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29 Possible Causes for Confusion, Difficulty Rising from a Squatting Position

  • Wernicke Encephalopathy

    Calf muscle tenderness, difficulty rising from a squatting position, and decreased vibratory sensation in the toes are early signs. Muscle wasting occurs.[merckmanuals.com] Two patients had confusion, ataxia, or ocular changes and low serum thiamine levels, which resolved with parenteral thiamine.[ncbi.nlm.nih.gov] Wernicke's classic triad (confusion, ocular abnormalities, and ataxia) manifested in only 46.9% (23 of 49) of the patients.[ncbi.nlm.nih.gov]

  • Thiamine Deficiency

    The neuropathy affects the legs most markedly, and these patients have difficulty rising from a squatting position. [4] In our case, the patient had both features of wet and[jdrntruhs.org] It is characterized by a classical clinical triad of symptoms: ocular impairment, cerebellar dysfunction, and confusion.[ncbi.nlm.nih.gov] Classically, Wernicke encephalopathy is characterized by confusion (encephalopathy), ataxia , and nystagmus .[pixorize.com]

  • Pellagra

    On examination, the main features are wasting, anaesthetic patches (especially over the tibia), tenderness of the calves to pressure and difficulty in rising from the squatting[fao.org] Some of the other signs of Pellagra, other than digestive distress, are dementia related symptoms such as depression, anxiety, brain fog, mental confusion, etc., which are[celiac.com] The patient showed no evidence of mental confusion.[ncbi.nlm.nih.gov]

  • Beriberi

    The neuropathy affects the legs most markedly, and these patients have difficulty rising from a squatting position. [4] In our case, the patient had both features of wet and[jdrntruhs.org] We report a 25-year-old woman who developed subacute progressive weakness and areflexia followed by confusion, ophthalmoplegia, and nystagmus following bariatric surgery.[ncbi.nlm.nih.gov] Most forms of beriberi are easily confused with other illnesses, especially as a mixture of syndromes may be present.[web.archive.org]

  • Infantile Beriberi

    Calf muscle tenderness, difficulty rising from a squatting position, and decreased vibratory sensation in the toes are early signs. Muscle wasting occurs.[merckmanuals.com] A proportion of Leigh's disease (LD) patients have similar clinical picture and response to thiamine as beriberi, leading to confusion in diagnosis and management.[ncbi.nlm.nih.gov] The neuropathy affects the legs most markedly, and these patients have difficulty rising from a squatting position. [4] In our case, the patient had both features of wet and[jdrntruhs.org]

  • Cardiac Beriberi

    The neuropathy affects the legs most markedly, and these patients have difficulty rising from a squatting position. [4] In our case, the patient had both features of wet and[jdrntruhs.org] The latter is also known as cardiac beriberi and often goes unrecognized since it is easily confused with other illnesses [ 2 ].[academic.oup.com] Calf muscle tenderness, difficulty rising from a squatting position, and decreased vibratory sensation in the toes are early signs. Muscle wasting occurs.[namrata.co]

  • Neurological Disorder

    rising from squatting position (use hands to ‘climb’ up legs – Gowers’ sign)  Pseudohypertrophy of calf muscles (muscle replaced by fatty tissue)  Progressive disability[slideshare.net] Memory loss that disrupts daily life Challenges in planning or solving problems Difficulty in completing familiar tasks at home or work Confusion about time and place New[astermedcity.com] Other cranial nerve functions subject to neurosarcoidosis show symptoms of confusion, dementia, vision problems, decreased hearing, vertigo and seizures.[livestrong.com]

  • Secondary Myopathy

    Pelvic girdle Difficulty climbing stairs, waddling gait, difficulty rising to standing position from a squatting position (patient may demonstrate Gower sign), difficulty[sites.google.com] […] for 25(OH)D and there is no concurrence on the definitions of vitamin D insufficiency (20-30 ng/ml) and deficiency ( 5 Clinically, hypovitaminosis D myopathy (HDM) can be confused[chanrejournals.com] […] findings can be confusing.[jnnp.bmj.com]

  • Pyriformis Syndrome

    from seated or squatting position Change of position does not relieve pain completely Contralateral sacroiliac pain Difficulty walking (eg, antalgic gait, foot drop) Numbness[morphopedics.wikidot.com] Piriformis syndrome is often confused with other conditions, especially lumbar spine conditions.[spine-health.com] The diagnosis is tricky because piriformis syndrome can very easily be confused with sciatica.[triathlete.com]

  • Hereditary Proximal Myopathy with Early Respiratory Failure

    They presented between the ages of 13 to 29 with proximal weakness in the lower extremities manifesting with difficulty on stairs or rising up from a squatting position (Table[bmcneurol.biomedcentral.com] A high carbon dioxide level can cause rapid breathing and confusion. Some people who have respiratory failure may become very sleepy or lose consciousness.[medlineplus.gov] Some complex cases may have both neurogenic and myopathic disorders which can lead to diagnostic confusion: Diabetes mellitus can cause both neuropathy and inflammatory myopathy[patient.info]

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