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653 Possible Causes for Altered Mental Status, Hypotension, Hypothyroidism

  • Orthostatic Hypotension

    What can you do in the meantime to minimize orthostasis as well as help suppress other hypothyroid symptoms?[scarysymptoms.com] The drop in blood pressure may be sudden (vasovagal orthostatic hypotension), within 3 minutes (classic orthostatic hypotension) or gradual (delayed orthostatic hypotension[en.wikipedia.org] Have severely altered mental status. Have possible spinal injuries. Have lower extremity or pelvic fractures. Are not mobile enough to get out of bed.[ahrq.gov]

  • Hypotension

    It may be associated with the following: Pregnancy Hormonal problems such as an underactive thyroid ( hypothyroidism ), diabetes , or low blood sugar ( hypoglycemia ) Some[webmd.com] Dysautonomia Hypotensive transfusion reaction Orthostatic intolerance Hypotension PubMed Health[en.wikipedia.org] Jones' tachycardia and altered mental state point to hypoperfusion and sepsis. Mr.[journals.lww.com]

  • Hyponatremia

    This distribution did not differ between patients suffering from clinical or subclinical hypothyroidism.[ncbi.nlm.nih.gov] After several weeks of suffering from gastroenteritis with vomiting, she presented with disturbance of consciousness, hypotension, dehydration, and severe hyponatremia (108[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]

  • Hypovolemic Shock

    CONCLUSION: The shock bowel sign and the CT hypotension complex are frequently associated with hypotension from causes other than trauma-induced hypovolemic shock, such as[ncbi.nlm.nih.gov] mental status Urine output 20 millilitres/hour Stage IV Blood loss 40% of total blood volume Extreme tachycardia with weak and faint pulse Extreme tachypnea Unconsciousness[symptoma.com] Altered mental status. .. .. c. Depressed anterior fontanelle. .. .. d. Hypotension. .. .. e. Absent distal pulses 5.[hawaii.edu]

  • Myxedema Coma

    Myxedema coma is the extreme manifestation of hypothyroidism, typically seen in patients with severe biochemical hypothyroidism.[ncbi.nlm.nih.gov] She presented to the hospital with alteration of the mental status, generalized edema, hypothermia, hypoventilation, and hypotension.[ncbi.nlm.nih.gov] Aside from altered mental status, heart block was present in addition to hypothermia and hypercarbia.[ncbi.nlm.nih.gov]

  • Hypoglycemia

    Fasting hypoglycemia: Certain medicines or herbal supplements such as fenugreek, ginseng, or cinnamon Alcohol Exercise Medical conditions such as liver disease, hypothyroidism[drugs.com] In AN various cardiac complications may occur: hypotension, bradycardia, life-threatening ventricular arrhythmias, pericardial effusion, reduction of left ventricular mass[ncbi.nlm.nih.gov] A hyperglycemic patient with an altered mental status may receive a bolus of glucose.[emedicine.com]

  • Myxedema

    […] whole picture of untreated hypothyroidism at very end stage the patients enter into myxedema comma with eventual death due to the sever symptoms of hypothyroidism.[ncbi.nlm.nih.gov] 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]

  • Cardiac Tamponade

    Hypothyroidism is a significant cause of pericardial effusion. However, large pericardial effusions due to hypothyroidism are extremely rare.[ncbi.nlm.nih.gov] Of the 7 hypotensive or normotensive patients diagnosed with cardiac tamponade, 4 underwent successful pericardiocentesis while awaiting surgery.[ncbi.nlm.nih.gov] Here, we present a case of an intravenous drug user who presented with altered mental status and a rectal temperature of 105.4 .[ncbi.nlm.nih.gov]

  • Acidosis

    A thyrotropin and a free T4 level should be considered in selected patients, since hypothyroidism may cause obesity, leading to obstructive sleep apnea (OSA) and sleep apnea–related[emedicine.com] Incidence of hypotension did not differ between groups (54.5% vs. 61.9%, p   .63).[ncbi.nlm.nih.gov] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[calpoison.org]

  • Sepsis

    History: HTN, previous MI (2002), hypothyroid Allergies: none Medications: lisinopril, levothyroxine, warfarin Patient weight/height: 180 pounds/5 feet, 11 inches Vitals:[ems1.com] Septic shock is defined as hypotension with a mean arterial pressure less than 65 mm Hg, requiring vasopressors despite adequate fluid resuscitation and/or lactic acid levels[ncbi.nlm.nih.gov] 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]

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