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13 Possible Causes for Ammonia Increased, Asterixis, Vitamin B12 Increased

  • Hepatic Encephalopathy

    All four measurements of ammonia increased with the severity of hepatic encephalopathy.[aafp.org] Secondary end points were mortality from HE or any other cause, decrease in mental status grade, asterixis grade, serum Ammonia grade, NCT grade.[ncbi.nlm.nih.gov] […] time leads to increased ammonia production by GI flora - Infection: Inflammatory catabolic state - Increased diffusion of ammonia across blood-brain barrier - Dehydration[errolozdalga.com]

  • Liver Failure

    Drowsiness and confusion Parotid gland enlargement Spider angiomas Icterus Bilateral parotid swelling ( Credit ) Diminished axillary hair Spider angioma Gynecomastia in a male Asterixis[stanfordmedicine25.stanford.edu] […] to urea is impaired, and levels of circulating ammonia increase.[nejm.org] Liver palms are red and an hepatic flap, also called asterixis, may be present.[patient.info]

  • Hyperammonemia Type 3

    Earlier reports reveal most cases of hyperammonemia along with asterixis.[ijpm.info] As has been indicated above, the central nervous system is most sensitive to increased concentrations of ammonia.[symptoma.com] B12 or folic acid orotic aciduria increased orotic acid with hyperammonemia OTC deficiency excess ATP and dATP imbalances nucleotide pool via feedback inhibition of ribonucleotide[memorize.com]

  • Portal Cirrhosis

    Muscle rigidity Asterixis Stage IV Coma EEG : delta activity Treatment General measures Avoidance of trigger substances (e.g., hepatotoxic medication, alcohol) Treatment[amboss.com] In the individual with hepatic encephalopathy, the focus is on monitoring systems affected by increased ammonia levels and assessing whether levels are effectively being reduced[medical-dictionary.thefreedictionary.com] Signs of hepatic encephalopathy: Asterixis ('flapping tremor'); suggests hepatic encephalopathy.[patient.info]

  • Massive Hepatic Necrosis

    […] indicates liver disease) Markers for hepatocyte function (metabolism) Serum ammonia (increase indicates liver disease) Aminopyrine breath test (hepatic demethylation) (decrease[quizlet.com] Encephalopathy Grade I: Euphoric, occasionally depressed, fluctuant mild confusion, slowness of mentation and affect, untidy, slurred speech, reversal of sleep pattern, may have asterixis[aic.cuhk.edu.hk] […] ammonia levels reversible if underlying hepatic condition can be corrected features: (a) change in consciousness (b) fluctuating neurologic signs – rigidity, hyperreflexia, asterixis[slideshare.net]

  • Carnitine Deficiency

    We present the case of a 35-year-old woman who developed acute mental status changes, asterixis, and diffuse muscle weakness.[ncbi.nlm.nih.gov] After oral administration of L-carnitine (10 mg/kg per day) at 7 months of age, the mean blood ammonia levels decreased significantly, accompanied by an increase in serum[ncbi.nlm.nih.gov] Carnitine synthesis depends on amino acids lysine and methionine as well as vitamins C, B12, folic acid and B6.[olaloa.com]

  • Citrullinemia Type 2

    They may rapidly progress to respiratory alkalosis as ammonia increases with cerebral edema, seizures, loss of reflexes, hypothermia, apnea, and coma.[clinicaladvisor.com] […] methionine is strongly suggestive of impaired absorption, transportation, binding, or intracellular metabolism of vitamin B12.[pliem.co.za] […] denominator, hyperammnemia, can manifest clinically as some or all of the following: Anorexia Irritability Heavy or rapid breathing Lethargy Vomiting Disorientation Somnolence Asterixis[checkorphan.org]

  • Acquired Adrenogenital Syndrome

    , Ammonia Increased, Amnesia, Amniotic Fluid Volume Decreased, Amyotrophic Lateral Sclerosis, Anaemia, Anaemia Haemolytic Autoimmune, Anaemia Macrocytic, Anaemia Megaloblastic[bonkersinstitute.org] A Increased, Vitamin B12 Decreased, Vitamin B12 Increased, Vitamin D Decreased, Vitamin D Deficiency, Vitamin K Deficiency, Vitreous Opacities, Vomiting, Vulval Cancer, Vulvovaginal[bonkersinstitute.org] Arthralgia, Arthritis, Ascites, Aspartate Aminotransferase Decreased, Aspartate Aminotransferase Increased, Aspiration, Aspiration Tracheal, Aspiration Tracheal Abnormal, Asterixis[bonkersinstitute.org]

  • Spondylitic Aortitis

    Arthropathy, Arthropod Bite, Ascites, Aseptic Necrosis Bone, Asocial Behaviour, Aspartate Aminotransferase Abnormal, Aspartate Aminotransferase Increased, Asphyxia, Aspiration, Asterixis[bonkersinstitute.org] , Alpha 1 Globulin Increased, Alpha 2 Globulin Increased, Alpha Haemolytic Streptococcal Infection, Amblyopia, Amenorrhoea, Ammonia Increased, Amnesia, Amniotic Band Syndrome[bonkersinstitute.org] B Complex Deficiency, Vitamin B12 Decreased, Vitamin B12 Deficiency, Vitamin B12 Increased, Vitamin D Deficiency, Vitreous Disorder, Vitreous Floaters, Vitreous Haemorrhage[bonkersinstitute.org]

  • Esophageal Crohn's Disease

    Laboratory findings may include, but are not limited to, increased liver enzymes, increased serum total bilirubin, increased ammonia levels, decreased serum albumin, and abnormal[ssa.gov] D and calcium, the risk is also increased if steroids have been used Vitamin B12 deficiency How is it diagnosed?[giassoc.org] It’s also common to develop anemic symptoms due to low iron or vitamin B12 caused by the disease.[draxe.com]

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