Asterixis is a tremor of the hand when the wrist is extended, sometimes said to resemble a bird flapping its wings. This motor disorder is characterized by an inability to maintain a position, which is demonstrated by jerking movements of the outstretched hands when bent upward at the wrist. …
Most common diseases
Chronic Kidney Insufficiency
Neuromuscular abnormalities with asterixis and muscle twitching are common, as are muscle cramps. [meddean.luc.edu]
Acute Renal Failure
Such symptoms include Anorexia Nausea Vomiting Weakness Myoclonic jerks Seizures Confusion Coma Asterixis and hyperreflexia may be present on examination. [merckmanuals.com]
Mental status changes Nausea and vomiting Pruritus Seizures (if blood urea nitrogen level is very high) Shortness of breath (if volume overload is present) Physical findings Asterixis [aafp.org]
Other presentations of acute kidney injury may include development of uremic encephalopathy (manifested by a decline in mental status, asterixis, or other neurologic symptoms [aafp.org]
Hypercapnia
Asterixis Other names Flapping tremor, liver flap Specialty Neurology Asterixis is a tremor of the hand when the wrist is extended, sometimes said to resemble a bird flapping [en.wikipedia.org]
Severe hypercapnia can involve: Hand tremors (asterixis) Sudden brief muscle jerks (myoclonus) Seizures Pressure in your brain (papilledema) that makes your optic nerve swell [webmd.com]
Asterixis. J Postgrad Med 2016;62:115-7. Available from: Anne M. [en.wikipedia.org]
Hepatic Encephalopathy
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]
Clinical features include lethargy and confusion (frequently progressing to coma); asterixis; nystagmus, pathologic; brisk oculovestibular reflexes; decorticate and decerebrate [icd9data.com]
Tremor, apraxia, incoordination and impaired handwriting Tremor, apraxia, incoordination and impaired handwriting Triphasic waves (5 cycles/s) 2 Lethargy, slow responses Asterixis [doi.org]
Dialysis Dementia
[…] water. 7 Presenting symptoms consist of: 3, 24 dysarthria apraxia slurred speech with stuttering and hesitation Within months, other symptoms develop: 3, 16, 24 myoclonus asterixis [epilepsy.com]
These symptoms are followed by shortened attention span and muscular incoordination, asterixis, and lethargy, progressing to stupor and coma. [alzheimer-europe.org]
Findings include the following: Myoclonic jerks, twitches, or fasciculations (ie, uremic twitch-convulsive syndrome postulated by Adams et al in 1997) Asterixis Chorea [5] [emedicine.medscape.com]
Liver Failure
Liver palms are red and an hepatic flap, also called asterixis, may be present: Hyperextend the fingers and wrist, gently pushing back and a slow clonic movement is the liver [patient.info]
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]
Metabolic Encephalopathy
Asterixis is caused by the loss in voluntary muscle postural tone of the head, tongue, limbs or trunk. [symptoma.com]
Asterixis is a flapping movement produced by unsustained muscle contraction against gravity. [aneskey.com]
• Motor findings that are strongly suggestive of a metabolic or toxic encephalopathy include postural-action tremor, asterixis, and multifocal myoclonus. • In comatose patients [medlink.com]
Acute Liver Failure
There was bilateral pitting edema, ascites and marked asterixis. [livertox.nih.gov]
In older children, signs and symptoms are identical to those in adults but the classical symptoms of asterixis, tremors, and fetor hepaticus are often absent. [em-consulte.com]
Liver palms are red and an hepatic flap, also called asterixis, may be present: Hyperextend the fingers and wrist, gently pushing back and a slow clonic movement is the liver [patient.info]
Acute Fatty Liver of Pregnancy
Symptoms may rapidly progress from restlessness, confusion, and disorientation to asterixis, seizures, psychosis, and ultimately coma. [6] Other systemic effects include respiratory [najms.org]
Liver Disease
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]
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]
Variable abnormalities of neurological and psychiatric function, including insomnia, hypersomnia, irritability, confusion, disorientation, hyperactive deep tendon reflexes, and asterixis [hiv.va.gov]