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86 Possible Causes for Altered Mental Status, Hypoglycemia, Variable Hypoglycemia

  • Hypoglycemia

    Glycemic variability portends increased risk for hypoglycemia and should be a focus of further research.[ncbi.nlm.nih.gov] On this page: What is hypoglycemia? What are the symptoms of hypoglycemia? What causes hypoglycemia in people with diabetes? How can hypoglycemia be prevented?[web.archive.org] A hyperglycemic patient with an altered mental status may receive a bolus of glucose.[emedicine.com]

  • Sepsis

    This conclusion is supported by the wide variability in hypoglycemia rates reported with protocols [ 205, 206, 207, 212, 213 ].[dx.doi.org] , and complications arising from hypoglycemia[ 5 ].[doi.org] We report the case of a woman who presented with altered mental status after receiving normal saline through an intravenous catheter placed by a medically untrained individual[ncbi.nlm.nih.gov]

  • Drug-induced Hypoglycemia

    […] techniques, variable intensity of exercise, alcohol use, gastric motility disorders, and variable rates of carbohydrate absorption from the gastrointestinal tract. 3) Hypoglycemia[empendium.com] This case report comprises three cases of antipsychotic drug-induced hypoglycemia and hypothermia.[ncbi.nlm.nih.gov] Answer and interpretation It is traditionally advocated that thiamine 100mg IV be given prior to administering a bolus of glucose to the patient with altered mental status[lifeinthefastlane.com]

  • Neonatal Hypoglycemia

    […] study provides new evidence of variability of MRI-defined brain injury in neonates with symptomatic hypoglycemia, and their neurodevelopmental outcomes at 18-24 months.[pediatricneurologybriefs.com] Diagnosing hypoglycemia in neonates requires two consecutive blood glucose readings of less than 40 mg/dl to properly diagnose hypoglycemia.[en.wikipedia.org] Plasma concentrations of lactate, beta-hydroxybutyrate, and glycerol were low and did not alter during hypoglycemia.[ncbi.nlm.nih.gov]

  • Factitious Hypoglycemia

    The variability of results between point-of-care testing glucose meters and the central laboratory analyzer. Arch Pathol Lab Med. 2006;130:1527-32.[us.bestpractice.bmj.com] Two patients had sulfonylurea-induced factitious hypoglycemia.[ncbi.nlm.nih.gov] If the patient has altered mental status, is unable to swallow, or does not respond to oral glucose administration within 15 minutes, give an IV bolus of 12.5 to 25 g of[slideshare.net]

  • Myxedema

    Serum potassium levels are extremely variable. Blood glucose levels are generally in the normal range, but severe hypoglycemia can occur.[emjournal.net] High mortality (30-60%) How do patients present (clinical diagnosis) AMS Hypothermia Hypotension Respiratory Failure Hypoglycemia Hyponatremia Potential physical exam findings[emdocs.net] mental status (patient doesn’t have to be in a coma to qualify).[uclaoliveview.org]

  • Alcohol-induced Hypoglycemia

    Symptoms will vary significantly between patients and the blood glucose level at which a patient become symptomatic is also highly variable.[cdemcurriculum.com] Glycogen stores get depleted; hypoglycemia is not due to inhibition of glycogenolysis. Hypoglycemia is also not due to the diuretic effect of alcohol.[usmle.biochemistryformedics.com] […] is variable.[en.wikipedia.org]

  • Hypoglycemic Encephalopathy

    […] may have variable clinical presentations.[ijcasereportsandimages.com] CONCLUSION: Profound and prolonged hypoglycemia, normal or higher body temperature, and a low lactic acid level during hypoglycemia may be predictors of a poor outcome in[ncbi.nlm.nih.gov] Initial DWI was performed during which each patient showed altered mental status that was attributed to profound hypoglycemia.[ncbi.nlm.nih.gov]

  • Reye Syndrome

    hypoglycemia, and a threefold or greater elevation in serum transaminases (AST, ALT) (1,2,3).[hawaii.edu] In Reye-like syndrome, because of inborn errors of metabolism, hypoglycemia, hypoketonemia, elevated ammonia, and organic aciduria are often evident.[ncbi.nlm.nih.gov] Reye's syndrome is a rare but serious condition that results in microvesicular hepatic steatosis (fatty changes of the liver) and acute encephalopathy (altered mental status[ebmconsult.com]

  • Myxedema Coma

    Serum potassium levels are extremely variable. Blood glucose levels are generally in the normal range, but severe hypoglycemia can occur.[emjournal.net] Hypoglycemia – The reduction on the metabolic rate affects the conversion of carbohydrates into glucose leading to hypoglycemia.[ehealthwall.com] Aside from altered mental status, heart block was present in addition to hypothermia and hypercarbia.[ncbi.nlm.nih.gov]

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