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449 Possible Causes for Hypocalcemia, Hyponatremia, Paralytic Ileus, Tenderness in the Epigastric Region, X-Ray Abnormal

  • Acute Pancreatitis

    LMP: 2072/05/29 G/C: Agonized; Lying still on bed Pallor: Present; Icterus: Absent P/A: Guarding present Tenderness Diffuse but more marked on Epigastric region and Left Iliac[epomedicine.com] Systemic complications related to acute pancreatitis include acute respiratory distress syndrome, multiple organ dysfunction syndrome, disseminated intravascular coagulation, hypocalcemia[ncbi.nlm.nih.gov] A nasogastric tube (NGT) may be inserted for a week or two to drain the contents of the stomach especially with paralytic ileus.[symptoma.com] : Lipase breaks down peripancreatic and mesenteric fat release of free fatty acids that bind calcium hypocalcemia References: [5] [6] [7] Clinical features Constant, severe[amboss.com] […] flank pain exacerbated with percussion Laboratory Tests: Elevated C-reactive protein (CRP) levels; however, all other laboratory data, a urinary analysis, and abdominal x-rays[physio-pedia.com]

  • Hypomagnesemia

    […] dL ( 1.4-2.0 mEq/L 0.70 -1.00 mmol/L); - to convert mg/dL to mmol/L (SI units): multiply by 0.4114 Assoc. lytes abnormality: hypocalcemia, hypokalemia, hypophosphatemia, hyponatremia[enotes.tripod.com] However, relative decreasing of iPTH ( 70%) (6.691, p 0.001) and hypocalcemia (2.222, p 0.046) were identified as risk factors of symptomatic hypocalcemia.[ncbi.nlm.nih.gov] Paralytic ileus (due to smooth muscle paralysis). Weakness, followed by flaccid muscle paralysis. Disappearance of deep tendon reflexes. Respiratory depression.[patient.info] Hypokalemia, hypophosphatemia, hyponatremia, and hypocalcemia . Arch Intern Med 1984 ; 144 : 1794 – 6 . 4 .[academic.oup.com] Hypokalemia, hypophosphatemia, hyponatremia, and hypocalcemia. Arch Intern Med. 1984;144(9):1794-6. [ Links ] 8. Musch W, Vincken W, Noppen M, Gorus F.[scielo.br]

    Missing: Tenderness in the Epigastric Region
  • Acute Kidney Failure

    Treatment of hyponatremia is generally free-water restriction. In patients with severe AKI and more profound hyponatremia, renal replacement therapy may be necessary.[renalandurologynews.com] A diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body.[hopkinsmedicine.org] Hypocalcemia is thought to occur because the impaired kidney no longer produces calcitriol and because hyperphosphatemia causes calcium phosphate precipitation in the tissues[merckmanuals.com] ., hyponatremia), the clinician must be cautious to interpret laboratory data in the clinical context.[clinicaladvisor.com] ., hyperkalemia, hyperphosphatemia, hypermagnesemia, hyponatremia, hypernatremia, metabolic acidosis) is important.[aafp.org]

    Missing: Tenderness in the Epigastric Region
  • Congestive Heart Failure

    We describe the use of conivaptan in a 4-month-old infant girl with severe hypervolemic hyponatremia and heart failure.[ncbi.nlm.nih.gov] Chest X-ray and thoracic CT showed ground glass opacities or consolidation spreading from the hilar area to the peripheral area, suggesting central redistribution.[ncbi.nlm.nih.gov] We present a case of severe congestive left heart failure due to profound and long-term hypocalcemia caused by surgically induced hypoparathyroidism.[ncbi.nlm.nih.gov] To confirm the diagnosis the doctor may perform a number of tests including: Chest X-rays Blood tests 12-lead electrocardiograms (EKGs) Urinalysis Exercise tests/stress tests[advocatehealth.com] It seems that icodextrin may contribute to clinically relevant hyponatremia if the hyponatremia is compounded by other factors.[ncbi.nlm.nih.gov]

