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35 Possible Causes for Carpopedal Spasm, Metabolic Encephalopathy, Potassium Decreased

  • Metabolic Alkalosis

    spasm (Trousseau sign) depressed respirations (b/c of compensation trying to hold CO2) paralytic ileus (gut shuts down to hold HCO3) ABGs (increased pH and HCO3) decreased[] We describe a patient with Zollinger-Ellison syndrome with persistent encephalopathy, severe metabolic alkalosis (highest bicarbonate 81 mEq/L), hypernatremia (sodium 157[] Serum chloride: Decreased, less than 98 mEq/L, disproportionately to serum sodium decreases (if alkalosis is hypochloremia). Serum potassium: Decreased.[]

  • Acute Hyperventilation

    spasm.[] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[] Abstract The effects of increasing respiratory rates on arterial pH, PaCO2, HCO3, and potassium (K) were measured in normal anesthetized dogs.[]

  • Hypocalcemia

    Manifestations include hyperactive deep tendon reflexes, chvostek's sign, muscle and abdominal cramps, and carpopedal spasm.[] Other causes of toxic-metabolic encephalopathy should be considered in the differential diagnosis for patients presenting with tetany, particularly if the ionized calcium[] […] to hypoxia and/or acidosis Cell destruction - crushing injuries, burns and hemolysis Inadequate Potassium Excretion - from decreased aldosterone related to Adrenalectomy[]

  • Renal Tubular Acidosis

    The carpopedal spasm was due to hypocalcemia which was precipitated by the alkali replacement.[] Levels of potassium are usually decreased in proximal RTA although they can be normal.[] spasm Failure to thrive , developmental delay Dysmorphic facies ; , strabismus ; , and sensorineural deafness Symptoms of renal colic may occur during as a result of calcium[]

  • Bartter's Disease

    Other symptoms Other symptoms, which appear during late childhood, include fatigue, muscle weakness, cramps, and recurrent carpopedal spasms.  Developmental delay and minimal[] Spot urine found K 13 (3.5-5.0 mmol/L) and Na 129 ( Blood chemistry showed gross electrolytes abnormalities, suggestive of metabolic encephalopathy, and the seizure episode[] Five weeks after birth, his sodium chloride loss turned into renal potassium loss, along with a marked decrease in urine output.[]

  • Alkalosis

    spasm Shift 02 dissociation curve to the left (Alkalosis) (Increased affinity of Hb for O2) Correction Treat underlying cause Re-breather mask References and Links Acid-Base[] This can be seen in the following settings: Acute intoxication with narcotics or other sedative medications Severe metabolic encephalopathy Obesity hypoventilation Severe[] The blood levels of potassium and sodium can decrease dramatically, causing symptoms of metabolic alkalosis.[]

  • Primary Hyperparathyroidism

    spasm, Chvostek sign, Trusseau sign Nausea and/or vomiting Muscular cramps (back and lower limbs) Abdominal pain Wheezing (from bronchospasm) Constipation Dysphagia Bone[] It can also cause neurotoxicity, manifesting as toxic metabolic encephalopathy.[] […] severe acute hypocalcaemia Fatigue Syncope Weakness Angina Polydipsia Congestive heart failure (reversible) Polyuria Perioral and/or finger tingling and numbness Dehydration Carpopedal[]

  • Hypomagnesemia

    A 39-year-old woman was presented to the emergency department complaining of severe watery diarrhea and carpopedal spasm after ingesting a handful of magnesium hydroxide tablets[] Abstract The clinical evidence of neurological menifestations associated with asphyxia is described as hypoxic ischaemic encephalopathy (HIE).[] A lack of magnesium inhibits reuptake of potassium, causing a decrease in intracellular potassium. This decrease in intracellular potassium results in a tachycardia.[]

  • Electrolytes Abnormal

    Hypocalcemia Chief complaints of patients who present with hypocalcemia include carpopedal spasm, neuromuscular excitability and if severe seizures might develop.[] Tachypnoea Reduced vital capacity Respiratory failure CNS Lethargy Neuropathy Encephalopathy Seizures Coma Others Skeletal demineralization Table VI - Clinical manifestations[] A seriously abnormal increase in potassium ( hyperkalemia ) or decrease in potassium ( hypokalemia ) can profoundly affect the nervous system and increases the chance of irregular[]

  • Hypokalemia

    Case presentation We report a case of a 4-year-old girl presenting carpopedal spasm and rhabdomyolysis due to severe hypokalemia associated to hypophosphatemia and hypovolemia[] Hypokalemia also is a contributory factor in the development of hepatic encephalopathy in the setting of cirrhosis.[] New data make clear that feedforward homeostatic responses activate when decreased potassium intake is sensed, even when plasma potassium concentration is still within the[]

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