludes alcoholic encephalopathy ( G31.2 ) encephalopathy in diseases classified elsewhere ( G94 ) hypertensive[icd10data.com] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[medicinenet.com] List of causes for alteration in mental status Acute encephalopathy (Acute confusional state; Altered mental status) Delirium is characterized by: Fluctuations of alertness[quizlet.com]

  • Myxedema

    […] to prevalence of the effect of alpha-adrenergic receptors, increased catecholamines, and increased systemic vascular resistance, causing some patients to have diastolic hypertension[emedicine.com] Serum potassium levels are extremely variable. Blood glucose levels are generally in the normal range, but severe hypoglycemia can occur.[emjournal.net] mental status (patient doesn’t have to be in a coma to qualify).[uclaoliveview.org]

  • Encephalopathy

    […] past because of hypertensive crises.[stroke.ahajournals.org] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[medicinenet.com] mental status, tonic-clonic seizures, and hypertension.[ncbi.nlm.nih.gov]

  • Uremic Encephalopathy

    Acknowledgements Donald A Feinfeld, MD, FACP, FASN Consulting Staff, Division of Nephrology and Hypertension, Beth Israel Medical Center Disclosure: Nothing to disclose.[emedicine.medscape.com] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[medicinenet.com] mental status (confusion) Cranial nerve signs (nystagmus) Papilledema Hyperreflexia, clonus, asterixis Altered gait Stupor Coma (occurs only if uremia remains untreated and[emedicine.medscape.com]

  • Insulinoma

    The possible etiology of hypertension induced by an insulinoma is catecholamine release in response to hypoglycemia, which may cause acute hypertension through activation[ncbi.nlm.nih.gov] A somatostatin analog, octreotide (100 to 500 mcg sc bid to tid), is variably effective and should be considered for patients with continuing hypoglycemia refractory to diazoxide[merckmanuals.com] A rare case of hypoglycaemia due to insulinoma in an adolescent with acutely altered mental status. J Pediatr Endocrinol Metab. 2014;27:773–6.[ijpeonline.biomedcentral.com]

  • Islet Cell Tumor

    A 22-year-old woman presented with lump in the left hypochondrium, refractory high-protein ascites and evidence of left-sided portal hypertension.[ncbi.nlm.nih.gov] PNETs are functional or non-functional tumors and represent a heterogeneous group of neoplasms with extremely variable clinical behavior.[ec.bioscientifica.com] Patient's history of hypertension was also associated with hypertension AEs.[futuremedicine.com]

  • Lead Encephalopathy

    […] encephalopathy a complex of cerebral phenomena such as headache, convulsions, and coma that occur in the course of malignant hypertension. hypoxic encephalopathy encephalopathy[medical-dictionary.thefreedictionary.com] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[medicinenet.com] A 66-year-old woman presented to a hospital with headache, irritability, and altered mental status.[ncbi.nlm.nih.gov]

  • Hypoglycemic Encephalopathy

    Methods/Design: A single case report Results: 59 y/o AAF with history of diabetes and hypertension was found unresponsive with GCS of 3, and blood glucose of 49.[neurology.org] […] may have variable clinical presentations.[ijcasereportsandimages.com] Initial DWI was performed during which each patient showed altered mental status that was attributed to profound hypoglycemia.[ncbi.nlm.nih.gov]

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