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2,320 Possible Causes for Altered Mental Status, Kussmaul Respiration, Persistent Lactic Acidosis

  • Acidosis

    Hyperlactatemia is defined as a persistent, mild to moderate (2-4 mmol/L) increase in blood lactate concentration without metabolic acidosis , whereas lactic acidosis is characterized[emedicine.medscape.com] ., dyspnea, marked Kussmaul respirations) These patients generally have severe metabolic acidosis with respiratory compensation.[emcrit.org] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[calpoison.org]

  • Lactic Acidosis

    […] interval: 2.5-20.6; P CONCLUSION: In the absence of risk factors associated with persistent lactic acidosis, such as shock or acute kidney or liver injury, continued peri-operative[ncbi.nlm.nih.gov] CASE REPORT: The neurologic symptoms include altered mental status, slurred speech, and ataxia.[ncbi.nlm.nih.gov] In more severe cases it can present with altered mental status, coma, hypotension, hypothermia and respiratory insufficiency.[calpoison.org]

  • Acute Renal Failure

    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] Other complications may follow as uremia develops, e.g., altered mental status, anorexia, arrhythmias, and fluid overload.[medical-dictionary.thefreedictionary.com]

    Missing: Persistent Lactic Acidosis
  • Acute Respiratory Distress Syndrome

    mental status; white blood cell count 12,000 per mm 3 (12 10 9 per L), 4,000 mm 3 (4 10 9 per L), or 10 percent immature forms; elevated C-reactive protein level; arterial[aafp.org] […] fever, pleuritic chest pain Pneumonia Infection plus some of the following findings: temperature 100.9 F (38.3 C) or 96.8 F (36 C); pulse 90 beats per minute; tachypnea; altered[aafp.org]

    Missing: Persistent Lactic Acidosis
  • Diabetic Ketotic Coma

    respiration, acetone breath, nausea, vomiting, abdominal pain Mental confusion, DehydrationComa Lab Investigations Plasma glucose Serum Urea Serum creatinine Serum ketones[howmed.net] Both disorders are associated with absolute or relative insulin deficiency, volume depletion, and altered mental status.[accessmedicine.mhmedical.com] mental status.[merckmanuals.com]

    Missing: Persistent Lactic Acidosis
  • Salicylate Poisoning

    Take-Home Points Elderly patients with altered mental status require a thorough medical evaluation for high-risk clinical conditions.[jucm.com] This progressive acidosis can promote the influx of salicylic acid into the central nervous system leading to altered mental status, confusion and agitation.[ukidney.com] mental status.[kidshealthwa.com]

    Missing: Persistent Lactic Acidosis
  • Sepsis

    However, in patients with persistently elevated lactate without evidence of inadequate oxygen delivery, type B lactic acidosis should be considered.[ncbi.nlm.nih.gov] Hypotension and/or Kussmaul’s respirations in severe acidosis that are present in the septic patient may lead to peri-intubation arrest if not recognized and managed prior[clinicaladvisor.com] 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]

  • Diabetic Ketoacidosis

    He was tachypneic with a respiratory rate of 35/minute; the pattern was characteristic of Kussmaul's respiration.[casesjournal.biomedcentral.com] We present the case of a 38 year old woman, who presented with altered mental status and biochemical alterations suggestive of diabetic ketoacidosis who was found to have[ncbi.nlm.nih.gov] Her initial assessment revealed tachypnea with Kussmaul's respiration, tachycardia and moderate dehydration, with an estimated fluid deficit of 6%– 9%.[dx.doi.org]

    Missing: Persistent Lactic Acidosis
  • Acute Alcohol Intoxication

    Nausea, vomiting, and abdominal pain may result from this metabolic acidosis and ventilatory compensation may manifest as Kussmaul's respirations.[clinicaladvisor.com] Debra Posted Tue 28th of October, 2014 16:35:08 PM When patient's present to the Emergency Room intoxicated with altered mental status or ALOC, they may receive services to[supercoder.com] Serum ethanol levels may be ordered in suspected alcohol ingestion as well altered mental status of unknown etiology, coma, psychiatric emergencies, traumatic emergencies,[emedicine.medscape.com]

    Missing: Persistent Lactic Acidosis
  • Hypoglycemia

    A hyperglycemic patient with an altered mental status may receive a bolus of glucose.[emedicine.com] A 38-year-old man was admitted with altered mental status and bradycardia.[ncbi.nlm.nih.gov] This procedure usually is performed in the case of an unconscious patient or a patient with altered mental status.[emedicine.com]

    Missing: Kussmaul Respiration