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261 Possible Causes for Electrolyte Imbalance, Myoclonic Jerking, Tremor

  • Dementia

    It may progress to severe memory loss, confusion, hallucinations, delusions, tremors, impaired speech, motor dysfunction and difficulty in eating.[symptoma.com] Metabolic disturbances: Confusion and appetite, sleep, and emotional changes can be caused by medical conditions including renal and liver failure, electrolyte imbalances[caregiver.org] Treatment varies by disorder, but some treatments (for example, stopping infections, correcting electrolyte or glucose levels) may rapidly reverse the dementia symptoms.[emedicinehealth.com]

  • Neuroleptic Malignant Syndrome

    Other extrapyramidal movement disorders such as tremor and cogwheel phenomena are also frequently present.[ccforum.com] .  Supportive care – mainstay of management  Aggressive fluid resuscitation  Monitoring and correction of electrolyte imbalances.  Cooling measures (eg: cooling blankets[slideshare.net] He developed marked rigidity, myoclonic jerks, and startle myoclonus. He was then sent for a brain MRI.[n.neurology.org]

  • Lithium Toxicity

    Despite regular clinic follow-ups and blood monitoring, he recently developed tremors and delirium.[ncbi.nlm.nih.gov] These include altered mental status, ataxia, agitation, coarse tremors, fasciculations and myoclonic jerks.[renalfellow.blogspot.com] Its adverse effects of dehydration and serum electrolyte imbalances are widely known.[ncbi.nlm.nih.gov]

  • Metabolic Encephalopathy

    Symptoms Symptoms of metabolic encephalopthy include: Confusion or agitation Disorientation Insomnia Forgetfulness Tremor (flapping tremor of the hands) Difficulty in speaking[symptoma.com] Clinical findings include seizures, ataxia, alopecia and dermatitis with atypical findings of myoclonic jerks, neuropathy and spastic paraparesis.[ncbi.nlm.nih.gov] Treatment is directed toward reversal or control of the underlying process, supportive care, and prevention of complications such as infection, electrolyte imbalance, and[ncbi.nlm.nih.gov]

  • Lithium

    Tremor is a common adverse effect associated with lithium at both therapeutic and toxic serum levels.[ncbi.nlm.nih.gov] Treatment is essentially the same as that used in barbiturate poisoning: 1) gastric lavage, 2) correction of fluid and electrolyte imbalance, and 3) regulation of kidney function[rxlist.com] Despite regular clinic follow-ups and blood monitoring, he recently developed tremors and delirium.[ncbi.nlm.nih.gov]

  • Meperidine

    Meperidine neurotoxicity manifests as shakiness, tremors, myoclonus, and seizures. It is generally seen with repeated parenteral use.[ncbi.nlm.nih.gov] Provide symptomatic and supportive treatment (continued respiratory support, correction of fluid or electrolyte imbalance).[glowm.com] Monitor for tremors, myoclonic jerking or seizures as an indication of normeperidine accumulation.[acilbook.com]

  • Hypoglycemia

    Hypothermia Low Apgar scores ( Stress (sepsis, respiratory distress, etc) Glucose screening is also recommended for infants with clinical signs consistent with hypoglycemia: Tremors[med.stanford.edu] When this coincides with an electrolyte imbalance (resulting from decreased aldosterone and other adrenal hormones) the cells can be in crisis.[adrenalfatigue.org] In newborns, hypoglycemia can produce irritability, jitters, myoclonic jerks , cyanosis , respiratory distress, apneic episodes, sweating, hypothermia , somnolence, hypotonia[en.wikipedia.org]

  • Alcohol Withdrawal Delirium

    The characteristic tremor is an intention tremor: at rest there is no tremor, but when you ask the patient to extend their hands or arms you will see a fine motor tremor ([emergencymedicinecases.com] I nfectious (encephalitis, meningitis, UTI, pneumonia) W ithdrawal (alcohol, barbiturates, benzodiazepines) A cute metabolic disorder (electrolyte imbalance, hepatic or renal[fammedref.org] Patients at greatest risk for death are those with extreme fever, fluid and electrolyte imbalance, or an intercurrent illness, such as occult trauma, pneumonia, hepatitis[emedicine.medscape.com]

  • Hypocalcemia

    His examination demonstrated a slight resting tremor, normal strength, and negative Chvostek sign.[ncbi.nlm.nih.gov] jerks In more severe cases of hypocalcemia, findings can include: -Laryngospasm and stridor -Tetany -Altered mental status -Apnea -Seizures -Hypotension -Decreased myocardial[clinicaladvisor.com] Hypocalcemia is an electrolyte imbalance and is indicated by a low level of calcium in the blood. The normal adult value for calcium is 4.5-5.5 mEq/L.[chemocare.com]

  • Streptococcal Infection

    One patient showed tremorous movement, and the other choreiform movement.[ncbi.nlm.nih.gov] Epidermal splitting occurs in the granular layer of the epidermis and therefore the systemic impact of dehydration and/or imbalance of electrolytes is usually not severe.[apps.who.int] Treatment approaches should include administration of fluids, treatment of electrolyte and acid-base imbalances, antibiotic therapy, early and aggressive surgical consultation[emedicinehealth.com]

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