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58 Possible Causes for Carpopedal Spasm, Phosphate Decreased, Potassium Decreased

  • Hypomagnesemia

    Increased luminal phosphate or fat may precipitate magnesium and decrease its absorption.[emedicine.com] 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]

  • 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 extreme cases it may cause carpopedal spasms, a flapping and contraction of the hands and feet. [3] [4] Factors that may induce or sustain [2] hyperventilation include:[en.wikipedia.org]

  • Hypokalemia

    Because of hypophosphataemia, phosphate supplementation was given. Lactic acid levels decreased quickly and no cardiac events reoccurred.[njmonline.nl] 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]

  • Respiratory Alkalosis

    […] concentration (delta[PO4]p, 0.14 mmol/liter, P less than 0.005) associated with increased fractional excretion of Ca ( 0.5%, P less than 0.005), decreased phosphate clearance[ncbi.nlm.nih.gov] 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]

  • Renal Tubular Acidosis

    The carpopedal spasm was due to hypocalcemia which was precipitated by the alkali replacement.[jpma.org.pk] Levels of potassium are usually decreased in proximal RTA although they can be normal.[medfriendly.com] Without NH 3 , the other buffers, primarily phosphate, are overloaded. As a result, the urine pH is acidic.[netscut.templaro.com]

  • Malabsorption Syndrome

    spasm Ca, Mg Edema Protein Glossitis Vitamins B 2 and B 12, folate, niacin, iron Night blindness Vitamin A Pain in limbs, bones, pathologic fractures K, Mg, Ca, vitamin D[merckmanuals.com] , and potassium levels muscle wasting and atrophy due to decreased protein absorption and metabolism perianal skin burning, itching, or soreness due to frequent loose stools[encyclopedia.com] For instance, you may be advised to avoid foods high in fat to decrease diarrhea, and increase foods high in potassium to help balance your electrolytes.[healthline.com]

  • Diabetic Ketoacidosis

    Paresthesias, tremor, carpopedal spasm, agitation, seizures, and cardiac dysrhythmias all are reported symptoms.[aafp.org] Potassium levels can fluctuate severely during the treatment of DKA, because insulin decreases potassium levels in the blood by redistributing it into cells via increased[en.wikipedia.org] Phosphate concentration decreases with insulin therapy.[care.diabetesjournals.org]

  • Hypophosphatemia

    To elucidate these phosphate decreases, we have followed serum phosphate and urinary phosphate excretion in four patients with severe acute pancreatitis.[link.springer.com] 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]

  • Proximal Renal Tubular Acidosis

    Generalized aminoaciduria and decreased tubular reabsorption of phosphate were also present.[ncbi.nlm.nih.gov] spasm Failure to thrive, developmental delay Dysmorphic facies, strabismus, and sensorineural deafness Symptoms of renal colic may occur during as a result of calcium stones[amboss.com] This, in turn, causes inadequate secretion of protons and potassium, with decreased trapping and excretion of ammonium and decreased excretion of potassium.[emedicine.medscape.com]

  • Distal Renal Tubular Acidosis

    […] with calcium phosphate stone formation: hypocitraturia, hypercalciuria, and a high urine pH.[cjasn.asnjournals.org] spasm Failure to thrive, developmental delay Dysmorphic facies, strabismus, and sensorineural deafness Symptoms of renal colic may occur during as a result of calcium stones[amboss.com] In five patients, impaired potassium excretion was associated with decreased ammonium excretion, a urinary pH below 5.5 (5.18 0.07, mean S.E.M.), and aldosterone deficiency[nejm.org]

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