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62 Possible Causes for Fainting Spells, Hypertension, Variable Hypoglycemia

  • Hypoglycemia

    On hospital day 8 the patient developed hypertensive emergency and was taken to the operating room for exploratory laparotomy.[ncbi.nlm.nih.gov] Glycemic variability portends increased risk for hypoglycemia and should be a focus of further research.[ncbi.nlm.nih.gov] We present a case of an 85-year-old man who presented to the endocrinology clinic with symptoms of "fainting spells after large meals."[ncbi.nlm.nih.gov]

  • Diabetes Mellitus Type 2

    OBJECTIVE: To determine types and frequency of side effects of antihypertensive drugs in patients with diabetes mellitus (DM) type 2 and hypertension.[ncbi.nlm.nih.gov] The choice of glycemic target also depends on consideration of other variables, such as risk for hypoglycemia, weight gain, and other drug-related adverse effects, as well[doi.org] The 2011 Canadian Hypertension Education Program recommendations for the management of hypertension: blood pressure measurement, diagnosis, assessment of risk, and therapy[doi.org]

  • Glycogen Storage Disease Type 6

    Our patient differs from these patients as cirrhosis and portal hypertension were already present at the age of 3 years.[adc.bmj.com] Individuals with GSD VI typically exhibit hepatomegaly, growth retardation, and variable but mild episodes of fasting hypoglycemia and hyperketosis during early childhood.[emedicine.com] 1 The variable clinical phenotype of three patients with hepatic glycogen synthase deficiency. ( 28245189 ) 2017 2 Pediatric patient with hyperketotic hypoglycemia diagnosed[malacards.org]

  • Autonomic Neuropathy

    No other underlying cause of the hypertension was discovered. Rechallenge of the patient with octreotide resulted in a transient hypertensive episode, which lasted 3 h.[ncbi.nlm.nih.gov] […] an algorithm for prediction of hypoglycemia in both bedbound and active patients with type 1 diabetes (T1D).[ncbi.nlm.nih.gov] Fainting spells upon standing may indicate postural hypotension. A physician may detect early signs of neuropathy.[joslin.org]

  • Islet Cell Tumor

    A 22-year-old woman presented with lump in the left hypochondrium, refractory high-protein ascites and evidence of left-sided portal hypertension.[ncbi.nlm.nih.gov] PNETs are functional or non-functional tumors and represent a heterogeneous group of neoplasms with extremely variable clinical behavior.[ec.bioscientifica.com] Patient's history of hypertension was also associated with hypertension AEs.[futuremedicine.com]

  • Insulinoma

    The possible etiology of hypertension induced by an insulinoma is catecholamine release in response to hypoglycemia, which may cause acute hypertension through activation[ncbi.nlm.nih.gov] A somatostatin analog, octreotide (100 to 500 mcg sc bid to tid), is variably effective and should be considered for patients with continuing hypoglycemia refractory to diazoxide[merckmanuals.com] Blood glucose at intake can be highly variable, depending on when (and what) the ferret last ate.[mspca.org]

  • Uremic Encephalopathy

    Acknowledgements Donald A Feinfeld, MD, FACP, FASN Consulting Staff, Division of Nephrology and Hypertension, Beth Israel Medical Center Disclosure: Nothing to disclose.[emedicine.medscape.com] This highly variable prognosis is exemplified by patients that get encephalopathy from hypoglycemia.[medicinenet.com] — Main complications of persistent high blood pressure Complications of hypertension are clinical outcomes that result from persistent elevation of blood pressure.[1] Hypertension[medicine.academic.ru]

  • Pregnancy-related

    These increased velocities are normally caused by cerebral vasospasm and subsequent hypoperfusion in pregnancy-related hypertensive encephalopathy.[ncbi.nlm.nih.gov] (normal to low) variable (normal to low) low variable (normal to low) Coagulation studies variable abnormal normal normal Hypoglycemia no yes no no Other none some association[clinicaladvisor.com] […] group-31, chronic hypertension group-32 and miscarriage group-19) and control group-54.[ncbi.nlm.nih.gov]

  • Diabetes Mellitus with Hypoglycemia

    Results: Out of the 41 individuals, 52% had Type 2 Diabetes, 70% had hypertension, 70% were on ACE inhibitor/ARB, 36% had nephropathy & 27% were an oral agent in addition[shmabstracts.com] (1 ). - We suggest that glycemic variability be reduced to decrease the risk of hypoglycemia and to achieve more stringent HbA1c goals (2 ).[elsevier.es] Increased risk of non-insulin-dependent diabetes mellitus in elderly hypertensive subjects. J Hypertens 1994;12:1425-32. Cruickshank JM.[ebmconsult.com]

  • Argininosuccinic Aciduria

    In an ASA subject with severe hypertension refractory to antihypertensive medications, monotherapy with NO supplements resulted in the long-term control of hypertension and[ncbi.nlm.nih.gov] […] liver dysfunction, hypoproteinemia, decreased coagulation factors, hemolytic anemia, and/or hypoglycemia.[themedicalbiochemistrypage.org] Argininosuccinic aciduria patients are at risk for long-term complications including poor neurocognitive outcome, hepatic disease, and systemic hypertension despite strict[ncbi.nlm.nih.gov]

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