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15 Possible Causes for Hyperactive Deep Tendon Reflexes, Hypokalemia, Potassium Decreased

  • Hypomagnesemia

    These observations, coupled with the fact that both digitalis and magnesium deficiency lead to a decrease in intracellular potassium, suggested that hypomagnesemia might contribute[] Hypokalemia events were related to malnutrition (odds ratio, 2.79; 95% confidence interval, 1.09-7.14; P .045).[] deep tendon reflexes Chvostek's and Trousseau's signs Nystagmus Ataxia Cardiac arrhythmia Diagnostic Test Results-Laboratory Serum magnesium level is less than 1.5 mEq/L.[]

  • Thyrotoxic Periodic Paralysis

    Abstract We report the rare case of a 43-year-old African-American man with thyrotoxic periodic paralysis associated with hypokalemia and hypophosphatemia.[] tendon reflexes Usually absent or depressed Usually absent or depressed Absent or depressed Normal and often hyperactive Severe respiratory muscle weakness Very rare Rare[] Found to have decreased potassium of 2.7 mmol/L and a decreased thyroid stimulating hormone level of 0.81.[]

  • Electrolyte Imbalance

    A seriously abnormal increase in potassium ( hyperkalemia ) or decrease in potassium ( hypokalemia ) can profoundly affect the nervous system and increases the chance of irregular[] Here, we present a case of a heart donor with severe electrolyte imbalance, specifically severe hypokalemia, and severe hypernatremia.[] deep tendon reflexes.[]

  • Acid-Base Imbalance

    Explain why hypokalemia can lead to metabolic alkalosis. In hypokalemia, the kidneys retain more potassiums and excrete more hydrogen ions, which results in alkalosis.[] The signs and symptoms are numbness, tingling of fingers, toes, and circumoral region, positive Trousseau’s sign and Chvostek’s sign, seizures, hyperactive deep tendon reflexes[] This condition is usually related to an electrolyte imbalance which may present as hypokalemia or hypocalcemia. Treatment is directed at the cause.[]

  • Electrolytes Abnormal

    Hyperkalemia Several concepts in hypokalemia are relevant to hyperkalemia.[] deep tendon reflexes, dysrhythmias, mood changes, confusion, reduced motility with anorexia, nausea, constipation and distention.[] A seriously abnormal increase in potassium ( hyperkalemia ) or decrease in potassium ( hypokalemia ) can profoundly affect the nervous system and increases the chance of irregular[]

  • Hypocalcemia

    […] to hypoxia and/or acidosis Cell destruction - crushing injuries, burns and hemolysis Inadequate Potassium Excretion - from decreased aldosterone related to Adrenalectomy[] The patient improved with cessation of drugs and appropriate management of hypocalcemia and hypokalemia with calcium, vitamin D, magnesium, and potassium replacement.[] Manifestations include hyperactive deep tendon reflexes, chvostek's sign, muscle and abdominal cramps, and carpopedal spasm.[]

  • Low Chloride

    The chloride imbalance resulted in severe alkalosis and hypochloremia leading to secondary hypokalemia, hyponatremia, and azotemia.[] deep tendon reflexes - Tetany - Slow, shallow respirations - Seizures - Dysrhythmias - Coma - S/s of acid-base imbalances: hyponatremia, hypokalemia & metabolic alkalosis[] , or abuse of licorice or laxatives as the etiology of hypokalemia.[]

  • Hypermagnesemia

    Other causes can include, but are not limited to: Addison Disease Autoimmune Chelation Therapy for metal exposure Decreased excretion of potassium from the body Eating disorders[] We present a 44-year-old white man referred for hypokalemia. Clinical evaluation was unremarkable.[] Signs and symptoms include muscle tremors and weakness, athetoid movements (continuous, slow, involuntary twisting/writhing movements), ataxia, and hyperactive deep tendon[]

  • Lithium Toxicity

    Because of its similarity to potassium, the use of sodium polystyrene sulfonate has been proposed as a method of eliminating lithium. [8] However, hypokalemia has been reported[] deep tendon reflexes, polyarthralgia Skin: dry thin hair, alopecia, diminished or absent skin sensations, chronic folliculitis, eczema with dry skin, new onset or exacerbation[] Rhabdomyolysis can also lead to acute tubular necrosis and kidney failure, which will exacerbate developing hyperkalemia by decreasing renal potassium clearance.[]

  • Water Intoxication

    Paradoxical increase in hematocrit and plasma protein with acute extensive natriuresis was associated as well as urine potassium loss and hypokalemia producing paralysis in[] All four extremities were moving rhythmically, and deep tendon reflexes were symmetrically hyperactive.[] Laboratory data initially showed marked hyponatremia and hypochloremia with decreased serum potassium, and a gradual increase in serum creatine phosphokinase (CPK).[]

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