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601 Possible Causes for Altered Mental Status, Hyponatremia

  • Hyponatremia

    True hyponatremia, also known as hypotonic hyponatremia, is the most common type. It is often simply referred to as "hyponatremia."[en.wikipedia.org] 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] He was eventually admitted to the hospital with altered mental status and was noted to have hyponatremia with serum sodium of 121 mEq/L.[ncbi.nlm.nih.gov]

  • Acute Kidney Failure

    Treatment of hyponatremia is generally free-water restriction. In patients with severe AKI and more profound hyponatremia, renal replacement therapy may be necessary.[renalandurologynews.com] 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] Alterations in mental status (lethargy or coma) and bleeding caused by coagulopathy may develop.[medical-dictionary.thefreedictionary.com]

  • Chronic Kidney Insufficiency

    Hypocalcemia (see chapter) Hyponatremia (see chapter) Uremia: The three most severe forms of uremia are encephalopathy, bleeding diathesis, and pericarditis.[clinicaladvisor.com] […] complications, but the common one are listed below: Acidemia Hyperkalemia Volume/fluid overload Hypocalcemia/hyperphosphatemia (as a consequence of secondary hyperparathyroidism) Hyponatremia[clinicaladvisor.com]

  • Subarachnoid Hemorrhage

    Pooled data [ 26, 27 ] demonstrated lower incidences of hyponatremia (Na serum 2 c).[doi.org] This case report describes a 48-year old female who presented with altered mental status, lower extremity weakness, low back pain and a recent history of subjective fevers[ncbi.nlm.nih.gov] Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found.[emedicine.medscape.com]

  • Myxedema

    Hyponatremia can also contribute to altered mental function.[emedicine.com] mental status (patient doesn’t have to be in a coma to qualify).[uclaoliveview.org] High mortality (30-60%) How do patients present (clinical diagnosis) AMS Hypothermia Hypotension Respiratory Failure Hypoglycemia Hyponatremia Potential physical exam findings[emdocs.net]

  • Hepatic Encephalopathy

    Risk Factors that increase your chances of developing hepatic encephalopathy include: Certain conditions that affect the levels of fluids and electrolytes such as hyponatremia[uvahealth.com] We report a case of a 52-year-old male with liver cirrhosis presenting an altered mental status.[ncbi.nlm.nih.gov] […] bleed (e.g. from varices ) dietary intake of large quantities of protein (e.g. meat) reduced nitrogen excretion constipation renal failure metabolic or drug interactions hyponatremia[radiopaedia.org]

  • Acute Liver Failure

    Also, severe electrolye abnormalities (hyponatremia, hypophosphatemia, hypokalemia, hypomagnesemia, also metabolic acidosis). Patients often need CVVH. 5.[errolozdalga.com] Individuals with jaundice, bleeding, or alteration in mental status should be suspected of having liver failure.[symptoma.com] Liu, Management of Hyponatremia in End-Stage Liver Disease, Critical Care for Potential Liver Transplant Candidates, 10.1007/978-3-319-92934-7_5, (69-88), (2019).[doi.org]

  • Syndrome of Inappropriate Antidiuretic Hormone Secretion

    Abstract Hyponatremia is prevalent in hospitalized patients and predicts a poor prognosis.[ncbi.nlm.nih.gov] Physical findings showed euvolemia and an altered mental status with severe agitation and slurred speech.[ncbi.nlm.nih.gov] Use of an algorithm that is based primarily on the symptomatology of hyponatremic patients, rather than the serum [Na ] or the chronicity of the hyponatremia, will help to[ncbi.nlm.nih.gov]

  • Hepatorenal Syndrome

    KEYWORDS: Acute kidney injury; Hyponatremia; Liver transplantation; Refractory ascites; Spontaneous bacterial peritonitis; Terlipressin[ncbi.nlm.nih.gov] Most people who develop HRS have cirrhosis, and may have signs and symptoms of the same, which can include jaundice, altered mental status, evidence of decreased nutrition[en.wikipedia.org] Despite fluid retention, ascites and dilutional hyponatremia, renal function is often initially preserved by renal production of vasodilators.[ncbi.nlm.nih.gov]

  • Acute Intermittent Porphyria

    Neurovisceral symptoms resolved, and severe hyponatremia was corrected with IV saline solution without complications.[ncbi.nlm.nih.gov] It should be considered in a patient with recurrent abdominal symptoms, intractable hyponatremia, along with neurological manifestations.[ncbi.nlm.nih.gov] We collected the dark-yellow color urine he urinated in our hospital although there was no attack of abdominal pain or hyponatremia.[doi.org]

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