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941 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

    The main factor involved in causing the encephalopathy is an increase in ammonia levels in the brain.[netdoctor.co.uk] Liver palms are red and an hepatic flap, also called asterixis, may be present.[patient.info] Examples include: Hepatic encephalopathy: Increased ammonia levels due to the liver's inability to process and metabolize proteins in the diet can cause confusion , lethargy[medicinenet.com]

  • Hyperammonemia Type 3

    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] Earlier reports reveal most cases of hyperammonemia along with asterixis.[ijpm.info]

  • Dementia

    They include unsteady gait; tremor; asterixis; myoclonus, paratonia (e.g., gegenhalten) of the limbs and especially of the neck; difficulty reading and writing; and visuoconstruction[web.archive.org] Thus by "masking" the early signs and symptoms of vitamin B12 deficiency, folic acid may increase the incidence of neuropathy.[doi.org]

    Missing: Ammonia Increased
  • Ornithine Transcarbamylase Deficiency

    […] from OTC deficiency can be manifested clinically by some or all of the following: Anorexia Irritability Heavy or rapid breathing Lethargy Vomiting Disorientation Somnolence Asterixis[emedicine.com] While the immediate focus is lowering the patient's ammonia concentrations, identifying the specific cause of increased ammonia levels is key as well.[en.wikipedia.org] She lost her life because of increasing ammonia levels although receiving high-dose inotropic support. Figure 1 .[pubs.sciepub.com]

    Missing: Vitamin B12 Increased
  • Reye Syndrome

    The coma deepens even further, seizures develop, respiratory failure occurs, the blood level of ammonia increases, and death generally ensues.[web.archive.org] Abstract A 2-year-old boy had acute fever, malaise, and somnolence with hepatomegaly, increased blood ammonia content (338 microM), high SGOT, low blood glucose content, and[ncbi.nlm.nih.gov] Serum AST and ALT: increased. Serum ammonia: increased. Prothrombin time: prolonged. A CT scan of the brain is obtained which shows cerebral edema.[web.archive.org]

    Missing: Vitamin B12 Increased
  • Carbamoyl Phosphate Synthetase Deficiency

    They may rapidly progress to respiratory alkalosis as ammonia increases with cerebral edema, seizures, loss of reflexes, hypothermia, apnea, and coma.[clinicaladvisor.com] Here, it provokes cytotoxic and possibly vasogenic brain edema, which may manifest in form of seizures, tremor, asterixis, delirium and a reduced level of awareness.[symptoma.com] Symptoms include the following: Anorexia Irritability Heavy or rapid breathing Lethargy Vomiting Disorientation Somnolence Asterixis (rare) Combativeness Obtundation Coma[emedicine.medscape.com]

    Missing: Vitamin B12 Increased
  • Alcoholic Liver Disease

    The main factor involved in causing the encephalopathy is an increase in ammonia levels in the brain.[netdoctor.co.uk] History & Exam Key Factors abdominal pain hepatomegaly hematemesis and melena venous collaterals splenomegaly hepatic mass jaundice palmar erythema cutaneous telangiectasia asterixis[online.epocrates.com] Examples include: Hepatic encephalopathy: Increased ammonia levels due to the liver's inability to process and metabolize proteins in the diet can cause confusion , lethargy[medicinenet.com]

    Missing: Vitamin B12 Increased
  • Toxic Liver Disease

    Abnormal cell function in the liver means ammonia levels increase in the blood.[livestrong.com] Abnormal findings suggestive of cirrhosis include: Jaundice Spider angiomata Palmar erythema Caput medusa Palpable left lobe of the liver Splenomegaly Ascites Clubbing Asterixis[hiv.va.gov] Hand tremor (asterixis). Jaundice (yellowing of skin and eyes). Weight loss. Nausea. Fatigue. Abdomen swelling (peritoneal ascites).[drugabuse.com]

    Missing: Vitamin B12 Increased
  • Metabolic Encephalopathy

    However, when alcohol is repeatedly abused, it can cause liver disease increasing ammonia levels and encephalopathy or there can be direct damage to the brain with loss of[emedicinehealth.com] Asterixis is caused by the loss in voluntary muscle postural tone of the head, tongue, limbs or trunk.[symptoma.com] […] in the levels of the serum glutamic-oxaloacetic transaminase (SGOT), serum glutamic-pyruvic transaminase (SGPT), or serum ammonia No more reasonable explanation for the cerebral[lifeinthefastlane.com]

    Missing: Vitamin B12 Increased

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