    Missing: Tenderness in the Epigastric Region
  • Hypokalemia

    […] syndrome is a rare disorder in which a colorectal tumor (usually a villous adenoma) determines secretory mucous diarrhea, which in turn leads to prerenal acute renal failure, hyponatremia[ncbi.nlm.nih.gov] Autosomal dominant hypocalcemia type 1 (ADH1) is a relatively rare endocrine disorder characterized by hypocalcemia and inadequate parathyroid hormone secretion.[ncbi.nlm.nih.gov] ileus ) Cardiac arrhythmia , e.g. ventricular extrasystoles up to ventricular fibrillation ECG alterations: flattening of the T and U wave, merging T and U waves Rhabdomyolysis[flexikon.doccheck.com] Celiac crisis is rare but well known complication of celiac disease presenting with various systemic and metabolic manifestations like hypokalemia, hyponatremia, shock and[ncbi.nlm.nih.gov] Compared with the HCTZ group, however, chlorthalidone recipients had a 3.06 times and 1.68 times greater likelihood of being hospitalized for hypokalemia and hyponatremia,[renalandurologynews.com]

    Missing: Tenderness in the Epigastric Region
  • Pancreatic Abscess

    On admission, an elastic hard mass with tenderness was palpable in the epigastric region.[ncbi.nlm.nih.gov] Recent x-ray films of the thoracolumbar spine showed no abnormalities. He has no history of trauma or serious illness. He takes no medications.[usmleforum.com] In these patients laboratory signs of AP-like amylasemia, hypocalcemia, hyperglycemia, and rise of LDH are rarely observed.[ncbi.nlm.nih.gov] ileus References: [9] [19] [15] [26] We list the most important complications.[amboss.com] There was no abdominal distension or any obvious organomegaly but a mild tenderness was noted in the epigastric region.[ijpmonline.org]

    Missing: Hyponatremia
  • Gastric Cancer

    Grade 3 adverse effects included neutropenia, anemia, hyponatremia, catheter-related infection and diarrhea (maximum: 2 patients each).[ncbi.nlm.nih.gov] Subsequently x-rays of the stomach are taken. The barium outlines the inside of the stomach helping to reveal any abnormal areas that may be involved with cancer.[patients.gi.org] She complained of numbness around her lips, and marked hypocalcemia of 5.0 mg/dL was noted.[ncbi.nlm.nih.gov] These tests may include: an upper gastrointestinal endoscopy a biopsy imaging tests, such as CT scans and X-rays Traditionally, stomach cancer is treated with one or more[healthline.com] Hypocalcemia is a significant adverse effect of denosumab.[ncbi.nlm.nih.gov]

    Missing: Paralytic Ileus
  • Ileus

    Aetiology Adynamic ileus can be caused by a number of conditions: drugs: e.g. opioids metabolic: e.g. hyponatremia sepsis: especially gram-negative bacteria abdominal trauma[radiopaedia.org] Obtain X-ray studies: kub,upright cxr, decubitus abdominal film. Obtain electrolytes, complete blood count, amylase, lipase.[clinicaladvisor.com] Laboratory results revealed hypocalcemia and hyperphosphatemia. ECG findings showed normal sinus rhythm and prolonged QT interval.[ncbi.nlm.nih.gov] Paralytic ileus Clinical features • Paralytic ileus takes on a clinical significance if, 72 hours after laparotomy: • there has been no return of bowel sounds on auscultation[slideshare.net] Among them, hyponatremia could be a significant correlate for prolonged ileus.[news-medical.net]

    Missing: Tenderness in the Epigastric Region
  • Cholelithiasis

    Laboratory examination indicated severe hyperkalemia, hyponatremia, metabolic acidosis, and slightly elevated C-reactive protein.[ncbi.nlm.nih.gov] ileus (p 0,22).[ncbi.nlm.nih.gov] (p 0,06) and surgical reinterventions (p 0,27), gall bladder's perforation (p 0,98), incidence of common bile duct injury (p 1.00), surgical site infection (p 0,52) and paralytic[ncbi.nlm.nih.gov]

    Missing: Hypocalcemia
  • Strongyloides Stercoralis

    He had diffuse abdominal tenderness in the epigastric region.[omicsgroup.org] Biochemical investigations showed hypoproteinemia (55.4 g/L, Normal 66 to 87 g/L), hypoalbuminemia (15.8 g/l, Normal 35 to 50 g/L) and hyponatremia (123 mmol/L, Normal 135[omjournal.org] Chest X-ray showed bilateral fluffy alveolar opacities with infiltrates, left side consolidation and right homogenous opacities with ground glass appearance.[ijccm.org] Another potential complication is paralytic ileus secondary to hyperinfection [ 19 , 20 - 23 ].[omicsgroup.org] Baseline ECHO with 50%, no regional wall motion abnormality, inferior vena cava 20.[ijccm.org]

    Missing: Hypocalcemia

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