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46 Possible Causes for Hyperkalemia, Ketosis, Myoclonic Jerking

  • Acidosis

    Frank papilledema (pseudotumor cerebri) and motor disturbances (myoclonic jerks, flapping tremor, and seizures).[] She responded to thiazide diuretics and her BP is well controlled, and acidosis and hyperkalemia are corrected.[] […] that is marked by sickly sweet breath, headache, nausea and vomiting, and visual disturbances and is usually a result of excessive acid production — compare alkalosis , ketosis[]

  • Diabetic Coma

    jerks, change in muscle tone, nystagmus, eye deviation, and gastroparesis.[] The one group was hyponatremia with hyperkalemia in 17 patients in diabetic ketoacidosis (132.9 /- 2.0 and 5.7 /- 0.2 mEq/l), and 4 patients in non-ketotic hyperosmolar coma[] Severe diabetic stupor without ketosis. S Afr Med J. 1957 Sep 7; 31 (36):893–894. [ PubMed ] Johnson RD, Conn JW, Dykman CJ, Pek S, Starr JI.[]

  • Hypocalcemia

    Calcium gluconate and calcium chloride also are used in cardiac stabilization in patients with hyperkalemia.[] Lower intakes also put the cow in a greater energy imbalance and raise the risk of ketosis.[] jerks In more severe cases of hypocalcemia, findings can include: -Laryngospasm and stridor -Tetany -Altered mental status -Apnea -Seizures -Hypotension -Decreased myocardial[]

  • Status Epilepticus

    Caution is required, however, because ongoing status epilepticus may cause hyperkalemia after 20-30 minutes.[] In a multicentre retrospective study of 10 adult patients, 90% of patients achieved ketosis, and SE ceased in a median of 3 days in all patients who achieved ketosis. 49 Prospective[] Myoclonic jerks ceased completely and electroencephalogram showed no epileptiform discharges 2 days after VPA treatment onset, with recovery of baseline neurological status[]

  • Encephalopathy

    […] or autoimmune In people with chronic liver disease it may be triggered by: Certain conditions that affect the levels of fluids and electrolytes such as hyponatremia and hyperkalemia[] The major laboratory finding was hyperglycemia (blood glucose 1,100 mg%) in the absence of ketosis.[] jerks, progressing to global dementia. hepatic encephalopathy a condition, usually occurring secondary to advanced liver disease, marked by disturbances of consciousness[]

  • Metabolic Alkalosis

    The case concerns an 83-year-old lady with moderately severe chronic kidney disease (e-GFR 36 mL/min) and a history of chronic hyperkalemia, osteoporosis and gastro-esophageal[] […] hypomagnesaemia Bicarbonate excess Milk alkali syndrome Oral bicarbonate therapy Contraction alkalosis Dehydration due to diuretics or sweat loss Other Resolution of starvation ketosis[] On the fourth day he developed further deterioration in level of consciousness and developed myoclonic jerks, tetany and seizures.[]

  • Respiratory Acidosis

    CNS; HA, drowsy, restless, tremor, cofusion, disorientation - COMA (cerebral vasodilation, increased bloodflow to brain) & death -increased HR, lack of energy, weakness -hyperkalemia[] Ketosis excess production of ketone bodies (examples: "ketoacidosis" in diabetes) in malnutrition, people on "ketonic diets" for weight loss) 3.[] Signs include gait disturbance, tremor, blunted deep tendon reflexes, myoclonic jerks, asterixis, and papilledema.[]

  • Ethylene Glycol Poisoning

    […] decreased osmolal gap, possible tetany from hypocalcemia, and hyperventilation 3 24 to 72 hours Renal Flank pain, costovertebral angle tenderness, oliguric renal failure, hyperkalemia[] Increased osmolal gap in alcoholic ketosis and lactic acidosis . Ann Intern Med 1990 ; 113 : 580 – 2 . 16. Davidson , DF.[] Neurological assessment revealed bilateral dilated pupils with sluggish responses to light, and myoclonic jerks of his limbs.[]

  • Respiratory Alkalosis

    Frank papilledema (pseudotumor cerebri) and motor disturbances (myoclonic jerks, flapping tremor, and seizures).[] NH 4 production and excretion are impaired in chronic renal failure, hyperkalemia, and renal tubular acidosis.[] Low Ca leading to tetany, hypokalemia, ketosis and ketonuria, kidney damage leading to nitrogen retention. 8.[]

  • Nonketotic Hyperglycinemia

    On admission, and one hour later, she showed hyponatremia and hyperkalemia (Na 126 and 127 mmol/L, K 6.6 and 5.7 mmol/L, respectively).[] It has neonatal onset and is characterized by lethargy, metabolic acidosis with ketosis, absence of cerebral development, seizures, myoclonic jerks, and frequently coma and[] Nonketotic hyperglycinemia is characterized by complex and diverse phenotypes, such as hypotonia, seizures, cognitive impairment, developmental delays and myoclonic jerks[]

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