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377 Possible Causes for Hypoglycemia, Hyponatremia, Ileus

  • Addisonian Crisis

    […] deficiency in cortisol production and this results in circulatory collapse and electrolyte imbalances hypotension, tachycardia, dehydration, hypovolemic shock, profound hypoglycemia[] In a patient who developed clinical signs of intracranial hypertension, bilateral papilledema and diplopia, in association with mild hypotension, hyponatremia and hyperkalemia[] Adrenal crisis with paralytic ileus was diagnosed. Intravenous hydrocortisone (100mg x3/d) and intravenous fluid commenced.[]

  • Myxedema

    High mortality (30-60%) How do patients present (clinical diagnosis) AMS Hypothermia Hypotension Respiratory Failure Hypoglycemia Hyponatremia Potential physical exam findings[] As for the gastrointestinal tract, patients may end up with ileus (disruption of normal movement of the intestine which allows transfer of intestinal content).[] The low serum thyroid hormonal levels decreases intestinal motility that advertently leads to megacolon, gastric atony, and paralytic ileus.[]

  • Addison's Disease

    The laboratory tests revealed anemia and hypoglycemia.[] During admission for evaluation of hypotension, she was also detected to have hyponatremia. Hyponatremia and hypotension failed to improve despite fluid resuscitation.[] If there is subtle evidence of AD, such as unexplained hypoglycemia or unreasonably reduced insulin requirements, adrenal functions must be studied as soon as possible, even[]

  • Bronchogenic Carcinoma

    Cell Carcinoma o Appearances § Mediastinal adenopathy § Hilar mass § Small or invisible lung nodule o High metastatic potential o Rapid growth o May be associated with § Hypoglycemia[] SIAD is characterized by hyponatremia, hypoosmolality, and less than a maximally diluted urine.[] The patient died 7 months after readmission from ileus due to pancreatitis.[]

  • Acute Intermittent Porphyria

    Thus, hypoglycemia can precipitate acute attacks in AIP patients (as well as other porphyrias) due to increased synthesis of ALAS1.[] Neurovisceral symptoms resolved, and severe hyponatremia was corrected with IV saline solution without complications.[] Other GI features may include nausea , vomiting, constipation or diarrhea , abdominal distention, and ileus .[]

  • Acute Gastroenteritis

    ORT DEFINITION OF ORT FAILURE 1 emesis after Ondansetron Refusal to take from syringe/cup for 30 minutes HYPOGLYCEMIA Defined as glucose 70 in all ages Give 2mL/kg of D10W[] Diluted ORS often lead to Hyponatremia.[] […] their child was “dehydrated” and got an IV) CON: Requires more parental/caregiver involvement (we American’s are generally lazy) CON: Can’t be used in the setting of an ileus[]

  • Fludrocortisone

    (Moderate) Patients receiving corticosteroids during propranolol therapy may be at increased risk of hypoglycemia due to the loss of counter-regulatory cortisol response.[] Hyponatremia, natriuresis, and a decrease in plasma volume of greater than 10% occurs in approximately 50% of the patients with aneurysmal SAH, perhaps due to SIADH and CSWS[] Muscle weakness, paresthesias, circumoral numbness; fatigue, anorexia, nausea, mental depression, polyuria, delirium, diminished reflexes, arrhythmias, cardiac failure, ileus[]

  • Congestive Heart Failure

    We describe the use of conivaptan in a 4-month-old infant girl with severe hypervolemic hyponatremia and heart failure.[] It seems that icodextrin may contribute to clinically relevant hyponatremia if the hyponatremia is compounded by other factors.[] Tolvaptan is an oral vasopressin type 2 receptor antagonist that can be used for heart failure patients with hyponatremia or symptomatic congestion.[]

  • Vomiting

    The patient presented with vomiting and pain abdomen, persistent hyponatremia, and terminal hypoglycemia.[] […] expulsion of vomit Intestinal obstruction Peptic ulcer Gastroesophageal reflux disease Gastritis Peritonitis or inflammation of the membranes within the abdomen Paralytic ileus[] Hyperglycemia and Hypoglycemia As the blood glucose levels rise and fall , the body's metabolism can get interrupted and confused which can lead to a mixed feeling of nausea[]

  • Paraneoplastic Syndrome

    […] and inexplicable hypoglycemia.[] A 46-year-old woman with progressive memory impairment, hyponatremia, and seizures.[] […] continued to gain weight; however, in March he was admitted with symptoms of constipation and vomiting, and was subsequently diagnosed with pseudo-obstruction/paralytic ileus[]

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