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518 Possible Causes for Hypomagnesemia, Hypotension, Slurred Speech, Vitamin B12 Deficiency

  • Short Bowel Syndrome

    D-lactate can be absorbed systemically, and increased serum levels are associated with central nervous system toxicity manifested by confusion, ataxia, and slurred speech.[ncbi.nlm.nih.gov] Chondrocalcinosis is usually sporadic but has also been associated with a variety of metabolic diseases including hypomagnesemia.[ncbi.nlm.nih.gov] Because of B12 and iron loss, anemia can manifest as pale skin and tachycardia, while hypotension is a frequent finding on physical examination due to extensive volume depletion[symptoma.com] KEYWORDS: methylmalonic acid; short bowel syndrome; small bowel bacterial overgrowth; vitamin B12 deficiency[ncbi.nlm.nih.gov]

  • Acute Alcohol Intoxication

    Behavioral changes such as euphoria and aggressiveness, as well as slurred speech, are seen in milder intoxications, which are estimated to occur at blood ethanol concentrations[symptoma.com] BACKGROUND: Persons with chronic alcoholism frequently have hypocalcemia, hypomagnesemia, and osteoporosis.[ncbi.nlm.nih.gov] Take the patient’s blood pressure to ascertain if there are any orthostatic changes, hypotension, or tachycardia.[medical-dictionary.thefreedictionary.com] speech gait disturbances blackouts coma Evaluation Blood alcohol level Treatment Pharmacologic nutritional - in chronic alcoholics or if you suspect deficiency thiamine must[step2.medbullets.com]

    Missing: Vitamin B12 Deficiency
  • Chronic Alcoholism

    These may include inappropriate behavior, unstable moods, impaired judgment, slurred speech, impaired attention or memory, and poor coordination.[mayoclinic.org] Hematologic Anemia Leukocytosis or leukopenia Thrombocytopenia Increased serum globulin levels Metabolic Elevated blood ammonia level Hyperglycemia Respiratory alkalosis Hypomagnesemia[clevelandclinicmeded.com] Attention has been drawn to recent literature in which the importance of vascular insufficiency, hypotension and disturbance of fluid and electrolyte balance in the occurrence[ncbi.nlm.nih.gov] Folic acid and vitamins B6 and B12 deficiency may lead to hyperhomocysteinemia, as they participate in its metabolism.[ncbi.nlm.nih.gov]

  • Acute Pancreatitis

    Hypocalcemia and hypomagnesemia should be corrected intravenously. Likewise, elevated glucose levels should be managed with insulin.[aafp.org] Systemic inflammation may lead to hypotensive shock which may lead to mortality.[symptoma.com] Vitamin therapies should be based on these annual blood tests.[columbiasurgery.org] , tachycardia distributive shock Pancreatic necrosis : Uncorrected hypotension and third space loss decreased organ perfusion multiorgan dysfunction (mainly renal) and pancreatic[amboss.com]

    Missing: Slurred Speech
  • Malabsorption Syndrome

    The most common signs included weight loss in all 19 patients, with a median weight loss of 30 pounds (range, 2 to 134 pounds) and hypotension or orthostatic changes in 10[ncbi.nlm.nih.gov] Signs of deficiencies may be apparent. There may be: Non-anaemic iron deficiency. Iron-deficiency anaemia. Folate deficiency or vitamin B12 deficiency.[patient.info] Pulse and blood pressure should be monitored for increased or irregular pulse rate, or hypotension (low blood pressure ).[encyclopedia.com] Frequently used as diagnostic tools are also blood and other laboratory tests, which reveal possible deficiencies in the levels of lactose and vitamin B12.[symptoma.com]

    Missing: Slurred Speech
  • Diabetes Mellitus

    Slurred speech. Unsteadiness when standing or walking. Muscle twitching . Personality changes, such as anger or crying.[web.archive.org] This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.[ncbi.nlm.nih.gov] False elevations of HbA1C may occur with low RBC turnover (as occurs with iron, folate, or vitamin B12 deficiency anemia), high-dose aspirin , and high blood alcohol concentrations[merck.com] Her speech is slurred and she appears to be in no mood to be evaluated.[ems1.com]

  • Crohn's Disease

    There may be hypotension, tachycardia and pyrexia during acute exacerbations. Abdominal tenderness or distension, palpable masses.[patient.info] vitamin B12 absorption.[en.wikipedia.org] Iron, folate and vitamin B12 deficiency. Gallstones and renal stones (usually oxalate) especially when there has been a previous right hemicolectomy.[patient.info] A complete blood count may reveal anemia, which commonly is caused by blood loss leading to iron deficiency or by vitamin B12 deficiency, usually caused by ileal disease impairing[en.wikipedia.org]

    Missing: Slurred Speech
  • Orthostatic Intolerance due to NET Deficiency

    Symptoms can include feeling light-headed, fainting, fatigue and slurred speech. Interestingly, eighty per cent of those with the condition are women.[medicalxpress.com] Pain at injection site, expensive Escitalopram oxalate (Lexapro) 10 mg qd PD, H Tremor, agitation, sexual problems Fludrocortisone acetate 0.1–0.2 mg qd PD Hypokalemia, hypomagnesemia[doi.org] The condition is also known as postural hypotension. Everyone is likely to experience a mild form of postural hypotension at some time.[betterhealth.vic.gov.au] Treatment for and Recovery from Vitamin B12 Deficiency B12 deficiency can be treated by either oral or intramuscular injections of the vitamin.[verywell.com]

  • Alcohol Withdrawal Delirium

    Delirium tremens is the most severe form of withdrawal and manifests with deep confusion, slurred speech, uninhibited behavior, staggering gait, delusions, vivid hallucinations[neuro-la-cote.info] Most of these patients present with severe dehydration (up to 10 L fluid deficit) and severe electrolyte abnormalities, including hypoglycemia and severe hypomagnesemia and[ncbi.nlm.nih.gov] […] patient with a history of alcohol dependence who shows one or more of the following: evidence of ophthalmoplegia, ataxia, acute confusion, memory disturbance, unexplained hypotension[doi.org] speech Staggering Measurable effects on motor and emotional control centers Loss of balance Blurred or double vision Urinary incontinence Sedation Amnesia 0.40 Lapses in[americannursetoday.com]

    Missing: Vitamin B12 Deficiency
  • Diarrhea

    The bacteria produce a toxin that, in addition to vomiting and diarrhea, can cause muscle weakness, drooping eyelids, blurred vision, double vision, slurred speech, dry mouth[labtestsonline.org] Hypomagnesemia after prolonged diarrhea can cause tetany.[merckmanuals.com] More commonly known types of autonomic neuropathy include erectile dysfunction and orthostatic (or postural) hypotension, the feeling of light-headedness or dizziness you[diabetesforecast.org] […] blood count, urea and electrolytes, liver function tests, vitamin B12, folate, calcium, ferritin, erythrocyte sedimentation rate and C reactive protein.[doi.org]

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