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1,229 Possible Causes for Hypoglycemia, Metabolic Acidosis, Vomiting

  • Addison's Disease

    Signs and symptoms include low blood pressure, nausea and vomiting, syncope, hypoglycemia, hyponatremia, hyperkalemia, a metabolic acidosis, lethergy, confusion, and convulsions[] ACTH stimulation tests and Insulin-induced hypoglycemia tests, imaging studies with CT scan and MRI may follow.[] On review of history, the cause of vomiting and weight loss was questioned and combined with subsequent biochemical testing a diagnosis of Addison's disease was made.[]

  • Salicylate Poisoning

    A complete history of the illness, including questions on drug use, is vital in assessing the cause of metabolic acidosis in children.[] Intoxication is characterized by rapid breathing, vomiting, headache, irritability, ketosis, hypoglycemia, and, in severe cases, seizures and respiratory failure. salicylate[] CNS toxicity can contribute to vomiting. In severe cases, the condition progresses to cerebral edema, seizures, coma, and death.[]

  • Hereditary Fructose Intolerance

    acidosis.[] What are the specific reasons for hypoglycemia seen in hereditary fructose intolerance?[] Feeding difficulties (20X), vomiting (18X), and failure to thrive (16X) were leading symptoms.[]

  • Addisonian Crisis

    Eventually, they will receive critical VBG results that indicate a mild metabolic acidosis, hyperkalemia, and hyponatremia.[] […] deficiency in cortisol production and this results in circulatory collapse and electrolyte imbalances hypotension, tachycardia, dehydration, hypovolemic shock, profound hypoglycemia[] If unable to retain medication due to vomiting, notify the health care provider.[]

  • Propionic Acidemia

    Metabolic acidosis is a key feature of this disease and is useful in differentiating it from nonketotic hyperglycinemia.[] It is frequently accompanied by metabolic acidosis with anion gap, ketonuria, hypoglycemia, hyperammonemia, and cytopenias.[] In the chronic progressive form, the disease presents as failure to thrive, chronic vomiting, psychomotor delay, hypotonia, seizures and movement disorders.[]

  • Methylmalonic Acidemia

    An inborn error of metabolism leading to chronic metabolic acidosis. Statistics from This is a PDF-only article.[] […] affecting the catabolism of propionic acid, is manifested by persistent metabolic acidosis, urinary excretion of large amounts of methylmalonic acid, and occasionally by hypoglycemia[] She had clinical signs of diabetic ketoacidosis such as dehydration, deep sighing respiration, smell of ketones, lethargy, and vomiting.[]

  • Anorexia Nervosa

    TC should be considered as a potential AN complication, but it may be triggered by hypoglycemia of any etiology.[] During admission her vomiting worsened and she developed visual hallucinations and confabulation.[] […] pneumoperitoneum, pneumorrhachis, air in retroperitoneum and extensive subcutaneous emphysema simultaneously in a severely anorectic male with BMI 9.2 (22.8 kg) and multiple vomitings[]

  • Cardiogenic Shock

    Arterial blood gas analysis may show metabolic acidosis and hypoxia. Electrocardiography.[] Mortality is highest among patients with severe hyperglycemia or hypoglycemia. Severe hyperglycemia is independently associated with high in-hospital mortality in CS.[] The possible complications of lithium overdose include altered mental status, hand tremor, muscle weakness, nausea, vomiting, diarrhea, seizure, syncope, and arrhythmia.[]

  • Reye Syndrome

    An unexplained increase in Anion Gap ([Na ] - [Cl-] - [HCO3-]) may be a clue that a metabolic acidosis is present in the patient, caused by excessive salicylate ingestion.[] Laboratory evaluation revealed initial hypoglycemia, and markedly elevated liver enzymes, prolonged clotting times, and elevated ammonia levels.[] For example, vomiting may be replaced with diarrhea and infants may display irregular breathing.[]

  • Acute Iron Intoxication

    He was noted to have leukocytosis, a metabolic acidosis and an elevated serum iron level.[] Symptoms of hypoglycemia (e.g., cool, clammy skin; altered mental status; diaphoresis), with or without a glucose reading of less than 80 mg per dL (4.4 mmol per L), may be[] acidosis 2 Within 6–48 h Up to 24 h of apparent improvement (latent period) 3 12–48 h Shock, seizures, fever, coagulopathy, metabolic acidosis 4 2–5 days Liver failure, jaundice[]

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