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28 Possible Causes for Altered Mental Status, Muscle Cramp, Nocturnal Leg Cramp

  • Hypoglycemia

    cramps, occasionally cause hypoglycemia.[merckmanuals.com] 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]

  • Hyponatremia

    Anthropomorphic characteristics, exercise time, and post-exercise ratings of thermal sensation, perceived exertion and muscle cramp were similar for LC, AM and CON.[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] And contrary to popular belief, muscle cramps and fatigue aren't caused by dehydration but from pushing too hard.[mnn.com]

  • Chronic Kidney Insufficiency

    Muscle cramps. Darkness of skin. Cleveland Clinic News & More Cleveland Clinic News & More[my.clevelandclinic.org] mental status (encephalopathy from the accumulation of waste products or uremic poisons), and restless legs syndrome; chest pain due to pericarditis (inflammation around[emedicinehealth.com] cramping Dry, itchy skin Frequent urination Once CKD is diagnosed it is important to determine the level of kidney function.[kidneyandhypertensioncare.com]

  • Hypocalcemia

    cramps, abdominal cramps, and overly active reflexes).[rxlist.com] Hypercalcemia: Typical findings in hypercalcemia can include: -Poor feeding -Vomiting -Constipation -Abdominal Pain -Hypertension -Altered mental status In more severe cases[clinicaladvisor.com] Muscle cramps involving the back and legs are common.[merckmanuals.com]

  • Hyperthyroidism

    […] psychiatric conditions Surgical removal of the thyroid Symptoms of hypothyroidism Unexplained weight gain or trouble losing weight Fatigue Depression Hair loss and dry hair Muscle[piedmont.org] Thyroid storm should be considered in the differential of any patient presenting with altered mental status.[ncbi.nlm.nih.gov] Symptoms of Hyperthyroidism Hyperthyroidism symptoms vary and may include the following: Impotence in Males Muscle Spasms, Cramps, Twitching & Tremors Acne Eye Twitch Headaches[nativeremedies.com]

  • Amyotrophic Lateral Sclerosis

    Cramps are painful, involuntary muscle contractions.[ncbi.nlm.nih.gov] FDA bans quinine for nocturnal leg cramps. Drug Utilization Rev. 1995; Oct:150. 26. Moss AH, Casey P, Stocking CB, Roos RP, Brooks BR, Siegler M.[aafp.org] 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]

  • Pernicious Anemia

    Symptoms that affect the gastrointestinal system include a sore and brightly red tongue, loss of appetite, weight loss, diarrhea, and abdominal cramping.[encyclopedia.com] Catatonia vis-à-vis delirium: the significance of recognizing catatonia in altered mental status . General Hospital Psychiatry, Vol. 37, Issue. 6, p. 554.[bjp.rcpsych.org] Symptoms include numbness, tingling, or burning in the arms, legs, hands, and feet; muscle weakness; difficulty and loss of balance while walking; changes in reflexes; irritability[encyclopedia.com]

  • Graves Disease

    cramps Muscle weakness Periodic paralysis Frequent bowel movements Weight loss Frequent urination Increased thirst Easy bruising These manifestations usually progress, then[ihealthblogger.com] Treatment The goals of treatment ( 18 – 20 ) are elimination of the symptoms and signs of hypoparathyroidism (paresthesiae, muscle cramps, convulsions, stridor, cognitive[doi.org] […] frequent and less in amount of blood flow Gynecomastia Impotence Increased heart rate Palpitations – fluttering of the chest Chest pain Difficulty of breathing Hand tremors Muscle[ihealthblogger.com]

  • Electrolytes Abnormal

    Muscle cramps often occur in middle-aged and older people and are common in athletes.[eletewater.co.uk] TP Patients typically present with neurologic symptoms such as altered mental status and lethargy, and occasionally seizures or coma if the hypernatremia is severe.[musculoskeletalkey.com] mental status increase dietary potassium, administer potassium, supplement (IV & PO) - potassium chloride, monitor I&O and serum potassium level, may place patient on telemetry[quizlet.com]

  • Hypomagnesemia

    cramps and paresthesias.[ncbi.nlm.nih.gov] Significant hypomagnesemia may present with nystagmus, vertigo, seizures and altered mental status. History to consider: Does the patient have a history of diuretic use?[clinicaladvisor.com] Mental status changes include mood alterations such as apathy, depression, or apprehension; confusion; hallucinations; delirium; or psychosis.[nursingcenter.com]

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