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24 Possible Causes for Hyponatremia, Slow Deep Tendon Reflexes

  • Electrolyte Imbalance

    Causes of Hyponatremia Hyponatremia is caused by conditions such as water retention and renal failure that result in a low sodium level in the blood.[healthcommunities.com] .  Irritability  Tremors  Muscle cramps  Hyperactive deep tendon reflexesSlow shallow respiration  Coma  seizures 44.[slideshare.net] HR if severe, blood clots are more likely, assess for slowed or impaired blood flow, sever muscle weakness, decreased deep tendon reflexes, may be confused or lethargic,[quizlet.com]

  • Coma

    We present the case of a middle-aged woman diagnosed with myxoedema coma and severe hyponatremia.[ncbi.nlm.nih.gov] Not surprisingly, Oppenheim mentioned the disappearance in deep ‘coma’ of reflexes and tendon phenomena (following the latter's description in 1875 by his teacher Westphal[doi.org] […] and tendon phenomena, does not awake on strong stimuli 20th century Starr 1903 Coma Alcohol, apoplexy, opium, uremia, diabetes, encephalitis Less deep than apoplexy, preserved[doi.org]

  • Ataxia

    When I was a postgraduate student my neurology professor would always mention that hyponatremia and hypothyroidism should be considered in patients presenting with ataxia[jcdr.net] Upper motor neuron signs in the legs such as equivocal or extensor plantar responses, brisk deep tendon reflexes and unsustained ankle clonus are sometimes present.[orpha.net] Ataxia may improve over time, but in the fifth to sixth decade of life a slow deterioration of walking is noted.[orpha.net]

  • Myxedema Coma

    Plasma vasopressin levels returned to the normal range after the correction of hyponatremia.[ncbi.nlm.nih.gov] Most patients have the physical features of severe hypothyroidism, including bradycardia and slow relaxation of the deep tendon reflexes.[aneskey.com] […] return of deep tendon reflexes.[clinicaladvisor.com]

  • Low Chloride

    Patients who take certain types of diuretic medication may also develop hyponatremia, notes MedlinePlus.[reference.com] tendon reflexes - Tetany - Slow, shallow respirations - Seizures - Dysrhythmias - Coma - S/s of acid-base imbalances: hyponatremia, hypokalemia & metabolic alkalosis *METABOLIC[quizlet.com] Hyponatremia (low blood sodium) definition and facts Hyponatremia refers to a low level of sodium in the blood.[medicinenet.com]

  • Hypothyroidism

    This review will focus on the thyroid and its link with serum hyponatremia, and review the available literature on the topic.[doi.org] […] of the relaxation phase of deep tendon reflexes Psychiatric manifestations: Personality changes, depression, dull facial expression, dementia or frank psychosis (myxedema[merckmanuals.com] When tissue levels of thyroid are low it results in the inability of your muscles to relax quickly which causes a slow relaxation phase when checking deep tendon reflexes[restartmed.com]

  • Wernicke Encephalopathy

    Cerebral Salt-Wasting Syndrome (CSWS) is characterized by hyponatremia and sodium wasting in the urine.[ncbi.nlm.nih.gov] She had mild generalised weakness in all four limbs, but her deep tendon reflexes were intact and plantar responses were downgoing.[mja.com.au] After admission, although several major symptoms, including diarrhea, ascites, hyponatremia, and hypoproteinemia, were greatly improved through appropriate treatments, his[ncbi.nlm.nih.gov]

  • Chronic Inflammatory Demyelinating Polyneuropathy

    Hyponatremia is one of the commonest electrolyte abnormality. Various neurological conditions including Guillain Barre syndrome could precipitate it.[endocrine-abstracts.org] tendon reflexes.[ahcmedia.com] Anti ganglioside antibodies were negative Conclusion: This is an unusual case where the diagnosis of CIDP was prompted from hyponatremia.[endocrine-abstracts.org]

  • Secondary Hypothyroidism

    […] tunnel syndrome, sleep apnea and pituitary hyperplasia ( Thyroid 2012;22:1200 ) Rarely presents with myxedema pseudovolvulus ( J Surg Case Rep 2016 Apr 22;2016(4) ) or severe hyponatremia[pathologyoutlines.com] Musculoskeletal System : Proximal muscle weakness Trigger Points Myalgias Stiffness Carpal Tunnel Syndrome Slowed deep tendon reflexes Parasthesias Muscle or joint edema Back[physio-pedia.com] Mental status changes including lethargy, cognitive dysfunction, and even psychosis, and hypothermia are the hallmark features of myxedema coma. 33 Hyponatremia, hypoventilation[aafp.org]

  • Anti-NMDA Receptor Encephalitis

    Hypothermia, hypoventilation, hypertension, paralytic ileus and hyponatremia were present.[ncbi.nlm.nih.gov] Examination on the day of admission revealed an awake, alert, and interactive male with focal speech production difficulties, asymmetric facial grimace, hyperactive deep tendon[dx.doi.org] […] attributed to voltage-gated potassium-channel antibodies) associates with antibodies that likely result in a syndrome characterized by short-term memory loss, confusion, hyponatremia[doi.org]

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