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114 Possible Causes for Altered Mental Status, Hypotension, Spasticity - Hyperreflexia

  • Hyponatremia

    They are primarily central nervous system (CNS) manifestations, such as irritability, restlessness, lethargy, muscular twitching, spasticity and hyperreflexia, all of which[aafp.org] 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]

  • Hypernatremia

    Muscle twitching, tremor, spasticity, hyperreflexia, and lethargy may also be seen. Coma, seizures, and muscle weakness are later signs.[aneskey.com] A shunt tap revealed intracranial hypotension with good proximal flow.[ncbi.nlm.nih.gov] A 61-year-old male presents in middle of July with altered mental status.[emdocs.net]

  • Central Pontine Myelinolysis

    ., horizontal gaze paralysis), impaired speech or swallowing, and signs of spastic quadriplegia such as limb weakness, increased tonicity of the limb muscles, and hyperreflexia[symptoma.com] Repeated vomiting due to an upper respiratory infection caused disturbance of consciousness and hypotension.[ncbi.nlm.nih.gov] mental status.[ncbi.nlm.nih.gov]

  • Primary Progressive Multiple Sclerosis

    Affected individuals may have tremors, muscle stiffness (spasticity), exaggerated reflexes (hyperreflexia), weakness or partial paralysis of the muscles of the limbs, difficulty[icdlist.com] […] reactions, which can include pruritus, rash, urticaria, erythema, bronchospasm, throat irritation, oropharyngeal pain, dyspnea, pharyngeal or laryngeal edema, flushing, hypotension[ocrevus.com]

  • AIDS-associated Meningoencephalitis

    On examination, one finds relatively symmetric leg weakness, sensory loss, particularly in vibration and position sense, spasticity and hyperreflexia of both legs, and Babinski[hivinsite.ucsf.edu] Shock: signs of shock include tachycardia and/or hypotension, respiratory distress, altered mental state and poor urine output.[patient.info] Altered mental status is rare and if present should increase suspicion for acute purulent meningitis or encephalitis.[infectiousdiseaseadvisor.com]

  • Lead Encephalopathy

    On clinical examination, the patient showed memory loss, mild disorientation, and weakness in the limbs with bilateral hypertonia and hyperreflexia, plantar upgoing, and spastic[ajnr.org] Hypotension Transaminase elevations ECG changes Nephrotoxicity secondary to dissociation of EDTA-metal complexes in acidic urine – reduced by ensuring adequate hydration and[lifeinthefastlane.com] A 66-year-old woman presented to a hospital with headache, irritability, and altered mental status.[ncbi.nlm.nih.gov]

  • Creutzfeldt Jakob Disease

    Clinical features of sCJD include myoclonic jerks, memory deficits, cerebellar signs (ataxia, nystagmus, tremors), pyramidal/corticospinal tract dysfunctions (spasticity,[doi.org] […] includes sleep disturbance and distal pain and may include abnormalities of the autonomic nervous system: palpitations, temperature dysregulation, hypertension or postural hypotension[doi.org] .— Acute cerebellitis is a clinically defined condition most commonly characterized by acute cerebellar ataxia, associated with nausea, headache, and altered mental status[doi.org]

  • Central Nervous System Disorder

    , tremor, spasticity, ataxia, contracture and paralysis sensory: hypoesthesia, numbness, paraesthesia, burning and shooting pain autonomic: urinary and defecatory problems[quizlet.com] […] disorders of nervous system, not elsewhere classified G97.0 Cerebrospinal fluid leak from spinal puncture G97.1 Other reaction to spinal and lumbar puncture G97.2 Intracranial hypotension[icd10data.com] Myocardial infarction, postural hypotension, and stenosis or narrowing of the carotid or vertebral arteries greater than 60% are common causes of cerebral ischemia.[encyclopedia2.thefreedictionary.com]

  • Spinal Trauma

    It presents with spastic paresis , hyperreflexia , and continued sensory loss.[amboss.com] What is the most likely cause of hypotension in a major trauma patient with a possible spinal cord injury?[lifeinthefastlane.com] mental status.[east.org]

  • Autonomic Dysreflexia

    When the stage of spinal shock passes, the typical UMN picture within hyperreflexia and spastic paralysis below the level of the injury supervenes.[casemed.case.edu] Treatment of orthostatic hypotension with fludrocortisone acetate relieved these symptoms.[ncbi.nlm.nih.gov] Postoperatively, the patient developed intermittent episodes of hypertension, bradycardia, headaches, altered mental status, severe perspiration, and red flushing of the upper[ncbi.nlm.nih.gov]

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