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53 Possible Causes for Confusion, Fecal Impaction, Hyporeflexia

  • Acute Intermittent Porphyria

    Other features include preservation of achilles reflexes while global hyporeflexia and neuropathic or myalgic pain.[] Acute attacks present with episodes of severe abdominal pain, nausea, confusion and severe life-threatening seizures.[] The highly variable symptomatic presentation of AIP causes confusion with other diseases and results in a high misdiagnosis rate (68% in China) and delayed effective treatments[]

  • Acute Hepatic Porphyria

    RESULTS: All patients identified prodromal symptoms that began days prior to acute severe pain; the most common included confusion ("brain fog"), irritability, and fatigue[] […] weeks, neurological symptoms (muscular weakness, sensory loss or convulsions) and psychological symptoms (irritability, anxiety, auditory or visual hallucinations, mental confusion[] Not to be confused with Porphyra.[]

  • Chronic Kidney Insufficiency

    All phosphate binders may cause constipation , nausea, vomiting , bowel obstruction, and fecal impaction.[] Before then, conflicting classifications had created a state of confusion as to how many Americans were afflicted with this progressive, life-threatening condition.[] The waste buildup can make you sick and you may have these symptoms: swelling of the ankles, face or belly, vomiting, loss of appetite, fatigue, weakness, confusion and headaches[]

  • Myxedema

    Gastrointestinal System Patients with myxedema may have abdominal distension due to ascites, paralytic ileus, or fecal impaction.[] A 56-year-old woman, who had not received medical care for 30 years, presented to the emergency department with progressively worsening fatigue and confusion.[] impaction Myxedema megacolon—late Hyperventilation Hypothermia Myxedematous face Generalized swelling Macroglossia Ptosis Periorbital edema Coarse, sparse hair Nonpitting[]

  • Hyperkalemia

    […] colonic necrosis, the Food and Drug Administration issued a warning advising against concomitant administration of sorbitol, an osmotic cathartic used to prevent SPS-induced fecal[] Assessment : On arrival at ED he is confused and combative with a GCS 0f 13 Initial observations reveal BP 78/60; Pulse 74, RR 32, SPO2 91% (NRB 15L) ABG which shows a Potassium[] SPS can cause constipation and fecal impaction, and is often administrated combined with sorbitol or other hypertonic laxative.[]

  • Metabolic Encephalopathy

    impaction, hypertensive encephalopathy, liver failure , long stays in an ICU, mental disorders, postoperative states, sensory deprivation, sleep deprivation, toxins that[] Hallucinations, delusions, agitation or lethargy; Irritation to light touch; Withdraw limbs unequally; Asterixis, myoclonus, tremor, sometimes hyperreflexia (acute liver malfunction)/hyporeflexia[] These include patients with known diabetes who experience symptoms of confusion due to low blood sugar.[]

  • Hyperpyrexia

    impaction, bowel obstruction, bowel perforation, or renal failure.[] C):  - altered judgment, amnesia, and dysarthria. respiratory rate  • Moderate hypothermia (28-32 C):  -Oxygen consumption decreases, CNS depression hypoventilation, hyporeflexia[] We observed a patient who, during the administration of intravenous cimetidine, became hyperpyretic and confused.[]

  • Spinal Cord Injury

    The second most common cause of autonomic dysreflexia is bowel distention, usually due to fecal impaction.[] Lee, MD Spinal shock is a combination of areflexia/hyporeflexia and autonomic dysfunction that accompanies spinal cord injury.[] That afternoon, he presented drowsiness and confusion, and arterial blood gas analysis (ABGA) demonstrated respiratory acidosis with CO2 retention; pH, 7.312; PaCO2, 62.8[]

  • Apathetic Thyrotoxicosis with Thyrotoxic Crisis

    The abdomen is distended, and paralytic ileus and fecal impaction may be present.[] 15%) but rarely a problem in itself - rarely apathetic hyperthyroidism (usually elderly patients) may present in crisis with features of profound exhaustion, tachycardia, hyporeflexia[] Other symptoms of thyroid storm include chest pain,palpitations, shortness of breath,delirium,confusion, psychosis, stupor, and fatigue.[]

  • MELAS Syndrome

    PMHx: Chronic constipation (multiple episodes of fecal impaction), hypothyroidism, and seizures. Family Hx: Lives with mother and two siblings.[] There were mild hyporeflexia and down going toes.[] Encephalopathy or confusion and forgetfulness caused by poor liver function. This can lead to confusion or even coma (hepatic encephalopathy ).[]

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