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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.[] .  Irritability  Tremors  Muscle cramps  Hyperactive deep tendon reflexesSlow shallow respiration  Coma  seizures 44.[] 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,[]

  • Coma

    We present the case of a middle-aged woman diagnosed with myxoedema coma and severe hyponatremia.[] 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[] […] 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[]

  • 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[] 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.[] Ataxia may improve over time, but in the fifth to sixth decade of life a slow deterioration of walking is noted.[]

  • Myxedema Coma

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

  • Low Chloride

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

  • Hypothyroidism

    This review will focus on the thyroid and its link with serum hyponatremia, and review the available literature on the topic.[] […] of the relaxation phase of deep tendon reflexes Psychiatric manifestations: Personality changes, depression, dull facial expression, dementia or frank psychosis (myxedema[] 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[]

  • Wernicke Encephalopathy

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

  • Chronic Inflammatory Demyelinating Polyneuropathy

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

  • 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[] Musculoskeletal System : Proximal muscle weakness Trigger Points Myalgias Stiffness Carpal Tunnel Syndrome Slowed deep tendon reflexes Parasthesias Muscle or joint edema Back[] Mental status changes including lethargy, cognitive dysfunction, and even psychosis, and hypothermia are the hallmark features of myxedema coma. 33 Hyponatremia, hypoventilation[]

  • Anti-NMDA Receptor Encephalitis

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

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