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74 Possible Causes for Carpopedal Spasm, Paresthesia, 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[quizlet.com] Serum chloride: Decreased, less than 98 mEq/L, disproportionately to serum sodium decreases (if alkalosis is hypochloremia). Serum potassium: Decreased.[nurseslabs.com] Alkalosis may cause Irritability Muscle twitching and cramps Tingling in the fingers and toes and around the lips Tingling (paresthesias) is a common complaint in hyperventilation[merckmanuals.com]

  • Conn Syndrome

    […] depletion, hypokalemic alkalosis, hypervolemia, and decreased plasma renin activity; may be associated with small, benign adrenocortical adenomas.[medical-dictionary.thefreedictionary.com] Other symptoms include muscular weakness, paresthesias, headache, polyuria, and polydipsia. Edema is rare in these patients.[radiopaedia.org] Based on clinical findings (hypertension, polyuria, polydipsia, fatigue, tinnitus, paresthesia, paralysis of variable duration, failure to thrive, muscle loss).[accessanesthesiology.mhmedical.com]

  • Hyperventilation

    In extreme cases it may cause carpopedal spasms, a flapping and contraction of the hands and feet.Factors that may induce or sustain hyperventilation include: physiological[en.wikipedia.org] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[flexikon.doccheck.com] In contrast, Gowers used the terms "vagal" and "vaso-vagal" for these symptoms, which could include numbness and tingling of the extremities ( Gowers 1907 ).[medlink.com]

  • 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[ncbi.nlm.nih.gov] A lack of magnesium inhibits reuptake of potassium, causing a decrease in intracellular potassium. This decrease in intracellular potassium results in a tachycardia.[en.wikipedia.org] […] deficiency associated with proton pump inhibitors (PPIs) has been described recently with clinical presentations varying from life-threatening conditions to muscle cramps and paresthesias[ncbi.nlm.nih.gov]

  • 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[ncbi.nlm.nih.gov] New data make clear that feedforward homeostatic responses activate when decreased potassium intake is sensed, even when plasma potassium concentration is still within the[ncbi.nlm.nih.gov] The earliest signs are weakness and muscle cramps and numbness and tingling that usually begin in the lower extremities.[medical-dictionary.thefreedictionary.com]

  • Acute Hyperventilation

    spasm.[emedicine.medscape.com] This leads to increased plasma protein binding of the serum potassium and a decrease of the physiologically active ionized calcium.[flexikon.doccheck.com] Presenting complaints were dyspnea (61%), paresthesia (35%), chest pain or tightness (43%), muscle spasm (9%), dizziness (13%), palpitations (13%), and panic (30%).[ncbi.nlm.nih.gov]

  • Respiratory Alkalosis

    Signs include hyperpnea or tachypnea and carpopedal spasms. Diagnosis is clinical and with ABG and serum electrolyte measurements. Treatment is directed at the cause.[msdmanuals.com] According to classical data, serum potassium decreases during the acute respiratory alkalosis.[alpfmedical.info] Dry mouth Nausea/vomiting May exhibit: Abdominal distension (elevating diaphragm as with ascites, pregnancy) Vomiting NEUROSENSORY May report: Headache, tinnitus Numbness/tingling[nurseslabs.com]

  • Hypocalcemia

    Manifestations include hyperactive deep tendon reflexes, chvostek's sign, muscle and abdominal cramps, and carpopedal spasm.[icd9data.com] […] to hypoxia and/or acidosis Cell destruction - crushing injuries, burns and hemolysis Inadequate Potassium Excretion - from decreased aldosterone related to Adrenalectomy[web.archive.org] At presentation, he had ataxia, paresthesia in the hands and feet, and abdominal cramping. Magnetic resonance imaging of the brain was unremarkable.[ncbi.nlm.nih.gov]

  • Hypophosphatemia

    This case reports an adolescent girl presenting with episodes of carpopedal spasms and difficulty in walking with laboratory tests suggestive of Gitelman's syndrome along[ncbi.nlm.nih.gov] Increased intake Intravenous—sodium or potassium phosphate Oral administration—Neutraphos Rectal—Fleets phosphosoda enemas Decreased renal excretion Renal insufficiency/failure—acute[accessmedicine.mhmedical.com] The patient presented with acute onset of dyspnea, paresthesias, limb shaking, and severe hyperventilation.[ncbi.nlm.nih.gov]

  • 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[lifeinthefastlane.com] The blood levels of potassium and sodium can decrease dramatically, causing symptoms of metabolic alkalosis.[encyclopedia.com] Also, patients with hyperventilation syndrome develop dyspnea, chest pain, paresthesia, and tetany.[symptoma.com]

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