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23 Possible Causes for Altered Mental Status, Nausea, Recurrent Pneumonia due to Aspiration

  • Aspiration Pneumonia

    A 64 year old woman presented with persistent and severe symptoms due to recurrent aspiration pneumonias associated with oesophageal reflux.[ncbi.nlm.nih.gov] Cholinesterase (ChE) inhibitors approved for treatment of Alzheimer disease are associated with nausea and vomiting in a sizable percentage of patients, ranging from 5% to[ncbi.nlm.nih.gov] Additionally, altered mental status on emergency department arrival, white blood cell count, and increased exposure duration were independently associated with the development[ncbi.nlm.nih.gov]

  • Hypotension

    Clinical presentation was hoarseness, aspiration pneumonia and hypoxemia requiring ventilatory support.[ncbi.nlm.nih.gov] In addition, the incidence of nausea and vomiting was higher in the preload group (OR 3.40, 95% CI 1.88-6.16, and P 0.0001).[ncbi.nlm.nih.gov] Jones' tachycardia and altered mental state point to hypoperfusion and sepsis. Mr.[journals.lww.com]

  • Clostridium Difficile

    There were no procedure-related adverse events, except aspiration pneumonia in one patient.[ncbi.nlm.nih.gov] The most common adverse events reported during clinical trials were diarrhea and nausea.[ncbi.nlm.nih.gov] Although metronidazole was initiated, she developed altered mental status and septic shock.[ncbi.nlm.nih.gov]

  • Arnold Chiari Malformation

    […] from swallowing disturbances and dysphagia further complicated by recurrent aspiration pneumonia.[mrmjournal.biomedcentral.com] There are altered vision profiles, buzzing in the ears, vomiting, nausea, trouble in swallowing food, and hearing loss.[symptoma.com] Altered Mental Status (MS4) (new chapter pending) - Peter J. Di Rocco, MD 11. Bites and Sings (MS3) - Coral W. Yap, DO 12. Child Abuse (MS3) - Cynthia H. Tinsley, MD 13.[hawaii.edu]

  • Arnold-Chiari Malformation Type 1

    […] from swallowing disturbances and dysphagia further complicated by recurrent aspiration pneumonia.[mrmjournal.biomedcentral.com] Symptoms can include headaches, neck pain, disequilibrium, vision changes, auditory disturbances, loss of coordination, and nausea.[consultant360.com] Arnold-Chiari malformation Pathology Type Hernia Cause(s) Congenital or genetic Symptoms Headaches, ringing in ears, dizziness, nausea, nystagmus, face pain, muscle weakness[house.wikia.com]

  • Foreign Body

    Children with partial oesophageal obstruction may present with a chronic course featuring inability to feed, failure to thrive, fever, recurrent aspiration pneumonitis/pneumonia[patient.info] The patient admitted to injecting a suspension of crushed ondansetron (Zofran) tablets into the antecubital area to control post-operative nausea.[ncbi.nlm.nih.gov] A 35-year-old man presented to the emergency department with profuse rectal bleeding, abdominal pain, and an altered mental status.[nejm.org]

  • Bacteremia

    The first patient is a two -month- old boy who had been hospitalized in pediatric surgery unit for suspected tracheo-esophageal fistula because of recurrent aspiration pneumonia[panafrican-med-journal.com] A 43-year-old woman receiving coadjuvant chemotherapy due to a retroperitoneal leiomiosarcoma presented with nausea, vomiting, abdominal pain and fever (38  C).[ncbi.nlm.nih.gov] The development of septicemia leading to sepsis and septic shock will commonly cause hypotension, altered mental status, and decreased urine output due to hypovolemia from[ncbi.nlm.nih.gov]

  • Ependymoblastoma

    Two passed away postoperatively with aspiration pneumonia.[karger.com] Supratentorial in both hemispheres (70%) Infratentorial in cerebellum and brain stem (30%) Clinical features Signs and symptoms of increased intracranial pressure (headache, nausea[pathologyoutlines.com] Signs and symptoms related to this include headache, nausea/vomiting, ataxia, strabismus, irritability, and altered mental status; infants may exhibit macrocephaly and bulging[emedicine.medscape.com]

  • Congenital Malrotation of the Colon

    In some instances, duodenal stenosis goes unrecognized for long periods, leading to recurrent episodes of vomiting, failure to thrive, and aspiration pneumonia.[journals.lww.com] A 92-year-old gentleman presented with a 3 day history of generalized abdominal pain, nausea, vomiting, and weakness.[atlasofscience.org] Some children with intussusception may appear lethargic or have altered mental status, believed by physicians to be related to ischemia of the bowel and a decreased level[healthofchildren.com]

  • Foreign Body Aspiration

    The right lower lobe of the lung is the most common site of recurrent pneumonia in foreign body aspiration.[en.wikipedia.org] Dyspnoea, chest pain, wheezing, fever, nausea or vomiting may follow this.[ispub.com] mental status.[aafp.org]

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