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20 Possible Causes for Circumoral Paresthesia, Edema, Metabolic Encephalopathy

  • Acute Hyperventilation

    Pulmonary Edema Pulmonary edema (swelling or fluid in the lungs) can either be caused by cardiogenic causes (congestive heart failure, heart...[medicinenet.com] Acute pulmonary edema would MOST likely develop as the result of: toxic chemical inhalation.[quizlet.com] The damaged alveoli close down or fill up with fluid (lung edema), thereby losing their ability to oxygenate the blood and eliminate carbon dioxide.[rarediseases.org]

  • Metabolic Alkalosis

    paresthesia Muscle twitching, weakness Dizziness May exhibit: Hypertonicity of muscles, tetany, tremors, convulsions, loss of reflexes Confusion, irritability, restlessness[nurseslabs.com] […] to correct azotemia and abnormal electrolytes results in rapid correction of serum sodium, bicarbonate, and urea but presents a risk for dialysis disequilibrium and brain edema[ncbi.nlm.nih.gov] Recent complaints of chest pain and breathlessness, along with recent weight gain and pitting edema prompted hospital admission.[acutecaretesting.org]

  • Hypocalcemia

    We describe the case of an 86-year-old woman with moderate renal failure, who presented pulmonary edema and severe myocardial dysfunction due to hypocalcemia.[ncbi.nlm.nih.gov] Other causes of toxic-metabolic encephalopathy should be considered in the differential diagnosis for patients presenting with tetany, particularly if the ionized calcium[endocrinologyadvisor.com] Hypercalcemia: Volume overload and pulmonary edema may develop with overly aggressive fluid management.[clinicaladvisor.com]

  • Alkalosis

    Edema, - P regnancy - P neumonia - P rogesterone - C irrhosis - Aspirin toxicity (early) BP BP Urine Cl Renin 20 Vomit: - Anorexia - Pyloric Stenosis - Hyperemesis gravid.[fprmed.com] This can be seen in the following settings: Acute intoxication with narcotics or other sedative medications Severe metabolic encephalopathy Obesity hypoventilation Severe[pulmonaryschools.com] A chest x-ray is important in all patients as it helps discern an anatomical or infectious cause and may rule in/out pulmonary edema.[ncbi.nlm.nih.gov]

  • Acidosis

    Neurological: Rapid decrements in PaCO2 to half the normal values or lower are typically accompanied by 1. paresthesias of the extremities, 2. chest discomfort, 3. circumoral[slideshare.net] This is also commonly the case in frank pulmonary edema, when significant lowering of arterial oxygen saturation (Sa O2 ) may also be present (3, 4).[annals.org] Both conditions may coexst in a number of serious diseases, such as pneumonia and pulmonary edema (fluid in the lungs), which is seen in a particularly severe form of heart[healthgrades.com]

  • Chronic Respiratory Acidosis

    Neurological: Rapid decrements in PaCO2 to half the normal values or lower are typically accompanied by 1. paresthesias of the extremities, 2. chest discomfort, 3. circumoral[slideshare.net] Examples of edema in specific organs include cerebral edema, pulmonary edema, periorbital edema (eye puffiness), and cutaneous edema due to mosquito bites, spider bites, bee[courses.lumenlearning.com] This can be seen in the following settings: Acute intoxication with narcotics or other sedative medications Severe metabolic encephalopathy Obesity hypoventilation Severe[courses.washington.edu]

  • Electrolytes Abnormal

    No lower extremity edema is present. Neurologic examination reveals no focal deficits.[clinicalgate.com] Tachypnoea Reduced vital capacity Respiratory failure CNS Lethargy Neuropathy Encephalopathy Seizures Coma Others Skeletal demineralization Table VI - Clinical manifestations[medbc.com] […] numbness Paresthesias Carpopedal spasm Electrocardiogram (ECG) – prolonged QT interval, Torsades de Pointes Etiologies Removal or destruction of parathyroid glands (hypoparathyroidism[arupconsult.com]

  • Respiratory Alkalosis

    Edema, - P regnancy - P neumonia - P rogesterone - C irrhosis - Aspirin toxicity (early) BP BP Urine Cl Renin 20 Vomit: - Anorexia - Pyloric Stenosis - Hyperemesis gravid.[fprmed.com] This can be seen in the following settings: Acute intoxication with narcotics or other sedative medications Severe metabolic encephalopathy Obesity hypoventilation Severe[courses.washington.edu] Acute respiratory alkalosis causes light-headedness, confusion, peripheral and circumoral paresthesias, cramps, and syncope.[msdmanuals.com]

  • Basilar Migraine

    The acute phase may be accompanied by nausea, vomiting, chills, polyuria, sweating, facial edema, irritability, and extreme fatigue.[medical-dictionary.thefreedictionary.com] This condition should be differentiated from seizures and from various causes of confusion, including toxic, metabolic, mitochondrial, or infectious encephalopathies.[emedicine.medscape.com] […] attack. [72] Reversible brain MRI abnormalities have been reported in a patient with migraine-triggered seizure, possibly as a consequence of supratentorial focal cerebral edema[emedicine.medscape.com]

  • Respiratory Acidosis

    Neurological: Rapid decrements in PaCO2 to half the normal values or lower are typically accompanied by 1. paresthesias of the extremities, 2. chest discomfort, 3. circumoral[slideshare.net] This is also commonly the case in frank pulmonary edema, when significant lowering of arterial oxygen saturation (Sa O2 ) may also be present (3, 4).[annals.org] This can be seen in the following settings: Acute intoxication with narcotics or other sedative medications Severe metabolic encephalopathy Obesity hypoventilation Severe[courses.washington.edu]

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